延续性护理干预对脑出血康复期患者生存质量和认知功能的影响

Effect of continuous nursing intervention on quality of life and cognitive function of patients with cerebral hemorrhage in rehabilitation period

目的探讨延续性护理干预对脑出血康复期患者生存质量和认知功能的影响。方法选取2019年4月~2020年4月抚州市第一人民医院治疗的140例脑出血康复期患者作为研究对象,采取随机数字表法分成干预组和对照组,每组各70例。两组在入院期均予以对脑出血康复期对症治疗和康复护理。对照组出院后采取常规护理措施,干预组在对照组的基础上实施延续性护理措施。比较两组的治疗依从性、认知量表(MOCA)评分,并采用生活能力量表(BI)评分评估其生存质量。结果干预组的治疗依从性高于对照组,差异有统计学意义(P<0.05)。干预前,两组的MOCA评分比较,差异无统计学意义(P>0.05);干预后,两组的MOCA评分高于治疗前,且干预组的MOCA评分高于对照组,差异均有统计学意义(P<0.05)。干预前,两组的BI评分比较,差异无统计学意义(P>0.05);干预后,两组的BI评分高于治疗前,且干预组的BI评分高于对照组,差异均有统计学意义(P<0.05)。结论对脑出血康复期患者延续性护理干预应用,能提升患者治疗依从性,改善其认知功能,对其生存质量能起到有效提升。

Objective To explore the effect of continuous nursing intervention on the quality of life and cognitive function of patients with cerebral hemorrhage in rehabilitation period.Methods A total of 140 patients with cerebral hemorrhage in convalescent period who were treated in Fuzhou First People′s Hospital from April 2019 to April 2020 were selected as the observation objects and divided into the intervention group and the control group by random number table method,70 cases in each group.Patients of two groups were given symptomatic treatment and rehabilitation nursing during the recovery period of cerebral hemorrhage.Patients in the control group were given routine nursing measures after discharge,while patients in the intervention group was given continuous nursing measures on the basis of the control group.The treatment compliance and Montreal cognitive assessmen(MOCA)score of the two groups were compared,and the quality of life was evaluated by the ability of life(BI)score.Results The treatment compliance of the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in MOCA score between the two groups(P>0.05);after treatment,the MOCA scores of the two groups were higher than those before treatment,and the MOCA score of the intervention group was higher than that of the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in BI score between the two groups(P>0.05);after treatment,the BI scores of the two groups were higher than those before treatment,and the BI score of the intervention group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion For patients with cerebral hemorrhage in rehabilitation period,the application of continuous nursing intervention can improve the treatment compliance of patients,improve their cognitive impairment,and also can effectively improve their quality of life.