延续护理干预对脑梗死出院患者治疗依从性影响.docVIP

延续护理干预对脑梗死出院患者治疗依从性影响 　　【摘要】 目的 探讨延续护理干预对脑梗死出院患者治疗依从性的影响。方法 80例脑梗死患者， 随机分为对照组和观察组， 每组40例。出院前两组患者均接受常规健康宣教与指导， 观察组出院后开展延续性护理干预。比较两组治疗依从性改善情况。结果 观察组患者饮食依从率、服药依从率、运动复健依从率、定期复诊依从率分别为95.0%、97.5%、92.5%、95.0%， 明显高于对照组的72.5%、80.0%、67.5%、62.5% （P0.05）。结论 在脑梗死患者出院后开展延续性护理有利于改善患者依从性， 值得推广应用。 　　【关键词】 脑梗死；出院；延续护理干预；依从性；影响 　　DOI：10.14163/j.cnki.11-5547/r.2016.19.170 　　Influence by continuous nursing intervention on treatment compliance of hospital discharged cerebral infarction patients MO Wan-li. Dongguan City Zhongtang Hospital， Dongguan 523220， China 　　【Abstract】 Objective To investigate influence by continuous nursing intervention on treatment compliance of hospital discharged cerebral infarction patients. Methods A total of 80 cerebral infarction patients were randomly divided into control group and observation group， with 40 cases in each group. Both groups received conventional health education and guidance before discharge， and the observation group received continuous nursing intervention after discharge. Improvements of compliance were compared between the two groups. Results The observation group had diet compliance rate， medication compliance rate， exercise rehabilitation compliance rate and regular reexamination compliance rate respectively as 95.0%， 97.5%， 92.5% and 95.0%， which were all higher than 72.5%， 80.0%， 67.5% and 62.5% of the control group （P0.05）. Conclusion Implement of continuous nursing intervention for hospital discharged cerebral infarction patients can improve compliance and accelerate rehabilitation in patients. It is worth promoting and applying. 　　【Key words】 Cerebral infarction； Hospital discharge； Continuous nursing intervention； Compliance； Influence 　　脑部缺血障碍导致脑组织血氧供给不足而软化、坏死并形成梗死灶， 称为脑梗死， 本病是脑血管疾病中较为常见的一种， 好发于中老年人群。随着我国人口老龄化问题的逐步加剧， 本病发病率也随之升高[1]。脑梗死的治疗是一个漫长过程， 同时要求采取规律、合理的治疗方案， 这对患者依从性提出了较高的要求， 依从性较低往往会对患者生活质量和病情恢复造成不良影响。本文观察并探讨延续护理干预对脑梗死出院患者治疗依从性的影响。现报告如下。 　　1 资料与方法 　　1. 1 一般资料 将2014年7月～2015年7月本院80例脑梗死患者纳入本次研究， 纳入标准：①意识清晰， 能够主动配