护理实践对农村脑血管患者照顾者能力影响.docVIP

护理实践对农村脑血管患者照顾者能力影响作者单位：272200 山东省金乡县人民医院 通讯作者：戴桂兰 【摘要】 目的 探讨解决目前农村脑血管患者康复不佳的方法。方法 本项目选择200例脑卒中后不能自理生活的患者，随机分为甲组和乙组。甲组从入院时即有护理人员对每位主要照顾者能力进行评估，制定计划，带教培训，出院时有两名主管护师对主要照顾者能力进行评估，以能熟练操作，出院后按技能护理患者；乙组按常规护理，不对照顾者进行特殊施教。两组患者出院时，出院半年随访观察分析。结果 甲组照顾者能力明显高于乙组。结论 通过两组对比，接受医院培训照顾者，出院后能使患者得到及时正确康复治疗和护理，使其最大限度的功能恢复，提高生存及生活质量。 【关键词】 护理实践； 农村； 照顾者能力 Nursing practice’s impact on the ability of people who take care of cerebral patients in rural areas DAI Gui-lan.The People’s Hospital of Jinxiang，Shandong 272200,China 【Abstract】 Objective To discuss on solving the rural cerebral vessels in patients with poor recovery method.Methods The program was carried out by choosing 200 cases of the post-stroke patients who couldn’t take care of themselves, which were divided into group A and group B randomly. Since in hospital nurses would evaluate the ability of the main attendant of each patient of group A, make plans and help to train them. When patients left,two chief nurses would evaluate the main attendants’ ability to make sure they could operate skillfully and attend the patient as required. Patients of group B reveived the common attendence without special training on the main attendants.After both groups left hospital, they were given a half-year inspection for analysis.Results The ability of main attendants of group A is far better than that of group B.Conclusion Through the comparison between the two groups,the atttendants who received the training in hospital can give the patients right care and help them recover timely after leaving hospital and they will also help them recover mostly and improve their life and living quality. 【Key words】 Nursing Practice； Rural Areas； Attendants’ Ability 脑血管发病率较高，目前在我国每年约219/10万人次发病［1］，大部分患者居住农村家中，如何减少经费支出，又能达到康复效果是笔者的最终目标。笔者在2008年7月～2009年12月从不能自理生活的脑血管患者照顾者入手，自患者入院，护士即通过鼓励和促进患者亲属参与到护理中，经过临床护理实践，掌握相应护理、康复方法，以促进早日康复。 1 资料与方法 1.1 一般资料 2008年7月～2009年12月在本院住院患者中选择200例卒中后不能自理生活患者，随机分为甲、乙两组各100例，对其中甲组患者照顾者在住院期间进行护理实践技能的培训。 1