脑卒中患者社区居家康复护理模式的应用

Application of Community Home Rehabilitation Nursing Model for Stroke Patients

目的研究脑卒中患者采用居家康复护理模式进行社区干预的临床价值。方法选择在医院出院的70例脑卒中患者,根据是否接受居家康复护理分成对照组(35例)和观察组(35例)。对照组实施常规社区干预;观察组实施居家康复护理干预。对比两组干预前后NIHSS评分和生活质量SF-36量表评分水平、对居家干预模式的满意度、并发症情况、干预计划实施总时间。结果观察组患者干预前后NIHSS评分和生活质量SF-36量表评分水平的改善幅度大于对照组,差异有统计学意义(P<0.05);对居家干预模式的满意度达到94.3%,高于对照组的77.1%,差异有统计学意义(P<0.05);仅有1例并发症,少于对照组的6例,差异有统计学意义(P<0.05);干预计划实施总时间短于对照组,差异有统计学意义(P<0.05)。结论脑卒中患者采用居家康复护理模式进行社区干预,可以大幅度改善患者脑神经功能,减少并发症,改善生活质量,缩短干预计划实施时间,使干预模式满意度水平提高。

Objective To study the clinical value of community intervention for patients with stroke using home rehabilitation nursing mode.Methods 70 patients with stroke discharged from our hospital were selected and divided into control group(35 cases)and observation group(35 cases)based on whether they received home rehabilitation care.The control group was performed routine community intervention,the observation group was performed home rehabilitation nursing intervention.The NIHSS score and quality of life SF-36 scale scores,satisfaction with the home intervention mode,complications,and total implementation time of the intervention plan were compared between the two groups before and after intervention.Results The improvement of the NIHSS score and the quality of life SF-36 scale before and after the intervention in the observation group was greater than that in the control group,which was statistically significant(P<0.05);the satisfaction with the home intervention mode reached 94.3%.It was higher than 77.1%of the control group,which was statistically significant(P<0.05);there was only 1 case of complications,which was less than 6 cases of the control group,which was statistically significant(P<0.05);the total implementation time of the intervention plan was shorter than the control group,it was statistically significant(P<0.05).Conclusion Community intervention for patients with stroke using home rehabilitation nursing mode can greatly improve the patient’s neurological function,reduce complications,improve quality of life,and shorten the implementation time of the intervention plan,improve the satisfaction level of the intervention model.