对老年脑卒中患者进行延续性护理的效果研究

A study on the effect of continuing nursing for elderly stroke patients

目的:研究对老年脑卒中患者进行延续性护理的效果。方法:选取2017年3月至2018年4月在安庆市立医院接受治疗的48例老年脑卒中患者作为研究对象。将其随机分为观察组和对照组,每组各24例患者。在两组患者出院后,对对照组患者进行常规的电话随访,对观察组患者进行延续性护理。然后比较两组患者的Fugl-Meyer评分﹑对治护依从性的各项评分和MMSE评分。结果:1)在出院的前1d,两组患者的Fugl-Meyer评分相比,P>0.05。在出院后1周﹑1个月及2个月,观察组患者的Fugl-Meyer评分均高于对照组患者,P<0.01。2)观察组患者对按时用药﹑合理饮食、科学锻炼及按时复诊依从性的评分均高于对照组患者,P<0.01。3)在出院的前1d和出院后1个月,两组患者的MMSE评分相比,P>0.05。在出院后3个月、6个月及12个月,观察组患者的MMSE评分均高于对照组患者,P<0.05。结论:对老年脑卒中患者进行延续性护理可显著改善其运动功能和认知功能,提高其对治护的依从性。

objective: to study the effect of continuous nursing for elderly stroke patients. Methods: from March 2017 to April 2018, 48 cases of elderly strokepatients in anqing city hospital were selected as the study subjects. They were randomly divided into observation group and control group with 24 patients in each group.After discharge from hospital, patients in the control group were routinely followed up by telephone, and patients in the observation group were given continuous nursingcare. The fugl-meyer scores, scores for compliance and MMSE scores of patients in the two groups were then compared. Results: 1) 1 day before discharge, the fugl-meyerscore of the two groups was 0.05. At 1 week, 1 month and 2 months after discharge, the fugl-meyer score of the observation group was higher than that of the control group(P<0.01). 2) the scores of patients in the observation group on timely medication, reasonable diet, scientific exercise and timely return visit compliance were all higherthan those in the control group, P<0.01.3) 1 day before discharge and 1 month after discharge, the MMSE score of the two groups was 0.05. At 3, 6 and 12 months afterdischarge, MMSE scores in the observation group were higher than those in the control group (P<0.05). Conclusion: continuous nursing for elderly stroke patients cansignificantly improve their motor function and cognitive function, and improve their compliance with treatment and nursing.