优质康复护理在老年脑梗塞40例中的应用

Application of Quality Rehabilitation Nursing in 40 Cases of Senile Cerebral Infarction

目的研究分析优质康复护理在老年脑梗塞中的护理效果,总结护理措施。方法回顾性分析该院于2014年1月—2015年1月收治的40例老年脑梗塞患者作为对照组,该院于2015年2月—2016年2月收治的40例老年脑梗塞患者作为观察组,对照组中的40例老年脑梗塞患者仅仅进行常规护理,观察组中的40例老年脑梗塞患者进行常规护理之后,对患者进行优质康复护理,对比分析两组护理前后Barthel指数和Barden压疮评分,同时对比分析两组患者护理满意度。结果两组患者护理后Barthel指数[对照组,(36.2±3.7) vs (72.1±4.7)(t=37.958 1, P<0.05);观察组,(38.3±3.3) vs (84.2±4.3)(t=53.557 1, P<0.05)]和Barden压疮评分[对照组,(10.2±2.3)vs (15.2±3.5)(t=7.550 7, P<0.05);观察组,(9.7±2.6) vs (18.7±1.3)(t=19.581 4, P<0.05)]均升高,和对照组比较,观察组的升高幅度明显较大[Barthel,(72.1±4.7) vs (84.2±4.3)(t=12.013 2, P<0.05);Barden,(15.2±3.5) vs (18.7±1.3)(t=5.928 8, P<0.05)]。观察组患者不安全指数和对照组比较,明显降低,差异有统计学意义[(14.1±4.3) vs(9.2±2.2)(t=5.369, P<0.05)]。(2)观察组患者对疾病相关知识掌握优良率(100%)明显优于对照组(70%)(χ~2=10.236,P<0.05)。(3)观察组患者护理满意度和对照组比较,明显较高(70%vs 90%,χ~2=10.136,P<0.05)。结论老年脑梗塞应用优质康复护理,不仅仅提升了患者的日常生活能力和疾病知识掌握能力,同时也提升了患者护理满意度。

Objective To study and analyze the nursing effect of quality rehabilitation nursing in elderly patients with cerebral infarction, and summarize the nursing measures. Methods A retrospective analysis of 40 elderly patients with cerebral infarction admitted to the hospital from January 2014 to January 2015 as a control group, 40 patients with senile cerebral infarction admitted to the hospital from February 2015 to February 2016 as the observation group, 40 elderly patients with cerebral infarction in the control group were only routinely treated. 40 patients with cerebral infarction in the observation group underwent routine nursing care as well as the high quality rehabilitation. The Barthel index and Barden before and after the two groups were compared. The pressure ulcer score was compared and the nursing satisfaction of the two groups was compared. Results Barthel index after treatment in the two groups [control group,(36.2±3.7) vs (72.1±4.7)(t=37.958 1, P<0.05); observation group,(38.3±3.3) vs (84.2±4.3)(t=53.557 1, P<0.05)] and Barden pressure ulcer score [control group,(10.2±2.3) vs (15.2±3.5)(t=7.550 7, P<0.05); observation group(9.7±2.6) vs (18.7±1.3)(t=19.581 4,P<0.05].The increase was significantly higher in the observation group than in the control group [Barthel,(72.1±4.7) vs (84.2±4.3)(t=12.013 2, P<0.05); Barden,(15.2±3.5) vs (18.7±1.3)(t= 5.928 8, P<0.05)], The unsafe index of the observation group was significantly lower than that of the control group(P<0.05), which was statistically significant [(14.1±4.3) vs (9.2±2.2)(t=5.369, P<0.05)]. The excellent rate of disease-related knowledge in the observation group (100%) was significantly better than that in the control group (70%)(χ^2=10.236, P<0.05), which was statistically significant. The nursing satisfaction of the observation group was significantly higher than that of the control group (70% vs 90%χ^2=10.136, P<0.05), which was statistically significant. Conclusion The application of quality rehabilitation nursing in elderly patients with cerebral infarction not only improves the patient's daily living ability and disease knowledge, but also improves patient care satisfaction.