脑卒中恢复期康复科专用临床护理路径应用.docVIP

脑卒中恢复期康复科专用临床护理路径应用 　　[摘要]目的 探讨康复科脑卒中恢复期临床护理路径的应用价值。方法 选择2013年10月～2015年10月在我院康复科住院符合纳入标准的88例脑卒中恢复早、中期患者，随机分为两组，各44例。对照组采用康复科常规护理模式，路径组采取临床护理路径护理。采用多种量表以及调查表对两组患者的心理状况、对健康知识掌握情况、生活自理能力恢复情况、并发症发生情况和对护理工作满意度进行统计对比。结果 两组患者脑卒中发病后6个月的日常生活能力Barthel指数以及运动功能Fugl-Meyer量表（FMA）评分差异无统计学意义（P0.05），但路径组心理状态SDS量表（焦虑量表）、对健康知识掌握程度、护理工作满意程度明显高于对照组（P0.01）。结论 实施临床护理路径能提高护理、健康教育质量，改善患者心理状况以及满意度。 　　[关键词]临床护理路径；脑卒中；恢复期 　　[中图分类号] R494 [文献标识码] A [文章编号] 1674-4721（2016）06（c）-0191-04 　　[Abstract]Objective To explore application value of clinical nursing path of cerebral apoplexy convalescence in rehabilitation department.Methods 88 patients with cerebral apoplexy convalescence in early-middle stage from October 2013 to October 2015 in our rehabilitation department were selected as the study and divided into two groups，each group was 44 cases.In the rehabilitation department routine nursing mode in control group was used，while clinical nursing path was taken in path group.Psychological condition，health knowledge，living self-care ability recovery，complications and for the nursing work satisfaction of patients in two groups were statistically compared by a variety of scale and questionnaire.Results Daily life ability Barthel index and movement function Fugl-Meyer scale （FMA） score of patients after onset of cerebral apoplexy for 6 months was no significant difference （P0.05） between two groups，but mental state SDS scale （anxiety scale），the master degree of health knowledge and for nursing work satisfaction in path group was significantly higher than that in control group respectively （P0.01）.Conclusion The clinical nursing path can improve the quality of nursing，quality of health education，and improve patients′ psychological status and satisfaction. 　　[Key words]Clinical nursing path；Stroke；Recovery stage 　　脑卒中疾病的发病率较高，致残率与死亡率均较高，同时患者康复后仍有较高的复发率。我国每年脑卒中发病人数为200万人左右[1]，而70%～80%的患者由于残疾无法独立生活[2]，给患者家庭及社会造成了重大负担[3]。因此，脑卒中患者的康复治疗具有重要意义[4]。有效的护理干预是确保脑卒中患者得到有效康复治疗的重要基础，近年来研究人员对脑卒中的康复科护理措施给予了较多关注[5]