连续康复护理干预对脑卒中患者生活质量以及认知功能的影响  

Effect of continuous rehabilitation nursing intervention on quality of life and cognitive function of stroke patients

作　　者：郑娟霞[1] 郑娟丽[1] 郑娟芬[1] 马海燕[1] 黄旭辉[1] 黄碧芳 

机构地区：[1]深圳市宝安区中医院,广东深圳518133

出　　处：《中国医药科学》2018年第2期123-125,141,共4页China Medicine And Pharmacy

摘　　要：目的探究连续性护理措施对改善脑卒中患者生活质量以及认知功能的效果。方法选取本院神经内科2012年5月~2014年5月符合诊断标准的180例缺血性脑卒中患者,随机分为观察组和对照组,每组90例,对照组给予常规住院健康教育、出院指导和随访计划,观察组则在常规护理的基础上加用延续护理干预。采用MESSS量表以及改良Barthel指数评价两组患者出院时、出院六个月后的神经功能缺损和生活质量评分,客观评价连续性护理措施对脑卒中患者生活质量以及认知功能的干预效果。结果出院时两组神经功能缺损程度无明显差异,经六个月连续康复护理患者的MESSS评分(12.12±5.35)分明显比出院时(29.43±9.28)分减少,且明显少于对照组(19.21±5.79)分,改良Barthel指数评分为(68.01±16.57)分明显比出院时(42.90±14.37)分提高,且明显高于对照组(50.99±15.61)分,差异有统计学意义(P<0.01)。观察组认知功能改善率(96.67%)明显高于对照组(82.22%),差异有统计学意义(P<0.01)。结论连续性护理措施可以改善脑卒中患者生活质量,并在提高患者的认知功能方面有积极效果,值得临床推广应用。Objective To explore the effect of continuous nursing measures on improving the quality of life and cognitive function of stroke patients. Methods 180 patients with ischemic stroke who met the diagnostic criteria from May 2012 to May 2014 in our department of neurology were randomly divided into the observation group and the control group,90 cases in each group.The control group was given routine hospitalization health education,discharge guidance and follow-up plan,while the observation group was given continuous nursing intervention on the basis of routine nursing.MESSS scale and modified Barthel index were used to evaluate neurological impairment and quality of life scores of two groups of patients at discharge and six months after discharge,and the effect of continuous nursing intervention on the quality of life and cognitive function of stroke patients was evaluated objectively. Results There was no significant difference in neurological deficit between the two groups at discharge.After six months of continuous rehabilitation nursing,the MESSS score of patients（12.12＋5.35） was significantly lower than that of discharged patients（29.43＋9.28）,and was significantly less than that of the control group（19.21＋5.79）. The modified Barthel index score was（68.01＋16.57）,signifieantly higher than that at discharge（42.90＋14.37）, and significantly higher than that in the control group（50.99＋15.61）,the difference was statistically significant（P 〈 0.01）. The improvement rate of cognitive function in the observation group （96.67%） was significantly higher than that of the control group（82.22%）,and the difference was statistically significant（P 〈 0.01）. Conclusion Continuous nursing measures can improve the quality of life of stroke patients and have positive effects on improving the cognitive function of patients.It is worthy of clinical application.

关 键 词：连续性护理 缺血性脑卒中 神经功能缺损 生活质量 

分 类 号：R473.74[医药卫生—护理学]