Application of continuous nursing care in patients with stroke after discharge
延续性护理在脑卒中患者出院后的应用

摘要

目的 分析延续性护理在脑卒中患者出院后的应用价值。方法 选取 2021 年 3 月～2022 年 3 月期间 收治于本院的 98 例脑卒中患者为研究对象，依据随机数字表法分两组，对照组采用常规护理，观察组采用延续 性护理，对比干预效果。结果 出院前 1d 两组患者 NHISS 评分与 Barthel 指数无差异性，出院后 1 个月均有改善， 但以观察组患者 NHISS 评分较低，而 Barthel 指数较高（P＜0.05）。观察组患者遵医嘱用药依从性评分（2.42±0.23） 分、康复锻炼（2.24±0.31）、定期复查（2.52±0.24）分，与观察组的（2.05±0.31）分、（1.89±0.30）分、（2.05±0.24） 分对比较高（P＜0.05）。观察组患者生活质量总分（89.25±3.24）分，与对照组患者的（78.52±4.51）分对比较 高，差异有统计学意义（P＜0.05）。经满意度评估，观察组患者护理总满意度为 97.96%，与对照组患者的 83.67% 对比较高（P＜0.05）。结论 脑卒中患者出院后通过延续性护理干预有利于促进功能性恢复，且改善患者依从性 及生活质量，对于提升患者护理满意度具有积极作用。

Abstract

Objective To analyze the application value of continuous nursing in patients with stroke after discharge.
Methods 98 cases of stroke patients admitted to our hospital from March 2021 to March 2022 were selected as the research objects. They were divided into two groups according to the random number table. The control group was given routine nursing care, and the observation group was given continuous nursing care. The intervention effect was compared.
Results There was no difference between the NHISS score and Barthel index of the two groups 1 day before discharge, and both improved 1 month after discharge, but the NHISS score of the patients in the observation group was lower, while the Barthel index was higher (P<0.05). The scores of drug compliance (2.42±0.23), rehabilitation exercise (2.24±0.31) and regular review (2.52±0.24) in the observation group were higher than those in the observation group (2.05±0.31), (1.89±0.30) and (2.05±0.24) (P<0.05). The total score of quality of life in the observation group (89.25 ± 3.24) was significantly higher than that in the control group (78.52±4.51) (P<0.05). After satisfaction evaluation, the total satisfaction of patients in the observation group was 97.96%, which was higher than 83.67% in the control group (P<0.05).
Conclusion   Continuous nursing intervention is helpful to promote functional recovery, improve compliance and quality of life of stroke patients after discharge, and has a positive role in improving patient satisfaction with nursing.