摘要
目的观察社区综合护理干预对缺血性脑卒中的效果。方法选择2011年1月—2013年1月出院后入社区的缺血性脑卒中患者78例,随机分为干预组48例和对照组30例。对照组给予常规药物治疗指导及常规护理指导,干预组在对照组基础上施行社区综合护理干预措施。计量资料采用t检验,计数资料采用χ2检验,P<0.05为差异有统计学意义。结果社区综合护理干预12个月后,干预组血压控制良好率81.2%、康复有效率89.6%,对照组分别为46.7%、66.7%,两组比较差异均有统计学意义(χ2=10.139、6.242,均P<0.05);干预组残疾率45.8%、卒中复发率2.1%,对照组分别为70.0%、20.0%,两组比较差异均有统计学意义(χ2=4.359、5.227,均P<0.05)。结论社区综合护理干预措施可显著提高缺血性脑卒中患者的血压控制良好率和康复有效率,降低其残疾率和卒中复发率,是社区缺血性脑卒中患者治疗与康复的有效干预措施。
Objective To observe the effects of community - based comprehensive nursing intervention for ischemic stroke. Methods 78 cases of ischemic stroke being discharged from the hospital into the community health service center from January 2011 to January 2013 were randomly divided into intervention group （n = 48） and control group（ n = 30）. Control group received routine treatment and nursing care, while intervention group, received community - based comprehensive nursing intervention in addition. Measurement data were processed by t -test, count data by Х^2 test, the result of P 〈 0.05 was considered statistically significant. Results After 12 months of community - based comprehensive nursing intervention, the rate of better control of blood pressure and the effective rate of rehabilitation were 81.2% and 89.6% respectively in intervention group, and 46.7% and 66.7% respectively in control group they were. There was statistically significant difference between the two groups （Х^2= 10. 139,6. 242 ,P 〈0.05）, The rate of disability and the recurrence rate of stroke were 45.8% and 2.1% respectively in intervention group, and 70% and 20% respectively in control group. There are significant differences statistically in comparison between the two groups （Х^2= 4. 359,5. 227 ,P 〈 0.05）. Conclusions Community - based comprehensive nursing intervention can significantly improve the rate of better control of blood pressure and the effective rate of rehabilitation, decrease the rate of disability and the recurrence rate of stroke, therefore, it is an effective intervention measure for the treatment and rehabilitation of ischemic stroke in community.
出处
《社区医学杂志》
2014年第10期6-8,共3页
Journal Of Community Medicine
关键词
缺血性脑卒中
综合护理干预
社区卫生服务
康复
Ischemic stroke
Comprehensive nursing intervention
Community health service
Rehabilitation
