优质护理在老年脑梗死患者中的应用效果观察  

Effect of high quality nursing care in treatment of cerebral infarction with elderly patients

作　　者：贾晓雁[1] 

机构地区：[1]浙江省立同德医院护理部,浙江杭州310012

出　　处：《中国现代医生》2015年第17期140-143,共4页China Modern Doctor

基　　金：浙江省医药卫生一般研究计划(201474125)

摘　　要：目的评价优质护理在老年脑梗死患者中的应用效果。方法选取我院在2011年6月~2013年6月住院的老年脑梗死患者96例,根据护理方法不同分为干预组和对照组,每组各48例,对照组予常规护理,观察组在常规护理外实施优质护理,包括心理干预、早期进行康复训练、饮食护理、用药指导、家庭支持、定期进行健康教育,比较两组入院时及出院时NIHSS评分、两组入院时及出院4周后Barthel指数以及两组患者遵医率、护理满意度。结果干预组出院时的神经功能NIHSS评分（11.3±1.7）分,对照组出院时的神经功能NIHSS评分（17.9±1.3）分,干预组出院时的神经功能NIHSS评分显著低于对照组（P〈0.05）;干预组出院4周后的生活能力Barthel指数（78.1±11.5）分,对照组出院4周后的生活能力Barthel指数（52.9±13.6）分,干预组Barthel指数显著高于对照组（P〈0.05）;干预组患者的遵医率达95.8%,对照组患者的遵医率达75.0%,干预组患者总遵医率显著高于对照组,差异有统计学意义（P〈0.05）;干预组的护理满意度97.9%,对照组的护理满意度83.3%,干预组患者的护理满意度显著高于对照组,差异有统计学意义（P〈0.05）。结论对老年脑梗死患者实施优质护理具有较好的效果,有利于提高患者的遵医率及护理满意度,促进患者康复。Objective To analyze the effect of high quality nursing care in treatment of cerebral infarction with elderly patients. Methods A total of 96 hospitalized elderly patients with cerebral infarction from June 2011 to June 2013 were selected, according to the nursing methods they were divided into intervention group and control group, 48 cases in each group, the control group was given conventional nursing, while the observation group was given conventional care with implementation of high quality nursing, including psychological intervention, early rehabilitation training, diet nursing, medication guide, family support, the regular health education. The admission and discharge NIHSS scores, Barthel index, rate of compliance and nursing satisfaction were compared between two groups on admission and 4 weeks after discharge. Results The discharge NIHSS neural function score of intervention group was （11.3±1.7） points, the discharge NIHSS neural function score of control group was （17.9±1.3） points, the discharge NIHSS score of the neural function of intervention group was significantly lower than the control group （P〈0.05）. The life ability of Barthel index for 4 weeks after discharge of intervention group was （78.1±11.5） points, the life ability of Barthel index for 4 weeks after discharge of control group was （52.9±13.6） points, the life ability of Barthel index for 4 weeks after dis- charge of intervention group was significantly higher than that of the control group（P〈0.05）; The patients compliance rate of intervention group was 95.8%, the patients compliance rate of control group was 75.0%, the total compliance rate of intervention group was significantly higher than that of the control group, the difference was statistically signifi- cant（P〈0.05）, the patients＂ satisfaction with nursing care of intervention group was 97.9%, and that of the control group was 83.3%, the patients＂ satisfaction of intervention group were significantly higher than those in control group, the

关 键 词：老年脑梗死 优质护理 遵医率 护理满意度 

分 类 号：R473.7[医药卫生—护理学]