出院计划对脑卒中患者遵医行为的影响  

Impact of the plan for the discharged patients with stroke on their compliance behavior

作　　者：石霞[1] 刘美玲[1] 侯玉[1] 王雪梅[1] 

机构地区：[1]徐州市第一人民医院,江苏徐州221002

出　　处：《齐鲁护理杂志》2011年第1期14-15,共2页Journal of Qilu Nursing

基　　金：徐州市科技局计划项目(编号:XM08C038)

摘　　要：目的:探讨出院计划对脑卒中患者遵医行为的影响。方法:采用随机分组的方法将86例脑卒中患者随机分为观察组与对照组各43例,两组患者均给予神经科常规护理与健康教育,观察组在此基础上制定出院计划,实施连续护理干预。两组分别于干预前及干预12个月后对患者的服药依从性、改变不良生活方式的认同情况及疾病的复发率进行测评。结果:干预12个月后观察组患者服药依从性、对改变不良生活方式的认同水平及疾病复发率与同期对照组比较差异有统计学意义(P<0.05)。结论:出院计划能有效地提高脑卒中患者对不良生活方式的认知水平、促进其遵医行为,降低疾病复发率。Objective： To investigate the plan for the discharged patients with stroke on their compliance behavior. Methods： 86 patients with stroke were randomly divided into observation group and control group （43 cases for each group）. The patients in both groups were given routine nursing care and health education in the department of neurology. The plan for the discharged patients was worked out and the continuous nursing intervention was given to the patients based on routine nursing care in the observation group. The drug therapy compliance of the patients, cognitive level of unhealthy lifestyle changes and recur- rence rate of the disease were evaluated before intervention and after intervention for 12 months in both groups respectively. Resuits ： There were statistically significant differences in the comparison of drug therapy compliance of the patients, cognitive level of unhealthy lifestyle changes and recurrence rate of the disease after intervention for 12 months between the two groups （ P 〈 0. 05 }. Conclusion ： The plan for the discharged patients with stroke can improve the patientg cognitive level of unhealthy lifestyle, promote their compliance behavior and decrease the recurrence rate of the disease.

关 键 词：脑卒中 出院计划 连续护理 遵医行为 

分 类 号：R473.5[医药卫生—护理学]