延续性护理对急性缺血性脑卒中患者康复依从性、生活质量及日常生活能力的影响。
Effects of continuous nursing on rehabilitation compliance, living quality and daily living ability of patients with acute ischemic stroke.
作者信息
Li Fang, Gong Qingmei, Lu Ying
机构信息
Department of Rehabilitation Medicine, Jinhua Traditional Chinese Medicine Affiliated Hospital of Zhejiang Chinese Medical University Jinhua City 321017, Zhejiang Province, China.
Department of Neurology, The Third Affiliated Hospital of Zhejiang Chinese Medical University Hangzhou 310012, Zhejiang, China.
出版信息
Am J Transl Res. 2022 Jan 15;14(1):381-388. eCollection 2022.
OBJECTIVES
To investigate the effect of continuous nursing on rehabilitation of patients with acute ischemic stroke (AIS).
METHODS
In this prospective study, 150 patients were treated for AIS at our hospital from January 2017 to December 2019. The patients were separated into two groups: the conventional group (n = 75) that received conventional nursing and the continuous nursing group (n = 75) were treated with continuous nursing intervention. Patients were followed up for compliance, negative mood, living quality, nursing satisfaction, and daily living abilities.
RESULTS
The compliance rate of the continuous nursing group (93.33%) was obviously higher than that of the conventional nursing group (85.33%, <0.05). There was no obvious difference in the negative mood scores between the two groups before intervention (>0.05); however, the negative mood scores of the two groups decreased after intervention. In particular, the scores in continuous nursing group were obviously lower than that in the conventional nursing group (<0.05). After intervention, the living quality scores in the continuous nursing group were obviously higher than that in the conventional nursing group (<0.05). The satisfaction of nurses in the continuous nursing (96.00%) was obviously higher than that in the conventional nursing group (70.00%, <0.05). The Barthel index (BI) scores in the continuous nursing group were obviously higher than those in the conventional nursing at 1 d, 7 d, and 30 d after intervention (<0.05).
CONCLUSIONS
The results demonstrated that continuous nursing can enhance the rehabilitation compliance of patients with AIS, alleviate the negative mood of patients, enhance the living quality and daily living ability of patients.
目的
探讨延续性护理对急性缺血性脑卒中（AIS）患者康复的影响。
方法
在这项前瞻性研究中，2017年1月至2019年12月期间，我院收治了150例AIS患者。将患者分为两组：接受常规护理的常规组（n = 75）和接受延续性护理干预的延续性护理组（n = 75）。对患者进行随访，观察其依从性、负面情绪、生活质量、护理满意度和日常生活能力。
结果
延续性护理组的依从率（93.33%）明显高于常规护理组（85.33%，P<0.05）。干预前两组患者的负面情绪评分无明显差异（P>0.05）；然而，两组患者的负面情绪评分在干预后均有所下降。特别是，延续性护理组的评分明显低于常规护理组（P<0.05）。干预后，延续性护理组的生活质量评分明显高于常规护理组（P<0.05）。延续性护理组护士的满意度（96.00%）明显高于常规护理组（70.00%，P<0.05）。干预后1天、7天和30天，延续性护理组的Barthel指数（BI）评分明显高于常规护理组（P<0.05）。
结论
结果表明，延续性护理可提高AIS患者的康复依从性，缓解患者的负面情绪，提高患者的生活质量和日常生活能力。
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