医养一体化护理对老年卒中后遗症期患者康复及负性情绪的影响效果

Effect of Integrated Medical and Nursing Care on Rehabilitation and Negative Emotions in Elderly Patients with Stroke Sequela

目的:探究医养一体化护理对老年卒中后遗症期患者康复及负性情绪的干预效果。方法:选取2014年7月-2016年7月本院收治的老年脑卒中后遗症期患者88例。按照随机数字表法将其分为试验组和常规组,各44例。常规组应用常规护理干预,试验组应用医养一体化护理干预,两组均随访1年,比较两组护理前后的日常生活活动能力(ADL量表)、运动功能(Fugl-Meyer量表)、焦虑程度(SAS评分)、抑郁程度(SDS评分),比较两组护理满意度及复发率。结果:护理后,试验组ADL评分、上下肢Fugl-Meyer评分均高于常规组,SAS、SDS评分均低于常规组,比较差异均有统计学意义(P<0.05);试验组复发率为2.27%,低于常规组的13.64%,比较差异有统计学意义(χ~2=3.880 1,P=0.048 9);试验组总满意度为95.45%,高于常规组的79.55%,比较差异有统计学意义(χ~2=5.090 9,P=0.024 1)。结论:老年卒中后遗症期患者采取医养一体化护理的干预效果十分明显,值得大力推广。

Objective:To explore the effect of integrated medical and nursing care on rehabilitation and negative emotions in elderly patients with stroke sequela.Method:A total of 88 elderly patients with stroke sequela in our hospital from July 2014 to July 2016 were selected.According to the method of random number table,they were divided into experimental group and routine group,44 cases in each group.Routine group was treated with routine nursing intervention,and experimental group was treated with integrated medical and nursing care,they were followed up for 1 year.The activities of daily living(ADL scale),motor function(Fugl-Meyer scale),anxiety degree(SAS score)and depression degree(SDS score)between two groups before and after nursing were compared,and the nursing satisfaction and recurrence rate of two groups were compared.Result:After nursing,ADL scores and Fugl-Meyer scores of upper and lower limbs in experimental group were all higher than those of routine group,and SAS score and SDS score were all lower than those of routine group,the differences were statistically significant(P<0.05).The recurrence rate in experimental group was 2.27%,which was lower than 13.64%in routine group,the difference was statistically significant(χ2=3.880 1,P=0.048 9).The total satisfaction rate in experimental group was 95.45%,which was higher than 79.55%in routine group,the difference was statistically significant(χ2=5.090 9,P=0.024 1).Conclusion:The intervention effect of integrated medical and nursing care in elderly patients with stroke sequelae is very obvious,and it is worth of popularizing.