全程护理干预在脑卒中患者康复过程中的应用观察  

Application of continuous nursing intervention in the rehabilitation process of stroke patients

作　　者：蒋芙蓉[1] 宋玎[1] 周璐[1] 唐志杰 曾雅琪 段路平 谢婵娟 Jiang Furong;Song Ding;Zhou Lu;Tang Zhijie;Zeng Yaqi;Duan Luping;Xie Chanjuan(First Neurological Rehabilitation Department,Chenzhou No.1 People's Hospital,Chenzhou Hunan 423000,China)

机构地区：[1]湖南省郴州市第一人民医院神经康复科一区,湖南郴州423000

出　　处：《保健医学研究与实践》2024年第7期123-128,共6页Health Medicine Research and Practice

基　　金：湖南省临床医疗技术创新引导项目(2021SK50310)。

摘　　要：目的探讨全程护理干预在脑卒中患者康复过程中的应用价值,以期为临床治疗提供参考。方法选取2023年1—11月郴州市第一人民医院收治的120例脑卒中患者为研究对象,采用随机数字表法将患者分为观察组和对照组,每组60例。对照组患者给予常规康复护理干预;观察组患者在常规康复护理基础上进行全程护理干预。比较2组患者干预前后(干预4周时)健康知识掌握程度、满意度、自我行为管理能力及日常生活自理能力。结果干预前,2组患者健康知识掌握程度比较,差异无统计学意义(P>0.05)。干预4周时,2组患者健康知识掌握程度优良率均高于干预前,且观察组高于对照组,差异均具有统计学意义(P<0.05)。观察组患者护理总满意度高于对照组,差异具有统计学意义(P<0.05)。干预前,2组患者脑卒中自我行为管理调查问卷评分比较,差异无统计学意义(P>0.05)。干预4周时,2组患者脑卒中自我行为管理调查问卷评分均高于干预前,且观察组高于对照组,差异均具有统计学意义(P<0.05)。干预前,2组患者改良Barthel指数评定量表评分比较,差异无统计学意义(P>0.05)。干预后,2组患者改良Barthel指数评定量表评分均高于干预前,且观察组高于对照组,差异均具有统计学意义(P<0.05)。结论全程护理干预能让医护技工作得到无缝隙对接,保障患者康复质量,帮助患者掌握健康知识,提高患者自我行为管理能力及日常生活自理能力,改善患者就医体验,提高患者满意度,值得临床推广应用。Objective To explore the application value of continuous nursing intervention in the rehabilitation process of stroke patients,aiming to provide a reference for clinical treatment.Methods A total of 120 stroke patients admitted to the Chenzhou No.1 People's Hospital from January to November 2023 were selected as the study participants.Patients were randomly assigned to an observation group and a control group,with 60 cases in each group.The control group received routine rehabilitation nursing intervention,while the observation group received continuous nursing intervention in addition to routine nursing.The health knowledge mastery rate,degree of satisfaction,self-behavior management ability,and selfcare ability of daily living before and after intervention(4 weeks post-intervention)were compared between the two groups.Results Before intervention,no statistically significant difference was noted in the health knowledge mastery level between the two groups(P>0.05).At 4 weeks post-intervention,the excellent rate of health knowledge mastery in both groups was higher than before the intervention,and the observation group was higher than the control group,with statistically significant differences(P<0.05).The overall degree of satisfaction with nursing in the observation group was significantly higher than in the control group(P<0.05).Before intervention,there was no statistically significant difference in the Stroke Self-Management Questionnaire scores between the two groups(P>0.05).At 4 weeks post-intervention,the scores in both groups were significantly higher than before the intervention,and the observation group was significantly higher than the control group(P<0.05).Before intervention,no statistically significant difference was observed in the Modified Barthel Index scores between the two groups(P>0.05).After intervention,the scores of the Modified Barthel Index in both groups were higher than before the intervention,and the observation group was higher than the control group,with statistically significant dif

关 键 词：全程干预 行为质控 自我行为管理 脑卒中 护理质量 

分 类 号：R473.6[医药卫生—护理学]