脑血管意外康复后期患者实施延续护理的临床疗效

Clinical Effect of Continuous Nursing in the Later Stage of Cerebrovascular Accident Rehabilitation

目的分析延续护理在脑血管意外患者康复后期中的应用效果。方法将2017年8月至2018年8月进入我院就诊的84例出现脑血管意外患者纳入研究对象,按照投硬币的方式分为观察组和对照组,平均为42例。康复后期对照组只接受常规性的出院指导,观察组需在对照组基础上实施延续护理模式,不同护理的效果作出评估和对比。结果①出院时评估Barthel指数和FMA评分,两组患者差异无统计学意义(P>0.05),干预1个月与3个月再次评估,虽然两组患者在Barthel指数和FMA评分方面都有改善,但观察组的改善效果更为理想,差异有统计学意义(P<0.05)。②观察组相比对照组具有更理想的生活质量、康复训练效果,且复查率明显更高,差异有统计学意义(P<0.05)。③观察组(6例,占比为14.29%)经护理之后出现并发症的概率明显比对照组(18例,占比为42.86%)低,差异有统计学意义(P<0.05)。④经过护理之后观察组(40例,占比为95.24%)患者及家属对护理的满意度评价比对照组(33例,占比为78.57%)高,差异有统计学意义(P<0.05)。结论在脑血管意外患者康复后期提供延续性护理方法,对改善患者日常生活能力与运动功能具有明显的效果,且还可改善患者生活质量,提高复查率,提高患者康复训练效果,提高患者安全性和满意度,临床应用良好。

Objective To analyze the application effect of continuous nursing in the post-rehabilitation period of patients with cerebrovascular accident.Methods A total of 84 patients with cerebrovascular accident who entered our hospital from August 2017 to August 2018 were divided into observation group and control group according to the method of tossing coins,with an average of 42 cases.The control group in the postrehabilitation period only received routine discharge guidance,and the observation group needed to implement a continuous nursing model on the basis of the control group,and the effects of different nursing treatments were evaluated and compared.Results(1)The Barthel index and FMA score were assessed at discharge,and there was no difference between the two groups(P>0.05).The patients in the two groups were reassessed at 1 month and 3 months after the intervention.Although the Barthel index and FMA score of the two groups were improved,however,the improvement effect of the observation group was more ideal,and there was a statistical difference(P<0.05).(2)Compared with the control group,the observation group had better quality of life and rehabilitation training effects,and the re-examination rate was significantly higher(P<0.05).(3)The incidence of complications in the observation group(6 cases,accounting for 14.29%)after nursing was significantly lower than that in the control group(18 cases,accounting for 42.86%),with a statistical difference(P<0.05).(4)After nursing,the patients and their families in the observation group(40 cases,accounting for 95.24%)had higher satisfaction evaluations on nursing than the control group(33 cases,accounting for 78.57%),statistical difference(P<0.05).Conclusion Providing continuous nursing methods in the post-rehabilitation period of patients with cerebrovascular accident has obvious effects on improving the daily living ability and motor function of patients,and can also improve the quality of life of patients,increase the re-examination rate,improve the effect of rehabilitation training,and improve the safety of patients and satisfaction,good clinical application.