基于信息化的延续护理在老年急性缺血性脑卒中患者中的应用效果  

Effect of information-based transitional care in elderly patients with acute ischemic stroke

作　　者：刘嵘[1] 王颖[1] 赵卓 张佟 Liu Rong;Wang Ying;Zhao Zhuo;Zhang Tong(Department of Geriatrics,Xuanwu Hospital Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院老年综合科,北京100053

出　　处：《中华现代护理杂志》2022年第1期81-85,共5页Chinese Journal of Modern Nursing

基　　金：北京市保健科研课题项目(京19-3)。

摘　　要：目的探讨基于信息化的延续护理在老年急性缺血性脑卒中患者中的应用效果。方法于2018年9月1日—2019年6月30日,选择首都医科大学宣武医院综合科和神经内科住院的首次发病的老年急性缺血性脑卒中患者116例。按照研究对象入组顺序进行编号,采用随机数字表法将其分为观察组和对照组各58例。对照组采用常规护理模式,观察组在常规护理的基础上采用基于信息化的延续护理。于两组患者出院前、出院后6个月,采用巴氏指数(BI)、简明Fugl-Meyer运动功能评定量表(FMA)、美国国立卫生研究院卒中量表(NIHSS)、一般自我效能感量表(GSES)进行调查。结果出院后6个月,观察组患者BI、FMA和GSES评分均高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。结论基于信息化的延续护理应用于老年急性缺血性脑卒中患者,能够有效提高患者的日常生活能力和一般自我效能感,改善其运动功能和神经功能,帮助患者改善短期预后。Objective To explore the effect of information-based transitional care in elderly patients with acute ischemic stroke.Methods From September 1,2018 to June 30,2019,a total of 116 patients with first-onset acute ischemic stroke in the General Department and Neurology Department of Xuanwu Hospital Capital Medical University were selected.The patients were numbered according to the entry order,and they were divided into the observation group and the control group with 58 cases each using the random number table method.The control group conducted conventional nursing,and the observation group carried out information-based transitional care on the basis of conventional nursing.Before discharge and six months after discharge,the two groups of patients were investigated with the Barthel Index(BI),Concise Fugl-Mayer Assessment(FMA),National Institutes of Health Stroke Scale(NIHSS),and General Self-Efficacy Scale(GSES).Results Six months after discharge,the BI,FMA and GSES scores of the observation group were higher than those of the control group,and the NIHSS score was lower than that of the control group,and the differences were statistically significant(P<0.05).Conclusions Information-based transitional care applied to elderly patients with acute ischemic stroke can effectively improve the patients'ability of daily living,general self-efficacy,function and nerve function,and the short-term prognosis.

关 键 词：老年人 卒中 缺血性脑卒中 延续护理 运动功能 神经功能 

分 类 号：R473.74[医药卫生—护理学]