阶段性延续护理对高血压脑出血患者生活质量的影响

Effect of extended nursing intervention on quality of life of patients with hypertensive cerebral hemorrhage

目的探讨延续护理干预对高血压脑出血患者出院后生活质量的影响。方法选择2012年6月—2014年6月收治于中国人民解放军第一八零医院的高血压脑出血患者86例,采用随机数字表法分为观察组和对照组各43例。对照组患者出院时给予常规出院健康宣教并定期随访;观察组患者出院时除常规出院健康宣教和定期随访外,责任护士采取延续护理干预措施。通过电话随访调查问卷的形式,应用生活质量测定量表简表(Quality of Life Scale Brief Version,QOL-BREF)评估患者出院后第1天和6个月生活质量。结果两组患者出院后第1天生活质量评分比较,差异无统计学差异(P>0.05);两组患者出院后6个月生活质量评分比较,观察组高于对照组,差异有统计学意义(P<0.05)。结论延续护理干预可提高高血压脑出血患者出院后生活质量。

Objective To discuss the effect of extended nursing intervention on the patients with hypertensive cerebral hemorrhage. Methods A total of 86 cases with hypertensive cerebral hemorrhage in The 180th Hospital of PLA from June 2012 to June 2014 were chosen. They were equally and randomly assigned to the intervention group and the control group by a random number table method. The quality of life （QOL） of patients was evaluated using Quality of Life Scale Brief Version （QOL-BREF） on the first day and the 6th month after discharge through telephone follow-up. The conventional discharge education was provided in the control group. Besides that, extended nursing was provided in the intervention group. The difference in QOL between the two groups was analyzed. Results No significant difference in QOL was observed on the first day after discharge between the two groups （P 〉 0.05 ）. After 6 months of discharge, QOL in the intervention group was significantly improved compared to the control group （ P 〈 0. 05 ）. Conclusion Extended nursing intervention could improve the QOL of patients with hypertensive cerebral hemorrhage after discharge.