基于质量控制理论护理对脑卒中患者的影响

Effect of nursing intervention based on quality control theory on the rehabilitation effect and nursing quality of stroke patients

目的:探索基于质量控制理论的护理干预对脑卒中患者康复效果及护理质量的影响。方法:选择2018年6月—2020年6月收治的脑卒中患者91例,按照随机数字表法分为对照组(n=45)与观察组(n=46)。对照组给予常规护理干预,观察组在对照组基础上给予质量控制理论的护理干预,对比两组患者的康复效果及护理质量。结果:干预前两组肢体运动功能量表(FMA)评分、Barthel指数、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分比较,差异无统计学意义(P>0.05)。干预后两组患者FMA量表评分和Barthel指数均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后两组患者的SAS和SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组患者的依从率及护理质量评分高于对照组,并发症事件及心血管事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:应用基于质量控制理论的护理模式对脑卒中患者进行护理管理,能够有效提升患者的康复质量,改善预后效果,提升整体护理质量。

Objective:To explore the influence of nursing intervention based on quality control theory on the rehabilitation effect and nursing quality of stroke patients.Methods:Ninety-one patients with stroke from June 2018 to June 2020 were randomly divided into control group(n=45)and observation group(n=46).The control group was given routine nursing intervention,and the Observation Group was given nursing intervention based on quality control theory.The rehabilitation effect and nursing quality of the two groups were compared.Results:There was no significant difference in the scores of FMA,Barthel index,self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups before interventiPn(P>0.05).After intervention,the scores of FMA and Barthel index in the two groups were higher than those before treatment,and the scores of SAS and SDS in the Observation Group were higher than those in the control group(P<0.05),the compliance rate and nursing quality score of patients in the observation group were higher than those in the control group,and the incidence of complications and cardiovascular events were lower than those in the control group,the difference was significant(P<0.05).Conclusion:Nursing management of stroke patients based on quality control theory can effectively improve the quality of patient rehabilitation,improve their prognosis effect,and improve the overall quality of nursing.