适时干预模式下的出院干预对缺血性脑卒中患者的临床价值

Clinical value of timely intervention at discharge for the patients with ischemic stroke

目的探讨适时干预模式下的出院干预对缺血性脑卒中患者的临床价值。方法根据数字表法随机将2020年1月至2021年12月淮安市第二人民医院收治的120例缺血性脑卒中患者分为研究组(60例)和对照组(60例)。对照组实施常规出院干预,研究组在常规护理基础上,采用适时干预模式下的出院干预。比较2组患者出院准备度及干预前、出院前1 d、出院后3个月、出院后6个月的日常活动能力及反刍性沉思倾向。结果干预前、出院前1 d及出院后3个月,2组患者Bar⁃thel指数(BI)评分比较差异无统计学意义(P>0.05);出院后6个月,研究组患者BI评分高于对照组,差异有统计学意义(P˂0.05)。出院前1 d,2组患者出院准备度量表(RHDS)中的自身状况维度评分比较差异无统计学意义(P>0.05);研究组患者RHDS中的疾病知识、出院后应对能力、可获得社会支持维度评分及RHDS总分高于对照组,差异有统计学意义(P˂0.05)。干预前,2组患者侵入反刍性沉思维度评分高于目的反刍性沉思。出院前1 d至出院后6个月,2组患者目的反刍性沉思维度评分高于侵入反刍性沉思。干预前至干预后6个月,2组患者侵入反刍性沉思维度评分比较差异无统计学意义(P>0.05)。干预前,2组目的反刍性沉思维度评分比较差异无统计学意义(P>0.05);出院前1 d、出院后3个月及6个月研究组患者目的反刍性沉思维度评分高于对照组,差异有统计学意义(P˂0.05)。结论对缺血性脑卒中患者实施适时干预模式下的出院干预,可有效提高其出院准备度及出院后的日常活动能力,同时有利于帮助其形成良好的沉思倾向,建立积极的思考方式。

Objective To explore the clinical value of timely intervention at discharge for the patients with ischemic stroke.Methods 120 patients with ischemic stroke treated in Huai’an Second People’s Hospital from January 2020 to December 2021 were equally and randomly divided into the study group(60 cases)and the control group(60 cases).The control group just received routine intervention at discharge,while the study group was given timely intervention at discharge,on the basis of routine nursing.The readiness at discharge,and daily activity ability as well as rumination meditation tendency,before intervention,1 day before discharge,3 months after discharge and 6 months after discharge were compared between the two groups.Results There were no significant differences in Barthel Index(BI)scores,before intervention,1 day before discharge and 3 months after discharge,when comparisons were made between the two groups(P>0.05).Six months after discharge,the BI scores of the study group were higher than those of the control group,with statistical significance(P˂0.05).One day before discharge,there were no significant differences in the self status dimension scores of the discharge readiness scale(RHDS),when comparisons were made between the two groups(P>0.05).The total scores of disease knowledge,coping ability after discharge,social support and RHDS in the study group were all higher than those in the control group,with statistical significance(P˂0.05).Before intervention,the scores of invasive rumination meditation were higher than those of intentional rumination,when comparisons were made between the two groups,and the scores of intentional rumination were higher than those of invasive rumination,from 1 day before discharge till 6 months after discharge.Before intervention till 6 months after intervention,there was no statistical significance in the scores of invasive rumination meditation,when comparisons were made between the two groups(P>0.05).Before intervention,there was no statistical significance in the scores of intentional rumination,when comparisons were made between the two groups(P>0.05).One day before discharge,3 months and 6 months after discharge,the scores of intentional rumination in the study group were higher than those in the control group,with statistical significance(P<0.05).Conclusion Discharge of the patients with ischemic stroke patients under timely intervention mode could effectively improve their discharge readiness as well as their daily activity ability after discharge.At the same time,it helps them to form a good meditation tendency and establish a positive way of thinking.