门诊-住院一体化对出院脑卒中患者延续护理的效果研究.docVIP

精品论文 参考文献 门诊-住院一体化对出院脑卒中患者延续护理的效果研究 （川北医学院附属医院 四川南充 637000） 摘要：目的：探索延续护理干预对出院脑卒中患者的临床应用效果，以及有效的护理方法，以期为临床实践提供参考。方法：选取我院于2014年9月至2015年9月间收治的80例脑卒中患者作为临床研究对象，随机将其分为观察组与对照组，每组各40例患者，其中给予对照组出院前接受临床常规护理指导，给予观察组患者延续护理，在患者出院之后给予连续性的护理干预。对两组患者认知度、生活质量、康复度、病人需求满足度等进行观察和对比分析。结果：经统计发现，观察组和对照组患者在健康知识宣教、出院依从性、健康生活方式、综合性护理评估、卒中危险因素筛查、居家康复训练六个方面在出院时差异并不显著（P＞0.05），不具有统计学意义，出院后三个月和出院后六个月时，上述六个指标评分中，观察组明显高于对照组（P＜0.05），两组差异具有统计学意义。结论：出院后脑卒中患者接受延续护理干预能够有效促进患者出院后日常生活能力的提高，并改善患者遵医行为，降低并发症发病率以及再次住院几率。 【中图分类号】R473.74【文献标识码】 A 关键词：脑卒中；延续护理；出院后；并发症；临床效果 基金项目：四川省教育厅课题“出院脑卒中患者门诊住院一体化延续护理模式研究”（15SB0112） A study of the effect of integrated model of outpatient and hospitalization on transitional care for discharged patients with cerebral stroke Deng Min; Wu Li; Tan Ying (Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, China) [Abstract] Objective To explore the effect of transitional care on discharged patients with cerebral stroke. Methods 80 cases with cerebral stroke, who were hospitalized in the hospital between September, 2014 and September, 2015, were randomly divided into the observation group (n=40) and the contrast group (n=40). Before discharge, routine nursing guidance was provided for the contrast group while besides this care, transitional care was given to the observation group after discharge. Observation on the cognition degree, life quality, rehabilitation and satisfactory degree of requirements were conducted to the two groups before and after discharge. Data of the two groups was compared and analyzed. Results When they were discharged, no significant differences were found on the six indexes of health education, compliance, living style, comprehensive nursing assessment, screening of risk factors of cerebral stroke and home rehabilitation training were found between the two groups (P＞0.05). However, three months and six months after discharge, the general mean scores of the above six indexes in the observation group were higher than those in the con