家庭跟进式护理在老年脑卒中失语症患者中的应用研究

Family follow-up care in elderly patients with stroke aphasia

目的:探讨家庭跟进式护理在老年脑卒中失语症患者康复训练中的应用效果。方法:选择我院就诊的84例老年脑卒中失语症患者作为观察对象,随机分为观察组和对照组各42例,对照组给予常规护理,观察组在常规护理基础上给予家庭跟进式护理。干预3个月,评价两组患者的应用效果。结果:观察组康复训练依从率为90. 48%,高于对照组66. 67%,差异有统计学意义(P <0. 01);干预3个月后,观察组与对照组失语严重程度、日常生活语言沟通能力、生活质量评分均高于干预前,差异有统计学意义(P <0. 01);干预3个月后,观察组失语严重程度、日常生活语言沟通能力、生活质量评分均高于对照组,差异有统计学意义(P <0. 01)。结论:家庭跟进式护理应用于老年脑卒中失语症患者能提高患者康复锻炼依从性,改善语言沟通能力及生活质量,适合临床推广。

Objective To investigate the effect of family follow-up care in elderly patients with stroke aphasia. Methods Eighty-four patients with stroke aphasia in Taizhou Hospital were selected as observation objects. According to the random number table method,the patients were assigned into observation group and control group,42 in each group. The control group was given routine nursing,while the observation group was given family follow-up care on the basis of routine nursing.Interventions were performed for 3 months and then the effects were evaluated in the two groups of patients. Results The observation group＇s compliance rate of rehabilitation training was 90. 48%,which was higher than that of the control group（66. 67%）. The difference was statistically significant（X^2= 7. 071,P〈0. 01）. Three months after intervention,the severity of aphasia,communication ability in daily life and quality of life were significantly higher than those before the intervention in the observation group and the control group（P〈0. 01）. Three months after intervention,the severity of aphasia,daily language communication ability,and quality of life of the observation group were higher than those of the control group. The difference was statistically significant（P〈0. 01）. Conclusions Family follow-up care can improve the patients＇ compliance with rehabilitation exercise,improve language communication ability and quality of life,which is suitable for clinical promotion.