预见性护理干预对脑卒中患者的影响.docVIP

预见性护理干预对脑卒中患者的影响 　　【摘要】 目的 分析预见性护理干预对脑卒中患者的影响。方法 90例脑卒中患者， 根据护理措施不同分为对照组与研究组， 每组45例。对照组行常规护理， 研究组在常规护理基础上行预见性护理干预， 对比两组患者生活质量评分以及相关疗效指标。结果 治疗护理后， 研究组患者环境支持、社会功能、心理、生理等生活质量评分均高于对照组， 差异均具有统计学意义（t=12.9307、14.1256、14.2567、11.3532， P0.05）。治疗护理后， 研究组最大尿流率、住院时间均明显优于对照组， 差异均具有统计学意义（t=17.0701、17.7046， P0.05）。研究组患者便秘发生率为4.44%， 明显低于对照组的20.00%， 差异具有统计学意义（χ2=5.0748， P0.05）。结论 脑卒中患者行预见性护理干预可提高生活质量， 缩短住院时间， 值得推广。 　　【关键词】 预见性护理；脑卒中；生活质量 　　DOI：10.14163/j.cnki.11-5547/r.2017.35.075 　　【Abstract】 Objective To analyze the effect of predictive nursing intervention on patients with stroke. Methods A total of 90 stroke patients as study subjects were divided by different nursing measures into control group and research group， with 45 cases in each group. The control group received conventional nursing， and the research group received predictive nursing intervention on the basis of conventional nursing. Comparison were made on quality of life score and efficacy of related indicators in two groups. Results After treatment and nursing， the research group had higher quality of life score of environmental support， social function， psychology and physiology than the control group， and the difference was statistically significant （t=12.9307， 14.1256， 14.2567， 11.3532， P0.05）. After treatment and nursing， the research group had obviously better maximum urinary flow rate and hospitalization time than the control group， and their difference was statistically significant （t=17.0701， 17.7046， P0.05）. The research group had obviously lower incidence of constipation as 4.44% than 20.00% in the control group， and their difference was statistically significant（χ2=5.0748， P0.05）. Conclusion Predictive nursing intervention for patients with stroke can improve their quality of life and shorten hospitalization time. It is worth promotion. 　　【Key words】 Predictive nursing； Stroke； Quality of life 　　?X卒中为多发性及常见性神经系统疾病， 该病致残几率较高， 恢复缓慢且病程较长， 疾病进展至一定阶段可致使患者发生内分泌紊乱、神经功能失调以及呼吸加快等不良后 　　果[1-3]。目前多对脑卒中患者施行预见性护理