医院-社区-家庭一体化护理对脑卒中的效果

Effect of hospital-community-family integrated nursing on stroke

目的 探讨医院-社区-家庭一体化护理对脑卒中患者功能恢复、心理状况及并发症的影响。方法 选择2019年3月~2020年12月浙江省桐乡市第一人民医院神经内科接诊的120例脑卒中患者进行研究,按照随机数字表法分为观察组和对照组,每组各60例。对照组给予常规出院指导内容,观察组给予医院-社区-家庭一体化护理,两组均持续护理6个月。比较两组患者护理前后美国国立研究院卒中量表(NIHSS)、简易智力状态检查量表(MMSE)、肢体运动功能Fugel-Meyer(FMA)评分、日常生活能力评定量表(ADL)、综合医院焦虑抑郁量表(HADS)的变化,记录并比较两组的并发症发生率及护理满意度。结果 护理后,两组的NIHSS评分、HADS评分均较治疗前明显降低,MMSE评分、FMA评分、ADL评分均较治疗前明显升高,差异有统计学意义(P<0.05)。与对照组相比,观察组NIHSS评分、HADS评分结果均更低,MMSE评分、FMA评分、ADL评分结果均更高,差异有统计学意义(P<0.05);与对照组相比,观察组并发症总发生率更低,护理满意度更高,差异有统计学意义(P<0.05)。结论 医院-社区-家庭一体化护理对脑卒中患者的效果明显,可有效促进功能恢复、改善心理状况、减少并发症发生率,值得临床推广。

Objective To explore the effect of hospital-community-family integrated nursing on functional recovery,psychological status, and complications in stroke patients. Methods A total of 120 stroke patients admitted to the Department of Neurology in ongxiang First People′s Hospital in Zhejiang Province from March 2019 to December 2020were selected.They were divided into the observation group and the control group using random number table method,with 60 patients in each group. The control group were given routine discharge guidance,and the observation group were given hospital-community-family integrated nursing. Both groups were given continuous nursing for 6 months.The changes in national institutes of stroke scale(NIHSS),mini-mental state examination scale(MMSE),fugel-meyer motor function assessment(FMA),ability of daily living(ADL) hospital anxiety and depression scale(HADS) before and after nursing were compared between the two groups.The incidence of complications and nursing satisfaction were recorded and compared between the two groups. Results After nursing, the scores of NIHSS and HADS were significantly decreased in both groups, and the scores of MMSE,FMA and ADL were significantly increased, with statistically significant differences(P<0.05).Compared with the control group, the observation group had lower scores of NIHSS and HADS, and higher scores of MMSE, FMA and ADL, with statistically significant differences(P<0.05). Compared with the control group, the observation group had lower overall incidence of complications,and higher nursing satisfaction,with statistically significant differences(P <0.05). Conclusion Hospital-community-family integrated nursing has a significant effect in stroke patients, which can effectively promote functional recovery, improve psychological status, and reduce incidence of complications. It is worthy of clinical promotion.