家庭主导式延续护理在恶性肿瘤急性脑梗死偏瘫患者中的应用效果

Application effects of family-led continuous nursing in hemiplegia patients with acute cerebral infarction and malignant tumors

目的:观察家庭主导式延续护理在恶性肿瘤急性脑梗死(ACI)偏瘫患者中的应用效果。方法:选取160例恶性肿瘤ACI偏瘫患者为研究对象,按照随机数字表法分为研究组与对照组各80例。对照组给予常规护理,研究组在对照组基础上给予家庭主导式延续护理,比较两组康复锻炼依从性、简式Fugl-Meyer运动功能评定量表(FMA)评分、卒中专用生命质量量表(SS-QOL)评分、社会支持评定量表(SSRS)评分、压疮发生率和下肢深静脉血栓(DVT)发生率。结果:研究组康复锻炼依从性为93.75%,明显高于对照组的78.75%,差异有统计学意义(P<0.05);护理后,两组FMA、SS-QOL评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);护理后,两组客观支持、主观支持、对支持的利用度等SSRS各维度评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);研究组压疮发生率为5.00%,明显低于对照组的16.25%,差异有统计学意义(P<0.05);研究组下肢DVT发生率为3.75%,明显低于对照组的17.50%,差异有统计学意义(P<0.05)。结论:在常规护理基础上应用家庭主导式延续护理可提高恶性肿瘤ACI偏瘫患者的康复锻炼依从性、运动功能评分、生命质量评分和社会支持度评分,以及降低压疮发生率和下肢DVT发生率,效果优于单纯常规护理。

Objective:To observe application effects of family-led continuous nursing in hemiplegia patients with acute cerebral infarction(ACI)and malignant tumors.Methods:160 hemiplegia patients with malignant tumors and ACI were selected as the research objects and were divided the study group and control group according to the random number table method,80 cases in each.The control group was given routine nursing,while the study group was given family-led continuous nursing on the basis of that of the control group.The rehabilitation exercise compliance,the Fugl-Meyer motor function assessment(FMA)score,the stroke-specific quality of life scale(SS-QOL)score,the social support rating scale(SSRS)score,incidence of pressure ulcers and the incidence of deep vein thrombosis(DVT)of lower extremities were compared between the two groups.Results:The rehabilitation exercise compliance rate in the study group was 93.75%,which was significantly higher than the control group of 78.75%,and the difference was statistically significant(P<0.05).After the nursing,the FMA and SS-QOL scores of the two groups were higher than those before the nursing;those of the study group were higher than those of the control group;and the differences were statistically significant(P<0.05).After the nursing,the scores of SSRS dimensions such as objective support,subjective support,and utilization of support in the two groups were higher than those before the nursing;those of the study group were higher than those of the control group;and the differences were statistically significant(P<0.05).The incidence of pressure ulcers in the study group was 5.00%,which was significantly lower than 16.25%in the control group,and the difference was statistically significant(P<0.05).Further,the incidence of lower extremity DVT in the study group was 3.75%,which was significantly lower than 17.50%in the control group,and the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the family-led continuous nursing can improve the rehabilitation exercise compliance rate,the motor function score,the quality of life score and the social support score,and reduce the incidence rates of pressure ulcers and lower extremity DVT in the hemiplegia patients with malignant tumors and ACI.Moreover,it is superior to single routine nursing.