医养一体化护理在老年脑卒中后遗症康复中的应用效果

Effect of Medical and Nursing Integration on Rehabilitation of Sequelae of Senile Stroke

目的:探讨在老年脑卒中后遗症患者中加强医养一体化护理干预的效果。方法:选择72例老年脑卒中后遗症患者,随机分为2组。对照组(n=36)采用常规护理,观察组(n=36)护理中引入医疗、养生、养老为一体的医养一体化护理干预。2组护理干预时间均为6个月。观察患者日常生活活动能力、运动功能、心理状态改善情况、病情复发及护理满意度。结果:干预3、6个月后2组比较,观察组ADL评分[(60.19±2.30)vs(45.56±2.14)分)]、[(73.24±2.46)vs(51.30±2.50)分],Fugl-Meyer评分[(40.50±3.68)vs(35.49±3.62)分]、[(56.99±3.68)vs(47.38±3.29)分]均高于对照组,差异有统计学意义(P<0.05);出院后3、6个月观察组SAS评分[(48.10±4.21)vs(53.19±5.16)分、(40.15±4.50)vs(50.19±4.65)分],SDS评分[(42.16±4.28)vs(47.36±4.62)分、(40.10±3.26)vs(47.12±3.59)分]均低于对照组,差异有统计学意义(P<0.05);观察组卒中复发率低于对照组(2.78%vs 16.67%),护理满意度高于对照组(100.00%vs 86.11%),差异均有统计学意义(P<0.05)。结论:老年脑卒中后遗症患者实施医养一体化护理干预,能够明显提高患者运动功能,改善患者日常活动能力,同时可有效帮助患者改善不良情绪,明显降低卒中复发率,提高护理满意度。

Objective:To evaluate the concrete measures and effects of strengthening the integrative nursing intervention of medical care and nursing care in the elderly patients with sequelae of stroke.Methods:72 elderly patients with Sequela of stroke were divided into two groups by random number table.The nursing intervention of the control group(n=36)was routine nursing,and the intervention group(n=36)included medical care,health preservation and old-age care.The duration of nursing intervention was 6 months in both groups.The activities of daily life,motor function,mental status improvement,illness recurrence and nursing satisfaction were observed.Results:At 3 and 6 months after intervention,the ADL scores of the intervention group were higher than those of the control group;the differences were statistically significant(P<0.05);At 3 and 6 months after intervention,Fugl-meyer scores in the intervention group were significantly higher than those in the control group;the differences were statistically significant(P<0.05);The SAS scores and SDS scores of the intervention group were all lower than those of the control group;the differences were statistically significant(P<0.05);The relapse rate of stroke in the intervention group was lower than that in the routine group,and the nursing satisfaction index was higher than that in the routine group;the differences were statistically significant(P<0.05).Conclusion:Elderly stroke sequelae patients after discharge from hospital to implement integrated medical care and nursing intervention,can obviously improve the motor function and daily activity ability of the patients;at the same time,it can effectively help the patients to improve the bad mood,obviously reduce the recurrence rate of stroke,and the overall nursing effect is ideal.