健康管理在出血性脑卒中患者延伸护理中的应用  

Application of health management in extended nursing for patients with hemorrhagic stroke

作　　者：石要红[1] 骆海燕[1] 王少敏[1] 戴大鹏 牛璐[1] Shi Yaohong;Luo Haiyan;Wang Shaomin;Dai Dapeng;Niu Lu

机构地区：[1]江苏省连云港市第一人民医院神经外科,222002

出　　处：《中华现代护理杂志》2021年第6期812-816,共5页Chinese Journal of Modern Nursing

基　　金：连云港市卫生科技项目面上课题(201910)。

摘　　要：目的探究健康管理在出血性脑卒中患者延伸护理中的应用效果。方法采用便利抽样法,选取江苏省连云港市第一人民医院于2018年8月—2019年8月收治的120例出血性脑卒中患者为研究对象,利用随机数字表法将患者分为对照组和观察组,每组各60例。对照组和观察组分别应用传统的家庭跟进式护理、基于健康管理的延伸护理。观察两组患者对出血性脑卒中疾病相关知识的掌握程度、自我健康管理能力、服药依从性以及心理状态。结果实施基于健康管理的延伸护理后,观察组患者出血性脑卒中护理相关知识掌握度总分、自我健康管理能力总分为(90.38±2.13)、(149.65±4.65)分,高于对照组的(59.07±2.45)、(115.79±5.34)分,差异均有统计学意义(P<0.01)。观察组患者治疗总依从率为86.67%(52/60),高于对照组的43.33%(26/60),差异有统计学意义(P<0.01)。干预后,观察组患者SDS、SAS得分分别为(41.87±8.23)、(40.68±7.34)分,低于对照组的(54.23±7.45)、(52.02±9.86)分,差异均有统计学意义(P<0.01)。结论基于健康管理的延伸护理在出血性脑卒中患者的家庭跟进工作中应用良好,患者知识掌握度、自我健康管理能力、治疗依从性均得到提高,抑郁、焦虑水平降低。Objective To explore the application effect of health management in extended nursing for patients with hemorrhagic stroke.Methods Using the convenient sampling method,a total of 120 patients with hemorrhagic stroke who were admitted to the First People's Hospital of Lianyungang in Jiangsu Province from August 2018 to August 2019 were selected as the research objects.According to the random number table method,they were divided into the control groups and the observation group,with 60 cases in each group.The control group and the observation group were respectively given traditional family follow-up nursing and extended nursing based on health management.The mastery degree of knowledge about hemorrhagic stroke disease,self-health management ability,medication compliance and psychological status of patients with hemorrhagic stroke were observed in the two groups.Results After the implementation of extended nursing based on health management,the total scores of mastery degree of knowledge about nursing for hemorrhagic stroke and self-health management ability in the observation group were respectively(90.38±2.13)and(149.65±4.65),which were higher than(59.07±2.45)and(115.79±5.34)of the control group,and the differences were statistically significant(P<0.01).The total compliance rate of patients in the observation group was 86.67%(52/60),which was higher than 43.33%(26/60)in the control group,and the difference was statistically significant(P<0.01).After the intervention,scores of SDS and SAS of the observation group were(41.87±8.23)and(40.68±7.34),which were lower than(54.23±7.45)and(52.02±9.86)of the control group,and the differences were statistically significant(P<0.01).Conclusions The extended nursing based on health management is well applied in the family follow-up work of patients with hemorrhagic stroke.Mastery degree of knowledge of patients,self-health management ability,and treatment compliance are improved and levels of depression and anxiety are reduced.

关 键 词：卒中 出血性脑卒中 健康管理 延伸护理 家庭跟进工作 

分 类 号：R473.74[医药卫生—护理学]