对脑卒中患者实施居家护理的效果分析.docVIP

对脑卒中患者实施居家护理的效果分析 　　【摘要】 目的：探讨脑卒中患者居家护理的效果及居家护理服务中面临的问题。方法：选取2012年5月-2014年1月于本院神经内科与神经康复科住院的脑卒中患者40例作为研究对象，采用随机数字表法将其分为对照组和观察组。出院后，对照组给予常规护理，观察组给予居家护理。比较出院前后两组患者的日常生活活动能力，焦虑、抑郁状况，评估居家护理的有效性并比较两组平均住院时间，对患者对居家护理工作满意度进行问卷调查。结果：两组出院后1个月的生活自理能力均有所提高，焦虑、抑郁程度改善，观察组出院后日常生活活动能力量表（ADL）、宗式焦虑量表（SAS）、宗式抑郁量表（SDS）评分均优于对照组，比较差异均有统计学意义（P0.05）；观察组平均住院日短于对照组，患者满意度高于对照组，比较差异均有统计学意义（P0.01）。结论：居家护理可以提高脑卒中患者的康复效率，具有良好的社会效益和经济效益。 　　【关键词】 脑卒中； 居家护理； 常规护理 　　【Abstract】 Objective：To investigate the effect and find the existing problems of home nursing in patients with stroke.Method：40 stroke patients in the departments of neurology and rehabilitation in our hospital from May 2012 to January 2014 were selected as the research objects.They were randomly divided into the observation group and the control group.The control group was given regular nursing care and the observation group was given home nursing after leaving hospital.Within one month after leaving hospital，the situations of activity of daily living，anxiety and depression in the two groups were compared in order to evaluate the effectiveness of home nursing.The average hospital stays of the two groups were compared and patients’ satisfaction to home nursing was surveyed by questionnaire.Result：Patients’ situations of activity of daily living，anxiety and depression in the two groups were better than before after they left hospital for one month.The mean scores of activity of daily living（ADL），self-rating anxiety scale（SAS） and self-rating depression scale（SDS） in the observation group were better than those in the control group，the differences were statistically significant（P0.05）.The average hospital stays and patients’ satisfaction of the observation group were better than those of the control group，the differences were statistically significant（P0.01）.Conclusion：Home nursing may improve the recovery efficacy of patients with stroke.It has good social and economic benefit. 　　【Key words】 Stroke； Home nursing； Regular nursing care