早期护理干预对预防脑卒中后视觉障碍患者跌倒的作用  

Role of early nursing intervention for preventing fall down in patients with visual impairment after stroke

作　　者：陈莉 陈泓颖 Chen Li;Chen Hongying(Department of Neurology,Affiliated Nanchuan District People′s Hospital,Chongqing Medical University,Chongqing 408400,China)

机构地区：[1]重庆医科大学附属南川人民医院神经内科,重庆408400

出　　处：《现代医药卫生》2017年第23期3578-3581,共4页Journal of Modern Medicine & Health

摘　　要：目的探讨早期护理干预对预防脑卒中后视觉障碍患者跌倒的作用。方法选择2014年5月至2015年5月该科收治的符合诊断标准的脑卒中患者42例作为对照组,另选择2015年6月至2016年6月该科收治的符合诊断标准的脑卒中患者44例作为观察组。对照组给予常规护理和康复治疗,观察组在此基础上采取早期护理干预。比较两组患者干预后跌倒发生率、平均住院费用及住院时间、患者对跌倒防治知识的知晓率及护理满意度。结果观察组和对照组患者跌倒发生率分别为0(0/44)、7.14%(3/42),两组比较,差异有统计学意义(P<0.05);观察组患者较对照组平均住院费用低[分别为(9 053.00±219.50)、(13 451.00±231.40)元]、住院时间短[分别为(13.68±2.94)、(22.35±4.73)d],差异均有统计学意义(P<0.05);经护理干预后,观察组患者防跌倒知识知晓率[跌倒因素、防御措施分别为95.45%(42/44)、90.91%(40/44)]明显高于对照组[分别为61.90%(26/42)、54.76%(23/42)];护理满意度较对照组显著升高[分别为88.64%(39/44)、59.52%(25/42)],差异均有统计学意义(P<0.05)。结论有效的早期护理干预可以降低脑卒中后视觉障碍患者跌倒率,减少住院费用及缩短住院时间,提高患者满意度。Objective〓To investigate the role of early nursing intervention for preventing fall down in the patients with visual impairment after stroke.Methods〓Forty?鄄two cases of stroke conforming to the diagnostic standard in the neurology department of this hospital from May2014to May2015were selected as the control group and44cases of stroke from June2015to June2016were selected as the observation group.The control group was given the routine nursing care and rehabilitation therapy,while on this basis the observation group adopted the early nursing intervention.The incidence rate of fall down,average hospital costs after fall down and hospitalization time,awareness rate of fall down prevention and treatment knowledge and nursing satisfaction were compared between the two groups.Results〓The fall down occurrence rates in the observation group and control group were0(0/44)and7.14%(3/42)respectively,the difference between the two groups was statistically significant(P<0.05);the average hospitalization cost in the observation group was lower than that in the control group[(9053.00±219.50)Yuan vs.(13451.00±231.40)Yuan],hospitalization time was shorter that in the control group[(13.68±2.94)d vs.(22.35±4.73)d],the differences were statistically significant(P<0.05);the awareness rates of preventing fall down knowledge after nursing intervention in the observation group were95.45%(42/44)and90.91%(40/44),which were higher than61.90%(26/42)and54.76%(23/42)in the control group;the nursing satisfaction degree was significantly increased compared with the control group[88.64%(39/44)vs.59.52%(25/42)],the difference was statistically significant(P<0.05).Conclusion〓The effective nursing intervention can reduce the fall down rate in the patients with visual impairment after stroke,decreases the hospitalization costs,shortens the hospitalization time and increase the patient′s satisfaction.

关 键 词：卒中/并发症 视觉障碍 意外跌倒 康复护理 干预性研究 

分 类 号：R473.72[医药卫生—护理学]