舒适护理模式应用于急性缺血性脑卒中患者康复期的效果评价(1)
[摘要]目的 探讨急性缺血性脑卒中患者康复期运用舒适护理模式的临床效果。方法 选择2014年1月～2016年12月于我院治疗急性缺血性脑卒中并处于康复期的患者88例，利用简单随机数字法分为实验组和对照组，各44例，实验组施以常规护理结合舒适护理模式方案，对照组施以常规护理方案。比较两组患者的抑郁评分(SDS)、焦虑评分(SAS)、欧洲卒中量表(ESS)、Fugl-Meyer运动量表(FMA)、Barthel指数(BI)评分变化及护理满意度情况。结果 护理前，两组患者SAS、SDS、ESS、FMA、BI评分结果比较，差异均无统计学意义(P>0.05)；护理后，观察组SAS、SDS得分低于对照组，ESS、FMA、BI评分高于对照组，差异有统计学意义(P<0.05)。观察组护理满意度高于对照组，差异有统计学意义(P<0.05)。结论 急性缺血性脑卒中康复期患者运用舒适护理模式后，有利于其不良心理状态(焦虑、抑郁)及神经、运动和自理功能的改善，同时促进护理满意度的提高。
[关键词]舒适护理模式；急性缺血性脑卒中；康复期
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2017)04(c)-0185-03
[Abstract]Objective To explore the clinical effect of comfortable nursing model in patients with acute ischemic stroke during rehabilitation. Methods 88 patients diagnosed with acute ischemic stroke and in convalescence in our hospital from January 2014 to December 2016 were selected and randomly divieded into the experiment group and the control group，with 44 cases in each group.Patients in the control group were given routine nursing，while patients in the experiment group were given routine nursing combined with comfort care nursing model.The scores of SDS，SAS，ESS，FMA，BI and the degree of satisfaction of patients in two groups were compared.Results Before nursing，there were no significantly different among the scores of SAS，SDS，ESS，FMA，BI in two groups(P>0.05)；after nursing，the scores of SAS，SDS in observation group was lower than those in control group，and the scores of ESS，FMA，BI in observation group were higher than those in control group，and the differences were statistically significant(P<0.05).The degree of satisfaction of patients in observation group was higher than that in control group，and the difference was statistically significant(P<0.05).Conclusion It is beneficial to improve the mental state (anxiety and depression) and the neurological，motor and self-care function of patients with acute ischemic stroke during the rehabilitation period，and promote the improvement of nursing satisfaction.
[Key words]Comfort nursing model；Acute ischemic stroke；Rehabilitation period
急性缺血性脑卒中患者在全部脑卒中占60%～80%[1]，其死亡率及致残率也相对较高[2]，约有80%的患者在治疗后可出现抑郁等不良情绪，肢体功能下降或丧失，降低患者的生活质量，对患者及其家属带来了压力[3]。然而目前在临床上，由于经济及医学科技水平等因素的限制，患者一般在医院内接受治疗及护理[4]，因此在住院期间为患者提供优质护理具有重要的意义。舒适护理作为一项人性化的护理模式，更重视患者的心理护理[5]，从而实现了患者生理、心理的舒适，提高患者接受治疗的依从性，使患者处于舒适状态，进而提高患者的治疗效果。本研究将舒适护理模式运用于急性缺血性脑卒中患者康复期中，现报道如下。
1资料与方法
1.1一般资料
选取2014年1月～2016年12月入住我院治療急性缺血性脑卒中处于康复期的患者88例，根据随机数字表法分为实验组44例和对照组44例。本研究经我院医学伦理委员会审核批准，患者均知情同意。其中，实验组男24例，女20例；年龄45～72岁，平均(60.21±4.26)岁；文化程度：文盲2例，小学13例，初中18例，高中10例，大学1例。对照组男22例，女22例；年龄43～73岁，平均(60.32±4.12)岁；文化程度：文盲3例，小学11例，初中19例，高中9例，大学2例。所有患者均已确诊为急性缺血性脑卒中，无严重的心血管疾病、肝、肾等功能障碍，无严重的并发症及意识障碍、精神疾病等。两组患者在年龄、性别、文化程度等比较，差异无统计学意义(P>0.05)，具有可比性。 (洪彩霞 郭巧丽 张雪玲)
[关键词]舒适护理模式；急性缺血性脑卒中；康复期
[中图分类号] R473.74 [文献标识码] A [文章编号] 1674-4721(2017)04(c)-0185-03
[Abstract]Objective To explore the clinical effect of comfortable nursing model in patients with acute ischemic stroke during rehabilitation. Methods 88 patients diagnosed with acute ischemic stroke and in convalescence in our hospital from January 2014 to December 2016 were selected and randomly divieded into the experiment group and the control group，with 44 cases in each group.Patients in the control group were given routine nursing，while patients in the experiment group were given routine nursing combined with comfort care nursing model.The scores of SDS，SAS，ESS，FMA，BI and the degree of satisfaction of patients in two groups were compared.Results Before nursing，there were no significantly different among the scores of SAS，SDS，ESS，FMA，BI in two groups(P>0.05)；after nursing，the scores of SAS，SDS in observation group was lower than those in control group，and the scores of ESS，FMA，BI in observation group were higher than those in control group，and the differences were statistically significant(P<0.05).The degree of satisfaction of patients in observation group was higher than that in control group，and the difference was statistically significant(P<0.05).Conclusion It is beneficial to improve the mental state (anxiety and depression) and the neurological，motor and self-care function of patients with acute ischemic stroke during the rehabilitation period，and promote the improvement of nursing satisfaction.
[Key words]Comfort nursing model；Acute ischemic stroke；Rehabilitation period
急性缺血性脑卒中患者在全部脑卒中占60%～80%[1]，其死亡率及致残率也相对较高[2]，约有80%的患者在治疗后可出现抑郁等不良情绪，肢体功能下降或丧失，降低患者的生活质量，对患者及其家属带来了压力[3]。然而目前在临床上，由于经济及医学科技水平等因素的限制，患者一般在医院内接受治疗及护理[4]，因此在住院期间为患者提供优质护理具有重要的意义。舒适护理作为一项人性化的护理模式，更重视患者的心理护理[5]，从而实现了患者生理、心理的舒适，提高患者接受治疗的依从性，使患者处于舒适状态，进而提高患者的治疗效果。本研究将舒适护理模式运用于急性缺血性脑卒中患者康复期中，现报道如下。
1资料与方法
1.1一般资料
选取2014年1月～2016年12月入住我院治療急性缺血性脑卒中处于康复期的患者88例，根据随机数字表法分为实验组44例和对照组44例。本研究经我院医学伦理委员会审核批准，患者均知情同意。其中，实验组男24例，女20例；年龄45～72岁，平均(60.21±4.26)岁；文化程度：文盲2例，小学13例，初中18例，高中10例，大学1例。对照组男22例，女22例；年龄43～73岁，平均(60.32±4.12)岁；文化程度：文盲3例，小学11例，初中19例，高中9例，大学2例。所有患者均已确诊为急性缺血性脑卒中，无严重的心血管疾病、肝、肾等功能障碍，无严重的并发症及意识障碍、精神疾病等。两组患者在年龄、性别、文化程度等比较，差异无统计学意义(P>0.05)，具有可比性。 (洪彩霞 郭巧丽 张雪玲)