延续护理对出院后脑卒中患者的效果研究

Study on the effect of transitional care in post-discharge stroke patients

目的分析延续护理对脑卒中患者自我护理能力和健康行为的影响。方法选取2016年1月-2017年1月在山东省滕州市中心人民医院住院的首发脑卒中康复出院的患者100例,采用随机数字表法分为观察组和对照组各50例,对照组采用常规护理,观察组通过追踪随访,微信社区平台,社区健康知识讲堂,施以延续护理。以自我护理能力测定表与健康行为量表,评价出院6个月及12个月时两组患者的自我护理能力及健康行为的改善情况。结果两组出院6、12个月时自我护理能力及健康行为均优于出院时,观察组出院6、12个月时自我护理能力及健康行为改善情况优于对照组,差异有统计学意义(P<0.05)。结论延续护理能够提升脑卒中患者的健康行为以及自我护理能力,帮助患者形成有效的自我管理能力,减少患者二次脑卒中的发生,提高患者的生活质量。

Objective To evaluate the effect of transitional care on self-care agency and healthy behaviors of stroke patients.Methods 100 patients with first-episode stroke who recovery dischange from Tengzhou Central People’s Hospital of Shandong Province from January 2016 to January 2017 were selected and di vided into the observation and the control group with 50 cases in each by random number table method.The control group was given routine care,while the observation group was given transitional care through follow-up,Wechat community platform,community health knowledge lecture hall.To evaluate the improvement of self-care agency and health behavior of patients in two groups at 6 and 12 months after discharge through exercise self-care agency scale and health promoting lifestyle profile.Results The self-care agency and health behavior of the two groups at 6 and 12 months after discharge were better than those at discharge,and the improvement of self-care agency and health behavior of the observation group at 6 and 12 months after discharge were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion Transitional care can significantly improve the patients self-care ability and health behavior,thus forming a meaningful self-manangement ability,reduing the recurrence of stroke and improving the life quality of the stroke patients.