综合护理干预对急性脑卒中患者神经功能恢复及护理满意度的影响

Comprehensive Nursing Intervention on the Degree of Satisfaction to the Nursing Care and Recovery of Nerve Function in Patients with Acute Cerebral Apoplexy

目的:探讨综合护理干预对急性脑卒中患者神经功能缺损症状恢复及护理满意度的影响。方法:2015年1月至2015年7月选取符合病例选择标准的住院患者100例,根据入院随机分为观察组和对照组各50例,对照组患者给予常规护理措施,观察组在此基础上给予护理干预,采用中国脑卒中临床神经功能缺损程度评分量表(CSS)评价神经功能,日常生活活动能力量表(Barthel指数)评价生活能力,现场调查问卷评价护理满意度。结果:护理前,两组患者CSS评分、Barthel指数评分相似,差异无统计学意义(P>0.05);护理1周、2周及4周末,观察组及对照组患者CSS评分较本组入组时均下降、Barthel指数评分较本组入组时均提高,但观察组改善幅度更大,差异有统计学意义(P<0.05)。观察组患者健康教育、治疗性护理、服务态度及心理护理评分均高于对照组,差异有统计学意义(P<0.05);观察组患者非常满意36例、满意11例、不满意3例和满意度94.00%,对照组患者非常满意19例、满意20例、不满意11例和满意度78.00%,观察组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论:综合护理干预可促进急性脑卒中患者神经功能恢复,改善日常生活能力,提高护理满意度,值得临床推广应用。

Objective：To investigate the effects of comprehensive nursing intervention on the degree of satisfaction to the nursing care and recovery of neurologic impairment symptoms in patients with acute cerebral apoplexy. Methods：A total of 100 eligible inpatients between January 2015 and July 2015 were selected, and divided into observation group and control group according to the admission numbers, with 50 patients in each group. The patients of the control group were given usual care, while the patients of the observation group giv-en nursing intervention additionally, and the nerve function, viability, and degree of satisfaction to the nursing care were evaluated by China stroke scale （ CSS ） , ADL evaluation form （ Barthel index ） , and on-the-spot questionnaire, respectively. Results：Before the nursing cares, the patients of the two groups had similar CSS scores and Barthel index scores, and the differences were statistically insignificant （ P〉0.05）;at the ends of 1 week, 2 weeks, and 4 weeks after the nursing cares, the observation group and control group both had de-creased CSS scores and increased Barthel index scores, but the observation group had greater improving ex-tents, and the differences were statistically significant （ P〈0. 05 ） . The observation group had significantly higher scores of health education, therapeutic nursing care, service attitude, and mental nursing （ all P〈0. 05）;the numbers of patients of the observation group who were very satisfied, satisfied, and dissatisfied to the nursing care, and the degree of satisfaction were 36, 11, 3, and 94.00%, respectively;while those of the pa-tients of the control group were 19, 20, 11, and 78. 00%, respectively; and the patients of the observation group had a significantly higher degree of satisfaction than the control group （ P〈0.05） . Conclusion：Compre-hensive nursing intervention can promote the recovery of nerve function, improve the activity of daily living, and elevate the degree of satisfaction to the nursing care in patients with acute cerebral apoplexy, and conse-quently is worthy of clinical application.