院外延伸康复护理模式对脑卒中患者的效果

Effect of family centered extended rehabilitation nursing on stroke patients

目的研究对于脑卒中患者实施院外延伸康复护理模式的应用效果。方法将我院2014-03—2015-03收治的69例脑卒中患者为对照组,采取常规院内康复指导及功能锻炼,选取2015-05—2016-07收治的69例脑卒中患者为干预组,实施院外延伸康复护理模式,比较2组经护理干预后神经功能、日常活动能力、心理抑郁、生活质量等评分结果。结果出院时2组NIHSS评分结果比较差异无统计学意义(P>0.05);出院后6个月、1a后对照组NIHSS神经功能评分均高于干预组(P<0.05)。出院后6个月、1a后对照组Barthel指数评分均低于干预组(P<0.05)。对照组日常生活质量等指标评分均低于干预组(P<0.05)。护理干预后,干预组SDS评分低于对照组(P<0.05)。结论院外家庭延伸康复护理指导模式可显著提高脑卒中患者生活质量评分,减轻神经损伤状态,改善患者心理抑郁状态,值得临床应用。

Objective To study the application effect of extended rehabilitation nursing model for stroke patients.Methods69 cases of stroke patients in our hospital from March 2014 to March 2015 were enrolled as control group and treated with hospital treatment,general nursing process,hospital rehabilitation and functional exercise guidance measures.69 cases of patients with stroke from May 2015 to July 2016 were enrolled as intervention group and treated with extension rehabilitation nursing model,changing the hospital nursing to family nursing.Patients were treated with follow-up nursing guidance.Neurological function,daily activity ability,psychological depression and quality of life scores from the two groups were analyzed.Results Two groups of patients had a similar discharged NIHSS score(P>0.05);After discharge for six months and one year,the control group had significant higher NIHSS nerve function score than the intervention group(P<0.05).the Barthel index score and quality of lifer indicators of the control group was lower than that of the intervention group(P<0.05).After nursing intervention,the SDS score of intervention group was lower than that of control group(P<0.05).Conclusion Family hospital extended care can improve the quality of life and promote the recovery of neurologic function and mental status for patients with stroke.It is worthy of clinical promotion.