摘要
目的评估脑卒中患者日常生活自理能力及基本日常活动需求程度,为患者实施优质护理服务提供依据。方法运用Barthel指数记分法结合观察法,评估191例脑卒中患者的基本日常生活自理能力。结果脑卒中患者发病后自理能力明显低于发病前(P<0.01),日常生活自理活动协助程度由高至低依次为洗澡、上下楼梯、活动、用厕、修饰、床椅转移、穿衣、进食、可控制小便、可控制大便。年龄、文化程度、照顾者、既往史、吸烟史、肌力为影响脑卒中患者自理能力的因素。结论脑卒中患者自理能力明显受限,基础护理需协助。护理人员应熟练掌握各项基础护理操作技能,加强脑卒中患者危险因素、康复方面的健康教育。
Objective To assess the self-care ability of daily living and basic needs of daily activities of stroke patients,and to provide scientific basis for effective implementation of high quality nursing service for patients.Methods Using the Barthel index score method and observation method,the self-care abilities of daily living of 191 stroke patients in hospital were assessed.Results Self-care ability of patients after the onset of stroke was significantly lower than before（P0.01）.According to descending order,the assisting degree of daily living were bathing,up and down stairs,activities,using the toilet,grooming,bed chair transfer,dressing,feeding,controlling urine and stool.It showed that age,educational level,caregivers,past history,smoking history,and muscle strength were influencing factors of self-care ability of stroke patients.Conclusion The self-care ability of stroke patients was limited obviously,so their basic daily activities need assistance.Nurses need to master the basic nursing skills and strengthen health education on stroke risk factors and rehabilitation to patients.
出处
《中华护理教育》
2012年第4期166-169,共4页
Chinese Journal of Nursing Education
