脑卒中患者出院后延续护理需求现状及相关影响因素

Status quo of continuing nursing needs and related influencing factors of stroke patients after discharge

目的探讨脑卒中患者出院后延续护理需求现状及相关影响因素。方法选取2016年1月至2018年12月济宁医学院附属医院收治的脑卒中患者200例,进行延续性护理需求调查,分析脑卒中患者一般资料、延续性护理需求情况及影响因素。结果脑卒中知识需要占91.0%,不确定占4.5%,不需要占4.5%;安全用药需要占92.5%,不确定占2.5%,不需要占5.0%;康复锻炼的方法需要占90.5%,不确定占3.0%,不需要占6.5%;血压控制及自我检测需要占90.5%,不确定占3.5%,不需要占6.0%;饮食指导需要占86.5%,不确定占6.5%,不需要占7.0%;心理、情绪控制与调节需要占85.0%,不确定占8.0%,不需要占7.0%;家庭护理的技巧需要占85.0%,不确定占6.0%,不需要占9.0%;血脂、血糖的控制及检测需要占84.0%,不确定占5.5%,不需要占10.5%;协助患者进行康复训练需要占82.5%,不确定占7.5%,不需要占10.0%;对患者进行心理疏导需要占82.0%,不确定占8.0%,不需要占10.0%;获取社会支持需要占77.5%,不确定占7.0%,不需要占15.5%;家庭环境、设施的改造需要占75.0%,不确定占10.5%,不需要占14.5%。年龄、月收入情况、婚姻状况、文化程度是导致脑卒中患者需要延续性护理需求的重要影响因素。结论脑卒中患者出院后对实施延续护理有较多需求,并且通过对相关影响因素进行研究后,帮助更多的患者得到护理的机会,快速改善疾病的发展。

Objective To investigate the status quo of continuing nursing needs and related influencing factors of stroke patients after discharge from hospital.Methods A total of 200 cases of stroke patients admitted to the hospital from January 2016 to December 2018 were selected to investigate the continuous care needs,analyze the general data of stroke patients,the continuous care needs and the influencing factors.Results Knowledge of stroke accounted for 91.0%,uncertainty accounted for 4.5%,and no need accounted for 4.5%.The safe use of drugs accounted for 92.5%of the need,2.5%of uncertainty and 5.0%of no need.The method of rehabilitation exercise accounted for 90.5%,uncertainty accounted for 3.0%,and no need accounted for 6.5%.The need of blood pressure control and self-test accounted for 90.5%,uncertainty accounted for 3.5%,and no need accounted for 6.0%.Dietary guidance requirement accounted for 86.5%,uncertainty accounted for 6.5%,and no need accounted for 7.0%.Psychological emotion control and regulation need accounted for 85.0%,uncertainty accounted for 8.0%,no need accounted for 7.0%.The required skills of home care accounted for 85.0%,6.0%uncertain and 9.0%unneeded.The control and detection of blood lipid and blood glucose were required for 84.0%,uncertain for 5.5%,and unnecessary for 10.5%.The need to assist patients in rehabilitation training accounted for 77.5%,uncertainty accounted for 7.5%,and no need accounted for 10.0%.The need for psychological counseling accounted for 82.0%,uncertainty accounted for 8.0%,and no need accounted for 10.0%.The need for psychological counseling accounted for 77.5%,uncertainty accounted for 7.0%,and no need accounted for 15.5%.The need for renovation of domestic environmental facilities accounted for 75.0%,uncertainty accounted for 10.5%,and no need accounted for 14.5%.Age,monthly income,marital status and education level are important factors that lead to the need for continuity of care in stroke patients.Conclusions Stroke patients need more continuing care after discharge,and through the study of related factors,help more patients get nursing opportunities and improve the development of the disease rapidly.