摘要
目的创建脑卒中后延续护理方案,探讨其提升脑卒中患者出院后独立生活能力和出院护理满意度的效果。方法 2010年5月至12月于西南医院神经内科选择缺血性脑卒中住院患者,采用抛硬币法将入选患者随机分成对照组(19例)和试验组(23例)。对照组施行常规出院护理;试验组施行实行常规出院护理和延续护理方案,干预措施包括出院前1周的脑卒中健康课程、出院前3 d的出院护理评估、出院后1周的电话随访以及出院后4周的家庭随访。观察指标为巴氏指数和主观生活质量和出院护理满意度,于出院前3 d及出院后12周应用自制结构性问卷收集患者数据并分析。结果出院后12周,试验组患者巴氏指数的提高幅度(18.70±9.32)分高于对照组(13.16±5.33)分(P<0.05);试验组患者主观生活质量的提高幅度(1.52±0.85)分较对照组(0.89±1.15)分无显著性差异(P>0.05);试验组对出院护理满意度(86.96±10.20)分显著高于对照组(53.16±14.55)分(P<0.01)。结论延续护理方案能有效提高脑卒中后患者基础性独立生活能力和出院护理服务满意度,尚无法改善患者对生活质量的主观感受。
Objective To evaluate the effects of a transitional care program for post-stroke patients on independent living ability and satisfaction with discharge care.Methods Forty-two ischemic stroke survivors,selected in Southwest Hospital from May to December 2010,were randomized to a control group（n=19） and a study group（n=23）.The control group received routine discharge care,and the study group received routine discharge care plus a transitional care program.The transitional care program included stroke health courses 1 week before discharge,comprehensive discharge assessment 3 d before discharge,telephone follow-up 1 week after discharge,and family visit 4 weeks after discharge.Outcome measures including Barthel Index,subjective life quality,and satisfaction with discharge care were used.The data were collected 3 d before discharge and 12 weeks after discharge using a self-designed structured questionnaire.Results At the end of the 12th week after discharge,the increase of Barthel Index in the study group was higher than that in the control group（18.70±9.32 vs 13.16±5.33,P0.05）.The improvement of subjective life quality had no significant difference between the study group and the control group（1.52±0.85 vs 0.89±1.15,P0.05）.The higher score of satisfaction with discharge care was founded in the study group than in the control group（86.96±10.20 vs 53.16±14.55,P0.01）.Conclusion The transitional care program for post-stroke patients is effective in improving basic independent living ability and patient satisfaction with discharge care,and ineffective in improving subjective perception of life quality.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2011年第8期841-844,共4页
Journal of Third Military Medical University
基金
重庆市卫生局医学科研面上项目(2010-2-430)~~
关键词
脑卒中
延续护理
独立生活能力
生活质量
患者满意度
stroke
transitional care
independent living ability
quality of life
patient satisfaction
