【作者】 郭园丽；

【导师】 刘延锦；

【作者基本信息】 郑州大学 ， 护理学， 2011， 硕士

【摘要】 目的探讨对出院脑卒中患者实施连续性护理干预,以提高其日常生活能力及生活质量的可行性和有效性,为今后护理工作中实施连续性护理干预提供科学依据。方法1采用随机数字表分组的方法将在郑州大学第一附属医院神经内科住院的脑卒中患者120例分为干预组和对照组,每组各60例。分别于出院时收集基线资料。干预组接受由研究人员定期进行的电话随访。2两组分别于出院后1个月、3个月和6个月再次进行资料收集,采用Barthel指数(Barthel Index,BI)、健康状况问卷(Short Form 36 Health Survey Questionnaire, SF-36)进行日常生活能力和生活质量的测评。3研究数据均经SPSS16.0软件包进行处理,采用描述性统计、卡方检验、t检验、重复测量方差分析等统计方法分析结果。结果1重复测量方差分析显示,干预组患者的总体生活质量上升趋势快于对照组,差异有统计学意义(P<0.01),两组间总体生活质量得分在出院后1个月、3个月、6个月时,差异具有统计学意义(P<0.05)。2重复测量方差分析显示,干预组患者的生理功能、生理职能和躯体疼痛三个维度的上升趋势快于对照组(P<0.05),两组间生理功能、生理职能、躯体疼痛得分在出院后1个月、3个月、6个月时,差异均有统计学意义(P<0.05)。3重复测量方差分析显示,干预组与对照组相比,总体健康、情感职能两个维度的上升趋势快于对照组(P<0.05),干预后3个月和6个月,两组总体健康得分、情感职能得分的差异具有统计学意义(P<0.05),但在干预后1个月,两组得分的差异无统计学意义(P>0.05)。4重复测量方差分析显示,干预后3个月,两组患者精神健康得分的差异具有统计学意义(P<0.05),干预后6个月,两组患者社会功能得分的差异具有统计学差异(P<0.05)。5重复测量方差分析显示,干预组日常生活能力上升趋势快于对照组,两组差异具有统计学意义(P<0.05),两组日常生活能力得分在出院后1个月、3个月、6个月时,差异均具有统计学意义(P<0.05)。结论连续性护理干预是一种安全、有效的干预方式,可以有效地提高脑卒中患者的日常生活能力及总体生活质量水平,临床工作中应推广此种护理模式。更多还原

【Abstract】 PurposesTo evaluate the feasibility and effectiveness of continuous nursing intervention on stroke patients’daily activity ability and quality of life after discharge,so as to provide evidence for future continuous nursing intervention.Methods1 One hundred and twenty stroke patients were randomly assigned into intervention group and control group with sixty patients in each group,the patients in intervention group receive regular telephone follow-up for six months.2 Data were collected when patients after discharge hospital one month、three months、six months,including the ability of daily living and the quality of life.Using Short Form 36 Health Survey Questionnaire(SF-36) and Barthel Index(BI) to evaluate them.3 Data were analyzed with SPSS 16.0，including descriptive statistics,chi-square text,T test,analysis of variance of repeated measurement,etc.Results1 The results of repeated-measures analysis of variance indicated that the intervention group shown a better recovery of total qualityof life(.P<0.01),statistical difference in total quality of life scores were identified between the intervention group and the control group after discharge hospital one month, three months, six months(P< 0.05).2 The results of repeated-measures analysis of variance indicated that the intervention group shown a better recovery of physical function role-physical and bodily pain(P< 0.05),there are statistical differences in the three dimensions between two groups at one month,three months and six months respectively(P< 0.05).3 The results of a repeated-measures analysis of variance showed that the intervention group had a better recovery of total health,role-emotion(P< 0.05),there are statistical differences in the two dimensions between two groups at three months,six months respectively(P<0.05),no statistical differences were shown at one month(P<0.05).4 The results of a repeated-measures analysis of variance indicated that statistical differences in mental health and social function scores were identified between the two groups at three months and six months respectively after intervention(P<0.05).5 The results of a repeated-measures analysis of variance showed that the intervention group had a better recovery of the ability of daily living (P<0.05),there are statistical differences in the dimension between two groups at one month,three months,six months respectively(P<0.05).ConclusionsThe continuous nursing intervention is a safe and effective intervention style,It can improve stroke patients’ability of daily living and total quality of life,We should promote this intervention style.更多还原