优质护理对脑出血患者恢复期治疗依从性的影响研究 ?(1)
【摘要】 目的：评价优质护理对脑出血患者恢复期治疗依从性的影响。方法：选择笔者所在原2016年7月-2018年6月收治的115例处于脑出血恢复期的患者为研究对象，采用随机数字表法分为对照组57例与观察组58例，对照组开展常规护理模式，观察组开展优质护理模式，对比两组患者治疗依从性、并发症发生情况及对护理服务满意度。结果：两组出院后1个月治疗依从性评分比较差异无统计学意义(P>0.05)，出院后3、6个月观察组评分均高于对照组，差异均有统计学意义(P<0.05);观察组并发症发生率(6.70%)低于对照组(22.81%)，差异有统计学意义(P<0.05);观察组护理满意度(94.83%)高于对照组(82.46%)，差异有统计学意义(P<0.05)。结论：优质护理在脑出血恢复期应用能够显著提升患者治疗依从性，降低并发症发生率，提升患者护理服务满意度，值得临床应用与推广。
【关键词】 优质护理 脑出血 恢复期 依从性 护理满意度
[Abstract] Objective： To evaluate the effect of quality nursing on convalescent treatment compliance of patients with cerebral hemorrhage. Method： A total of 115 patients with cerebral hemorrhage in convalescence from July 2016 to June 2018 were selected as the subjects of the study， were divided into the control group (n=57) and the observation group (n=58) by using the random digital. The routine nursing model was carried out in the control group and the high quality nursing model was carried out in the observation group. The treatment compliance， complications and satisfaction with nursing service were compared between the two groups. Result： There was no significant difference in the treatment compliance scores between the two groups after discharge (P>0.05). The scores of the observation group were higher than those in the control group at 3 and 6 months after discharge， the differences were statistically significant (P<0.05). The incidence of complications in the observation group (6.70%) was lower than that in the control group (22.81%)， the difference was statistically significant (P<0.05). The nursing satisfaction in the observation group (94.83%) was significantly higher than that in the control group (82.46%)， the difference was statistically significant (P<0.05). Conclusion： The application of high-quality nursing in the convalescent period of cerebral hemorrhage can significantly improve the patients’ treatment compliance， reduce the incidence of complications， and improve the patients’ satisfaction with nursing services， which is worthy of clinical application and promotion.
腦出血为临床常见疾病，具有较高发病率、死亡率、致残率[1]，随着医疗水平的不断提升，针对脑出血的治疗方法众多，均取得良好临床治疗效果[2-3]，但脑出血的治疗周期较长，在病情稳定的恢复期患者会提出出院休养的要求，而部分患者在出院后会出现不同程度健康问题。优质护理是目前应用较为成熟的一种护理方法，有研究报道优质护理能够降低脑出血患者并发症发生率，提升患者对护理服务满意程度及改善患者生活质量[4]。本次研究针对处于脑出血患者恢复期患者开展优质护理，探究优质护理在其中应用价值，取得一定研究结果，下面进行详尽汇报。
1 资料与方法
1.1 一般资料
选择笔者所在医院2016年7月-2018年6月收治的115例处于脑出血恢复期的患者为研究对象。纳入标准：符合《中国脑出血诊治指南(2014)》中脑出血相关诊断标准[5]，患者经CT或MRI确诊，处于恢复期。排除标准：伴有其他危重疾病如恶性肿瘤、心衰、恶性肿瘤等，合并精神疾病、严重认知功能障碍。采用随机数字表法分为对照组57例与观察组58例。对照组男37例，女20例;年龄49～82岁，平均(66.3±5.1)岁。观察组男37例，女21例;年龄47～85岁，平均(67.1±5.2)岁。两组一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(冯玉璇 阮洁梅 林巧铃)
【关键词】 优质护理 脑出血 恢复期 依从性 护理满意度
[Abstract] Objective： To evaluate the effect of quality nursing on convalescent treatment compliance of patients with cerebral hemorrhage. Method： A total of 115 patients with cerebral hemorrhage in convalescence from July 2016 to June 2018 were selected as the subjects of the study， were divided into the control group (n=57) and the observation group (n=58) by using the random digital. The routine nursing model was carried out in the control group and the high quality nursing model was carried out in the observation group. The treatment compliance， complications and satisfaction with nursing service were compared between the two groups. Result： There was no significant difference in the treatment compliance scores between the two groups after discharge (P>0.05). The scores of the observation group were higher than those in the control group at 3 and 6 months after discharge， the differences were statistically significant (P<0.05). The incidence of complications in the observation group (6.70%) was lower than that in the control group (22.81%)， the difference was statistically significant (P<0.05). The nursing satisfaction in the observation group (94.83%) was significantly higher than that in the control group (82.46%)， the difference was statistically significant (P<0.05). Conclusion： The application of high-quality nursing in the convalescent period of cerebral hemorrhage can significantly improve the patients’ treatment compliance， reduce the incidence of complications， and improve the patients’ satisfaction with nursing services， which is worthy of clinical application and promotion.
腦出血为临床常见疾病，具有较高发病率、死亡率、致残率[1]，随着医疗水平的不断提升，针对脑出血的治疗方法众多，均取得良好临床治疗效果[2-3]，但脑出血的治疗周期较长，在病情稳定的恢复期患者会提出出院休养的要求，而部分患者在出院后会出现不同程度健康问题。优质护理是目前应用较为成熟的一种护理方法，有研究报道优质护理能够降低脑出血患者并发症发生率，提升患者对护理服务满意程度及改善患者生活质量[4]。本次研究针对处于脑出血患者恢复期患者开展优质护理，探究优质护理在其中应用价值，取得一定研究结果，下面进行详尽汇报。
1 资料与方法
1.1 一般资料
选择笔者所在医院2016年7月-2018年6月收治的115例处于脑出血恢复期的患者为研究对象。纳入标准：符合《中国脑出血诊治指南(2014)》中脑出血相关诊断标准[5]，患者经CT或MRI确诊，处于恢复期。排除标准：伴有其他危重疾病如恶性肿瘤、心衰、恶性肿瘤等，合并精神疾病、严重认知功能障碍。采用随机数字表法分为对照组57例与观察组58例。对照组男37例，女20例;年龄49～82岁，平均(66.3±5.1)岁。观察组男37例，女21例;年龄47～85岁，平均(67.1±5.2)岁。两组一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(冯玉璇 阮洁梅 林巧铃)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 脑血管病 > 脑出血