社区延续性护理脑卒中患者效果评价

Effect evaluation on community continuity nursing in stroke patients

目的研究与分析脑卒中患者接受社区延续性护理的效果。方法 118例脑卒中患者,随机分为研究组和对照组,每组59例。对照组接受常规护理,研究组在对照组护理基础上接受社区延续性护理。比较两组的护理效果。结果出院前1 d两组患者简易智力状态检查量表(MMSE)评分比较差异无统计学意义(P>0.05);出院后1、3、6个月两组患者MMSE评分均明显优于出院前1 d,且研究组均优于对照组,差异均具有统计学意义(P<0.05)。研究组出院后6个月按时复诊、按时用药、合理健康饮食及按时健康锻炼的依从性评分分别为(92.59±8.62)、(86.19±10.32)、(84.68±9.26)、(83.06±8.49)分,均高于对照组的(71.16±9.63)、(68.54±9.69)、(67.84±8.73)、(67.18±10.62)分,差异均具有统计学意义(P<0.01)。结论脑卒中患者接受社区延续性护理能显著改善患者的精神状况,显著提升患者依从性,值得临床推广应用。

Objective To study and analyze the effect of community continuity nursing in stroke patients. Methods A total of 118 stroke patients were randomly divided into research group and control group, with 59 cases in each group. The control group received conventional nursing, and the research group received community continuity nursing on the basis of the control group. The nursing effect in two groups was compared. Results 1 d before discharge, both groups had no statistically significant difference in mini-mental state examination（MMSE） score（P〈0.05）. 1, 3, 6 months after discharge, both groups had obviously better MMSE score than that of 1 d before discharge, and the research group was better than the control group. Their difference was statistically significant（P〈0.05）. 6 months after discharge, the research group had compliance score of medication on time, healthy diet, and healthy exercise on time respectively as（92.59±8.62）,（86.19±10.32）,（84.68±9.26） and（83.06±8.49） points than（71.16±9.63）,（68.54±9.69）,（67.84±8.73） and（67.18±10.62） points in the control group, and their difference was statistically significant（P〈0.01）. Conclusion Community continuity nursing in patients with stroke can significantly improve the patient＇s mental status and compliance, and it is worthy of clinical promotion and application.