医护一体化护理对脑梗死患者独立生活能力和心理社会适应状况的影响

The effect of all-in-one medical nursing care on the independent living ability as well as psychological and social adaptation of patients with cerebral infarction

目的评价医护一体化护理对脑梗死患者独立生活能力和心理社会适应状况的影响。方法收集2015年3月至2016年3月在我院康复科收治的脑梗死患者156例,随机分为干预组和对照组,每组各78例。对照组给予常规护理,干预组在接受常规护理的基础上,给予医护一体化护理,两组患者的护理干预均持续6个月,对两组患者干预前及干预6个月后的美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分、巴氏指数(Barthel index,BI)进行评估,并行症状自评量表(Self-reporting Inventory,SCL-90)评分。结果两组患者干预前NHISS评分,BI指数评分,SCL-90评分组间均无显著性差异(P>0.05)。经护理干预6个月后,干预组患者的NIHSS评分较对照组显著降低(P=0.030),BI指数较对照组明显升高(P=0.009),SCL-90评分水平较对照组患者出现显著降低(P<0.001)。结论医护一体化护理不仅有利于促进脑梗死患者肢体运动功能的恢复,并且对患者的独立生活能力和心理社会适应状况有显著改善作用,对提高脑梗死后患者生活质量具有重要意义。

Objective To investigate the effect of all-in-one medical nursing care on the independent living ability as well as psychological and social adaptation of patients with cerebral infarction. Methods 156 cases of patients with with cerebral infarction who were treated in our hospital from March 2015 to March 2016 were selected. These patients were divided into the intervention group （ n =78 ） and the control group （ n =78 ） randomly. The control group patients were given the routine nursing care, while the intervention group were administrated with all-in-one medical nursing care on the basis of the routine care, all the nursing interventions foe two groups lasted for 6 months. Before and after nursing intervention, scores of National institute of health stroke scale （NIHSS）, Barthel index （BI） and Self-re- porting Inventory （SCL-90） of two groups were statistically analyzed. Results The differences of scores of NIHSS, BI and SCL-90 before nursing care between the two groups were not significant （P〉 0.05 ）. After nursing intervention for 6 months, scores of NIHSS in the intervention group were lower that in the control group （P = 0.030）, and scores of BI in the intervention group were higher that in the control group （P=O.O09）, also scores of SCL-90 in the intervention group were lower that in the control group （P〈0.001） . Conclusion All-in-one medical nursing care is not only conducive to the promotion of limb motor function recovery in patients with cerebral infarction, but also improve the independent living ability as well as psychological and social adaptation of these patients with cerebral infarction. It plays an important part to improve the quality of life of patients with cerebral infarction.