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中文摘要: 目的 分析延续性护理干预在老年缺血性脑卒中患者中的应用价值。方法 选取老年缺血性脑卒中患者75例,随机分为观察组38例和对照组37例。入院后,两组均行常规药物或手术治疗,对照组于出院前行常规出院指导,观察组在此基础上实施6个月的延续性护理干预,观察两组药物和治疗依从性、日常生活能力、运动功能和活质量的改善情况以及半年内复发情况。结果 出院后6个月,观察组药物和治疗依从性较出院时明显改善(P<0.05),且明显优于对照组(P<0.05)。出院后3、6个月,两组Barthel指数(BI)、Fugl-Meyer及脑卒中专门化生存质量量表(SS-QOL)评分均较出院时明显增加,但观察组增加程度更大 (P<0.05或P<0.01)。观察组出院后半年内复发率为2.63%,显著低于对照组的21.62%(P<0.05)。结论 对老年缺血性脑卒中患者实施延续性护理干预能有效改善日常生活能力,加速运动功能的恢复,提高生活质量,且在卒中复发方面起到一定积极作用。
Abstract:OBJECTIVE To analyze the application value of continuous nursing interventions in the treatment of elderly patients with ischemic cerebral stroke. METHODS A total of 75 elderly patients with ischemic cerebral stroke were selected and randomly divided into observation group (n=38) and control group (n=37). After admission, both groups received routine medications or surgery. Control group received discharge guidelines before discharge, on which basis observation group received 6-month continuous nursing interventions. The improvement of patients’ compliance to drugs and treatment, activities of daily living (ADL), fugl-meyer assessment (FMA) and quality of life (QOL) as well as recurrence rates within 6 months were observed in both groups. RESULTS 6 months after discharge, patients’ compliance to drug and treatment was improved significantly in observation group (P<0.05), which was improved more significantly than that in control group (P<0.05). 3 and 6 months after discharge, Barthel index (BI), FMA, and stroke-specific quality of life (SS-QOL) scores were increased prominently at discharge, which were increased more significantly in observation than that in control group (P<0.05 or P<0.01). The recurrence rate within 6 months after discharge was 2.63% in observation group, notably lower than the 21.62% in control group (P<0.05). CONCLUSION Application of continuous nursing interventions to elderly patients with ischemic cerebral stroke can effectively improve their ADL, accelerate the recovery of motion capacity, promote QOL and exert positive function in preventing stroke recurrence.
文章编号:3201806034 中图分类号:R1-9 文献标志码:
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| 作者 | 单位 |
| 姜小琴① |
| Author Name | Affiliation |
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