阳江市缺血性脑卒中患者延续性护理服务需求的调查研究

Investigation and research on the needs of continuous nursing service for patients with ischemic stroke in Yangjiang City

目的了解阳江市缺血性脑卒中患者对延续性护理服务的需求状况。方法选取2017年6月~2018年11月在广东省阳江市人民医院就诊的166例缺血性脑卒中患者为研究对象,采用《缺血性脑卒中患者延续性护理服务需求量表》和Barthel指数对患者延续性护理服务需求情况和日常生活能力(ADL)进行评价,并分析延续性护理服务需求与其日常生活能力的相关性。结果①患者延续性护理需求结果显示,患者自我护理服务需求率最高为96.39%,需求度评分为(9.26±1.27)分;而健康教育护理服务需求率最低为69.28%,需求度评分为(11.43±1.90)分。②Barthel指数结果显示,患者出院后1、3、6个月的ADL评分高于出院时,差异均有统计学意义(P<0.05)。③相关性分析结果显示,患者出院时延续性护理服务需求与日常生活自理能力无相关性(r=-0.154,P>0.05),患者出院后1、3、6个月延续性护理服务需求均与日常生活自理能力呈正相关(r=0.236,0.167,0.221,P<0.05)。结论阳江市缺血性脑卒中患者对出院后延续性护理服务需求普遍较高。延续性护理服务可显著提高患者自我护理能力和日常生活能力,促进患者早日康复。

Objective To understand the needs of patients with ischemic stroke in Yangjiang urban area for continuing nursing services.Methods A total of 166 hospitalized patients with ischemic stroke in the Yangjiang People′s Hospital in Guangdong Province from June 2017 to November 2018 were selected as the research subjects.Patient for continuous nursing service demand scale and Barthel index score were used to evaluate patient′s needs and the ability of daily living(ADL),respectively.The correlation between the needs for continuous nursing service in ischemic stroke patients and the ability of ADL were analyzed.Results①Continuous nursing needs of patients with ischemic stroke showed that the highest demand rate of patients for self-care services was 96.39%,and the demand score was(9.26±1.27)points.The lowest demand rate of health education and nursing services was 69.28%,and the demand score was(11.43±1.90)points.②With regards to the Barthel index score,the ADL scores at 1,3,and 6 months after discharge were higher than those at discharge,and the differences were statistically significant(P<0.05).③Correlation showed that the patient′s demand for continuous nursing services at discharge had no correlation with the ability of ADL(r=-0.154,P>0.05).④The patient′s demand for continuous nursing services at 1,3,and 6 months after discharge were positively correlated with the ability of ADL(r=0.236,0.167,0.221;P<0.05).Conclusion Patients with ischemic stroke in the urban area of Yangjiang City generally have a higher demand for continuous nursing service after discharge.Practice has proved that continuous nursing service can significantly improve patients′self-care ability and ADL,and promote patients′recovery as soon as possible.