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目的探讨社区脑卒中患者开展“一居委一护士”效果及对生活质量的影响。方法根据采取护理方法的不同,将200例脑卒中患者分为对照组与观察组,每组100例。两组患者均进行出院指导,观察组在对照组的护理基础上实施“一居委一护士”。比较两组护理后运动功能、日常生活能力、对护理工作的满意度以及生活质量。分别采用量表进行评测,然后将相关数据使用SPSS19.0软件进行数据处理。结果护理1年后观察组Fugl-meyer评分与改良Barthel指数均高于对照组;观察组对护理工作的满意度为96.00%,高于对照组的81.00%;护理后1年,观察组心理领域、生理领域、环境领域、社会关系领域的评分均高于对照组,上述差异均有统计学意义(P<0.05)。结论对社区脑卒中患者开展“一居委一护士”有助于患者运动功能与日常生活能力的恢复,提高患者对护理工作的满意度与生活质量。
Objective To investigate the effect of community nurses on the quality of life in community stroke patients. Methods According to the different nursing methods, 200 stroke patients were divided into control group and observation group, with 100 cases in each group. Two groups of patients were discharged guidance, the observation group in the control group based on the implementation of nursing “a neighborhood committee nurse ”. The post-nursing motor function, daily living ability, satisfaction with nursing work and quality of life were compared between the two groups. Scale were used for evaluation, and then the relevant data using SPSS19.0 software for data processing. Results After 1 year of nursing, Fugl-meyer score and modified Barthel index of observation group were higher than that of control group. Satisfaction of nursing group was 96.00% in observation group and 81.00% in control group. One year after nursing, observation group’s psychological field , Physiological field, environmental field and social relations were all higher than those in the control group. The above differences were statistically significant (P <0.05). Conclusions The development of “one nurse for a nurse” in community stroke patients helps to restore motor function and daily life of patients, and improves patient satisfaction and quality of life in nursing work.