延续性护理干预对中风患者生活质量的影响

Impact of Continuous Nursing Intervention on the Quality of Life of Stroke Patients

目的探究延续性康复护理对中风患者生活质量的影响。方法便利择取2017年3月-2018年3月该院近期内接诊的100例老年中风住院患者作为研究对象,随机将入选患者分为两组,其中对照组(50例)实施常规护理,观察组(50例)在其基础上增加实施延续性护理干预,对两组患者护理前后的生活质量、简易智力状态检查量表(MMSE)、匹兹堡睡眠质量指数(PSQI)进行评估。结果与对照组相比较,观察组在改善GH、PF、RP、RE、SF、BP、VT、MH评分为(46.95±14.18)分、(36.01±18.67)分、(25.72±14.11)分、(36.74±21.32)分、(38.95±25.41)分、(16.95±11.02)分、(40.16±17.76)分、(46.21±20.74)分,优于对照组(40.56±11.18)分、(26.01±16.46)分、(20.97±9.08)分、(28.04±16.75)分、(27.74±16.04)分、(19.33±10.16)分、(31.23±12.76)分、(26.11±8.88)分(P<0.05);观察组患者干预后MMSE评分(25.68±3.30)分高于对照组干预后(21.32±3.64)分,而PSQI评分(1.38±0.92)分低于对照组干预后(2.01±0.90)分,且比较均差异有统计学意义(P<0.05)。结论采用延续性康复护理可以有效提高中风后患者生活质量和认知功能,并对于改善脑卒中后睡眠障碍症具有重要意义,因此值得在临床上广泛应用和推广。

Objective To explore the effect of continuous rehabilitation nursing on the quality of life of stroke patients.Methods 100 elderly hospitalized inpatients who were admitted to the hospital from March 2017 to March 2018 were convenientlly selected as subjects. The selected patients were randomly divided into two groups. The control group(50 patients) received routine care. The observation group(50 cases) was added to implement continuous nursing intervention,and the quality of life, the simple intelligence state checklist(MMSE) and the pittsburgh sleep quality index(PSQI) were evaluated before and after treatment. Results Compared with the control group, the observation group improved the scores of GH, RP, RE, SF, BP, VT, MH to(46.95±14.18)points,(36.01±18.67)points,(25.72±14.11)points,(36.74±21.32)points,(38.95±25.41)points,(16.95 ±11.02)points.(40.16±17.76)points,(46.21±20.74)points, better than the control group(40.56 ±11.18)points,(26.01±16.46)points,(20.97±9.08)points,(28.04±16.75)points,(27.74±16.04)points,(19.33±10.16)points,(31.23±12.76)points,(26.11±8.88)points(P<0.05);the MMSE score(25.68 ±3.30)points in the observation group was higher than that in the control group(21.32±3.64)points, while the PSQI score(1.38±0.92)points was lower than that in the control group(2.01±0.90), the difference was significance(P<0.05). Conclusion Continuous rehabilitation nursing can effectively improve the quality of life and cognitive function of patients after stroke, and it is of great significance for improving poststroke sleep disorders. Therefore, it is worthy of widespread application and promotion in clinical practice.