基于护理依赖评估的随访管理对脑卒中病人的影响研究

Effect of follow-up management on stroke patients based on nursing dependency assessment

目的:将护理依赖评估引入脑卒中随访管理,形成基于护理依赖评估的随访管理并在实践应用中探究其对脑卒中病人的影响。方法:便利选取2021年5月-2021年10月于江门市某三级甲等医院神经内科住院的脑卒中病人为研究对象,其中2021年5月-2021年7月入院的144例病人设为对照组,接受采用Barthel指数评定为主的常规护理随访管理;2021年8月-2021年10月入院的151例病人设为观察组,接受基于护理依赖评估的脑卒中随访管理。比较两组病人出院后第1个月和第3个月的随访率、复诊率和生活质量情况。结果:观察组病人出院后第1个月随访率为95.36%(144/151),第3个月随访率为97.22%(140/144);高于对照组的94.44%(136/144)、95.59%(130/136),但差异无统计学意义。观察组病人出院后第1个月复诊率为72.22%(104/144),第3个月复诊率为68.57%(96/140),均明显高于对照组的60.29%(82/136)、54.62%(71/130),差异均有统计学意义(P<0.05)。观察组病人出院后第1个月和第3个月的生活质量评分均明显高于对照组(P<0.05)。结论:基于护理依赖评估的随访管理可促进脑卒中随访全面性评估,增强脑卒中病人的主动复诊意识,提高脑卒中病人的生活质量。

Objective:Nursing dependency assessment was introduced into the follow-up management of stroke to form follow-up management based on nursing dependency assessment and explore its influence on stroke patients in practice.Methods:A total of 144 stroke patients hospitalized from May 2021 to October 2021 in the Department of Neurology of a third grade A hospital in Jiangmen were conveniently selected as the study subjects.Among them,a total of 144 patients admitting to the hospital from May 2021 to July 2021 were set as the control group,and received routine nursing follow-up management based on Barthel index evaluation.A total of 151 patients admitted to the hospital from August 2021 to October 2021 were enrolled in the observation group and received follow-up management of stroke based on nursing dependency assessment.The follow-up rate,return visit rate and quality of life were compared between the two groups at 1 and 3 months after discharge.Results:The follow-up rate in observation group was 95.36%(144/151)at the first month and 97.22%(140/144)at the third month after discharge,higher than 94.44%(136/144)and 95.59%(130/136)in the control group,but the difference was not statistically significant(P>0.05).The rate of return visit in the observation group was 72.22%(104/144)at the first month and 68.57%(96/140)at the third month after discharge,which were significantly higher than 60.29%(82/136)and 54.62%(71/130)in the control group,with statistical significant difference(P<0.05).The quality of life score in the observation group was significantly higher than that in the control group at the first month and the third month after discharge(P<0.05).Conclusion:Follow-up management based on nursing dependency assessment can promote comprehensive follow-up assessment of stroke,enhance the awareness of active return visit of stroke patients,and improve the quality of life of stroke patients.