延续护理在改善脑卒中患者睡眠质量及促进神经功能康复中的作用  

The role of continuous nursing in improving sleep quality and promoting neurological functional rehabilitation of patients with cerebral stroke

作　　者：赵月飞[1] 蔡典[2] 温水群 饶静云[4] ZHAO Yuefei;CAI Dian;WEN Shuiqun;RAO Jingyun(Department of Rehabilitation Medicine,the Affiliated Hospital of Zhaoqing Medical College,Zhaoqing 526000,China;Department of Internal Medicine,the Affiliated Hospital of Zhaoqing Medical College,Zhaoqing 526000,China;Department of Rehabilitation Medicine,the First People’s Hospital of Zhaoqing,Zhaoqing 526000,China;Department of Nursing,Zhaoqing Medical College,Zhaoqing 526000,China)

机构地区：[1]肇庆医学高等专科学校附属医院康复医学科,广东肇庆526000 [2]肇庆医学高等专科学校附属医院内科,广东肇庆526000 [3]广东省肇庆市第一人民医院康复医学科,广东肇庆526000 [4]肇庆医学高等专科学校护理系,广东肇庆526000

出　　处：《中国医药科学》2019年第8期119-122,共4页China Medicine And Pharmacy

摘　　要：目的探究延续护理在改善脑卒中患者睡眠质量及促进神经功能康复中的作用。方法选取2017年5月～2018年2月我院收治的67例脑卒中患者,以随机数字表法分为对照组(33例)和观察组(34例)。对照组患者给予常规出院指导,观察组在对照组基础上给予延续护理,连续随访6个月。比较两组患者生活质量、睡眠质量及神经功能康复情况、遵医行为以及护理满意度。结果干预后,两组患者躯体功能、心理功能、社会功能、物质生活状态评分均增加,且观察组显著高于对照组(P <0.05);干预后,两组患者睡眠质量评分减小,FMA和MBA评分均升高,且观察组睡眠质量评分显著低于对照组,FMA和MBA评分显著高于对照组(P <0.05);两组患者依从性存在差异(Z=-2.063,P=0.039),其中观察组依从率显著高于对照组(97.06%vs 75.76%,χ~2=4.831,P=0.028);两组患者护理满意程度存在差异(Z=-2.032,P=0.042),其中观察组满意率显著高于对照组(97.06%vs 72.72%,χ~2=6.009,P=0.014)。结论延续护理能够显著改善脑卒中患者睡眠质量及神经功能康复,提高患者生活质量以及对护理满意度,值得临床推广。Objective To explore the role of continuous nursing in improving sleep quality and promoting neurological functional rehabilitation of patients with cerebral stroke. Methods 67 patients with cerebral stroke who were admitted and treated in our hospital from May 2017 to February 2018 were selected.According to the random number table method,they were divided into the control group (33 cases) and the observation group (34 cases).Patients in the control group were given routine discharge guidance while patients in the observation group were given continuous nursing on the basis of the control group.They were all followed up for 6 months.The quality of life,sleep quality,neurological functional rehabilitation,compliance behavior and nursing satisfaction of patients were compared between two groups. Results After intervention,the scores of physical function,psychological function,social function and material life state of the two groups were all increased, and the scores in the observation group were significantly higher than those in the control group (P < 0.05).After intervention,the sleep quality scores of the two groups were decreased,and the scores of FMA and MBA were increased.The sleep quality scores of the observation group were significantly lower than those of the control group,the scores of FMA and MBA were significantly higher than those of the control group (P < 0.05).There was significant differences in the compliance between the two groups (Z=-2.063,P=0.039),and the compliance rate of the observation group was significantly higher than that of the control group (97.06% vs 75.76%,χ^2=4.831,P=0.028).There was difference in nursing satisfaction degree between the two groups (Z=-2.032,P=0.042),and the satisfaction rate of the observation group was significantly higher than that of the control group (97.06% vs 72.72%,χ^2=6.009,P=0.014). Conclusion Continuous nursing can significantly improve the sleep quality and neurological functional rehabilitation of stroke patients,improve the quality of life of patie

关 键 词：延续护理 脑卒中 睡眠质量 神经功能康复 

分 类 号：R473.74[医药卫生—护理学]