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目的评价医护一体化护理对脑梗死患者独立生活能力和心理社会适应状况的影响。方法收集2015年3月至2016年3月在我院康复科收治的脑梗死患者156例,随机分为干预组和对照组,每组各78例。对照组给予常规护理,干预组在接受常规护理的基础上,给予医护一体化护理,两组患者的护理干预均持续6个月,对两组患者干预前及干预6个月后的美国国立卫生研究院卒中量表(National institute of health stroke scale,NIHSS)评分、巴氏指数(Barthel index,BI)进行评估,并行症状自评量表(Self-reporting Inventory,SCL-90)评分。结果两组患者干预前NHISS评分,BI指数评分,SCL-90评分组间均无显著性差异(P>0.05)。经护理干预6个月后,干预组患者的NIHSS评分较对照组显著降低(P=0.030),BI指数较对照组明显升高(P=0.009),SCL-90评分水平较对照组患者出现显著降低(P<0.001)。结论医护一体化护理不仅有利于促进脑梗死患者肢体运动功能的恢复,并且对患者的独立生活能力和心理社会适应状况有显著改善作用,对提高脑梗死后患者生活质量具有重要意义。
Objective To evaluate the impact of integrated medical care on independent living ability and psychosocial adjustment in patients with cerebral infarction. Methods A total of 156 patients with cerebral infarction admitted to our hospital from March 2015 to March 2016 were randomly divided into intervention group and control group, 78 cases in each group. The patients in the control group were given routine nursing care. The intervention group received integrated care based on routine nursing care. The nursing interventions in both groups lasted for 6 months. Before and 6 months after intervention, the two groups of patients received the National Health Care The National Institute of Health Stroke Scale (NIHSS) score, Barthel index (BI), and the Self-reporting Inventory (SCL-90) score were assessed. Results There was no significant difference in NHISS score, BI index score and SCL-90 score between the two groups before intervention (P> 0.05). Six months after the intervention, the NIHSS score of the intervention group was significantly lower than that of the control group (P = 0.030), the BI index was significantly higher than that of the control group (P = 0.009), SCL-90 score was significantly higher than that of the control group Decreased (P <0.001). Conclusion Integrated medical care is not only conducive to the recovery of limb motor function in patients with cerebral infarction, but also significantly improves the independent living ability and psychosocial adaptation of patients. It is of great significance to improve the quality of life of patients after cerebral infarction.