脑卒中患者出院后人文关怀方案的构建与应用

Construction and application of humanistic care program for stroke patients after discharge

目的构建脑卒中患者出院后人文关怀干预方案并评价实施效果。方法通过前期调研、文献回顾和专家咨询构建基于Watson人文关怀理论的脑卒中患者出院后人文关怀方案,并将其整合为临床实践干预方案并实施。采用便利抽样法选取上海市浦东新区人民医院神经内科2019年6月出院的脑卒中患者作为对照组,选取2019年7月出院的患者作为干预组,对照组实施常规随访,干预组实施出院后人文关怀干预方案。比较两组患者干预前后的WHO生活质量测定量表简表(WHOQOL-BREF)、肢体活动度及总体幸福感量表得分。结果干预组脑卒中患者干预后WHOQOL-BREF总分为(55.74±4.88)分,总体幸福感量表总分为(72.06±8.02)分,高于对照组的(48.49±5.77)、(65.09±3.45)分,差异均有统计学意义(P<0.05)。干预组患者干预后肢体活动度得分为(3.52±0.71)分,与对照组的(3.20±0.63)分比较,差异无统计学意义(P>0.05)。结论通过构建与应用脑卒中患者出院后人文关怀方案,可以有效提高患者的生活质量和幸福感。

Objective To construct a humanistic care intervention program for stroke patients after discharge and evaluate the implementation effect.Methods Through preliminary research,literature review and expert consultation,the humanistic care program for stroke patients after discharge based on Watson's humanistic care theory was constructed and integrated into clinical practice intervention program and implemented.By convenience sampling method,stroke patients discharged from the Neurology Department of Shanghai Pudong New Area People's Hospital in June 2019 were selected as the control group,and patients discharged in July 2019 were selected as the intervention group.The control group received routine follow-up,and the intervention group received humanistic care intervention program after discharge.The scores of the WHO Quality of Life-BREF(WHOQOL-BREF),limb function improvement,and the General Well-Being Schedule were compared between the two groups before and after the intervention.Results After the intervention,the WHOQOL-BREF total score of the intervention group was(55.74±4.88),and the total score of the General Well-Being Schedule was(72.06±8.02),which was higher than(48.49±5.77),(65.09±3.45)of the control group.The differences were statistically significant(P<0.05).After the intervention,the limb function improvement score of the intervention group was(3.52±0.71),which was not significantly different from that in the control group(3.20±0.63).Conclusions Through the construction and application of humanistic care program for stroke patients after discharge,it can effectively improve the quality of life,and happiness of COPD patients.