延续性护理模式对脑卒中患者巴塞尔指数及躯体功能的影响

Influence of continuous nursing mode on Barthel Index and body function in stroke patients

目的探讨延续性护理模式对脑卒中患者巴塞尔指数及躯体功能的影响,为脑卒中患者的长期护理提供数据支持。方法选取2016年1~10月该院神经康复病房接受治疗的脑卒中患者100例,按照随机数字表法分为观察组和对照组各50例。观察组患者采用延续性护理模式,对照组患者采用电话随访护理模式。干预随访1年后比较两组患者巴塞尔指数及躯体功能的差异,结果干预前,两组患者各躯体功能评分比较差异无统计学意义(P>0.05);随访1年后,观察组患者肢体运动功能、关节活动度、肌张力、平衡能力、视空间神经、感觉功能、健侧肢体功能、语言功能、疼痛评分均较干预前升高,差异有统计学意义(P<0.05),观察组各项评分高于对照组,差异有统计学意义(P<0.05)。出院时,两组患者巴塞尔指数比较差异无统计学意义(P<0.05);干预后3个月、6个月、1年,观察组患者巴塞尔指数均高于对照组,差异有统计学意义(P<0.05)。结论脑卒中患者出院后行延续性护理模式能提高其自我护理能力、躯体功能及生活自理能力,值得推广应用。

Objective To explore the influence of continuous nursing mode on Barthel Index and body function ol stroke patients, and to provide data support for long-term nursing of stroke patients. Methods A total of 100 cases of stroke patients who received treatment in the neurological rehabilitation ward of the hospital from January to October 2016 were selected and divided into the observation group and the control group with 50 cases in each group. Patients in the observation group received continuous nursing mode, while patients in the control group received telephone followup nursing mode. The difference of Barthel Index and body function between the two groups was compared after 1 year's follow-up. Results Before the intervention, there was no statistically significant difference in the scores of body functions between the two groups ( P>0.05). After 1 year of follow-up, limb motor function, joint activity, muscle tone, balance ability, visuospatial nerve, sensory function, limb function on the healthy side, language function, and pain score in the observation group were all increased compared with those before the intervention, with statistically significant differences ( P<0.05). The scores in the observation group were higher than those in the control group, and the difference was statistically significant ( P<0.05). At discharge, there was no significant difference in Barthel Index between the two groups ( P>0.05). At 3 months, 6 months and 1 year after the intervention, the Barthel Index in the observation group was higher than that in the control group, and the difference was statistically significant ( P<0. 05). Conclusions Continuous nursing mode after discharge of stroke patients can improve their self-care ability, physical function and life self-care ability, which is worthy of promotion and application.