摘要
目的探讨辨证施护干预措施对卒中患者生活质量各维度的影响。方法选取2011年6月至2012年6月收治的急性脑卒中患者100例，随机分为干预组50例和对照组50例，2组均给予脑病科常规护理，干预组在常规护理的基础上同时予以辨证施护。对2组干预后的生活质量进行评价和比较。结果2组患者人组时MBI评分比较差异无统计学意义，干预3，6个月后IBI评分与对照组间有差异；干预组内各次评定之间结果比较差异均有统计学意义。干预组3，6个月时生理功能维度得分明显高于对照组；生命活力、精神健康维度3，6个月得分显著高于对照组；生理职能、情感职能、躯体疼痛、社会功能、总体健康维度6个月时得分结果显著高于对照组。组内比较干预组生理功能、情感职能、生命活力、精神健康、总体健康维度3，6个月时得分均高于人组时。结论辨证施护干预能有效改善卒中患者日常生活能力、生活质量各维度，提高患者的生存质量。
Objective To explore the effects of dialectical nursing intervention on multiple dimensions of quality of life in stroke patients. Methods 100 patients who met the criteria were randomly divided into the intervention group and the control group （50 cases in each group respectively）. The intervention group received dialectical nursing intervention, but the control group received routine nursing. The quality of life of two groups was compared. Results There was no significant difference on MBI scores between the two groups when the patients entered the groups. However, significant differences were observed on MBI scores between the two groups after three, six months of treatment. There was significant difference on the physical function （PF） on the 3rd and 6th months between two groups. The score of the intervention group in the dimension of vitality（VT） and mental health（MH） was significantly different compared with the control group. The five dimensions of role-physical （RP）, role-emotional （RE）, bodily pain （BP）, social functioning （SF） and general health （GH） of the intervention group were significantly different compared with the control group on the 6th month. There was significant difference on the physical function （PF）, rolemotional （RE）, vitality （VT）, mental health （MH）, general health （GH） after 3 and 6 months than the onset in the intervention group. Conclusions Dialectical nursing intervention can effectively improve the activity of daily living and the quality of life with multiple dimensions in stroke patients.
出处
《中国实用护理杂志》
北大核心
2013年第28期4-8,共5页
Chinese Journal of Practical Nursing
基金
山东省中医药管理局基金资助项目（2011-113）
关键词
脑卒中
辨证施护
生活质量
维度
Stroke
Dialectical nursing intervention
Quality of life
Dimension
