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目的探讨连续护理干预对脑卒中患者的临床干预效果,分析其对相关指标的影响及提高患者生活能力的价值。方法将62例脑卒中患者以随机数字表格法为分组依据分成连续护理组与对照组,各31例。对照组予以常规护理干预,连续护理组在常规治疗与护理基础上加用连续护理干预,在出院前3天及出院后3个月收集两组患者资料,包括患者血清总胆固醇(TC)、血清同型半胱氨酸(Hcy)及血清甘油三酯(TG),日常生活能力评分采用Barthel指数测定,同时比较两组患者的出院以及住院护理满意度。结果出院后3个月,连续护理组患者的BI指数评分与对照组比较明显较高(P<0.05),但两组患者BI指数评分提高幅度及出院前3天两组BI指数评分比较无显著统计学差异(P>0.05);出院后3个月连续护理组患者血清相关指标值与出院前3天比较均有不同程度下降,与对照组比较有明显统计学差异(P<0.05),但出院前3天两组指标无差异(P>0.05),且对照组出院前3 d与出院后3个月各指标比较无明显变化(P>0.05)。两组住院及出院护理满意度有统计学差异(P<0.05)。结论连续护理干预能够有效改善脑卒中患者血清相关指标,提高生活能力,患者满意度高,在临床护理工作中有参照价值。
Objective To explore the clinical intervention effect of continuous nursing intervention on patients with stroke, analyze its influence on related indicators and the value of improving patients’ living ability. Methods Totally 62 stroke patients were divided into continuous nursing group and control group on the basis of random number table method, with 31 cases in each group. The patients in the control group were given routine nursing intervention. The continuous nursing group was given continuous nursing intervention on the basis of routine treatment and nursing, and the data of two groups were collected at 3 days before discharge and 3 months after discharge, including the serum total cholesterol (TC) The homocysteine (Hcy), serum triglyceride (TG) and daily living ability were measured by Barthel’s index. At the same time, the discharge and inpatient satisfaction of two groups were compared. Results At 3 months after discharge, the BI index score in continuous nursing group was significantly higher than that in control group (P <0.05). However, there was no significant difference between the BI index score and the BI index score (P> 0.05). Serum-related index values of continuous nursing group at 3 months after discharge were significantly lower than those at 3 days before discharge (P <0.05), but the difference was statistically significant (P <0.05) There was no significant difference between the two groups (P> 0.05) 3 days before discharge, and there was no significant difference between the control group 3 days before discharge and every 3 months after discharge (P> 0.05). Satisfaction of hospitalization and discharge nursing between the two groups was statistically significant (P <0.05). Conclusion Continuous nursing intervention can effectively improve serum-related indicators of stroke patients and improve their ability to live. The patient satisfaction is high and has a reference value in clinical nursing.