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分析优质护理服务模式对脑卒中患者抑郁及功能残疾状况的影响 被引量:10

Analysis of the Effect of High Quality Nursing Service Mode on the Depres-sion and Functional Disability in Patients with Cerebral Apoplexy
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摘要 目的为了进一步探究优质护理服务对脑卒中患者卒中后抑郁以及功能残疾状况的影响,完善对脑卒中患者的临床治疗内容。方法选取该院2010年1月—2014年1月所收治的118例脑卒中患者的临床治疗和护理资料,随机将其分为治疗组(行优质护理)和对比组(行常规护理),59例/组。分别统计两组患者护理过程中的抗抑郁药物使用情况,并分别使用汉密尔顿抑郁测量表(24项)(HRSD)以及改良Rankin测量表(m RS)对患者抑郁以及功能残疾情况进行测评,对比两组患者的康复情况。结果对比两组患者出院后6个月的抑郁以及残疾情况治疗组明显优于对照组,其对比结果差异有统计意义(P<0.05)。另外,对比组死亡率为6.78%。治疗组死亡率为1.69%。其对比结果差异有统计学意义(P<0.05)。结论在脑卒中疾病治疗中,优质护理不仅与治疗内容的切合度更高,而且对患者卒中后的忧郁以及伤残情况均有明显的改善作用。 Objective To further explore the effect of high quality nursing service mode on the depression and functional disability in patients with cerebral apoplexy so as to improve the content of the clinical treatment for patients with cerebral apoplexy. Methods The clinical treatment and nursing data of 118 patients with cerebral apoplexy admitted in our hospital from January 2010 to January 2014 were selected and randomly divided into the treatment group treated with high quality nursing and the control group treated with the conventional nursing with 59 cases in each group. The antidepressant drugs used during the nursing process of both groups were counted. Hamilton Rating Scale for Depression(24 items)(HRSD) and modified Rankin Scale(m RS) were used to evaluate the depression and functional disability of the patients. And the recovery of the two groups was compared. Results 6months after hospital discharge, the status of depression and disability of the treatment group was much better than that of the control group, the difference between the two groups was statistically significant, P0.05. In addition, the mortality rate of the control group was 6.78% and that of the treatment group was 1.69%, the difference was statistically significant, P 0.05. Conclusion For the treatment of cerebral apoplexy, high quality nursing fits the treatment content better. Furthermore, it improves the depression and disability after stroke significantly.
作者 李映会
出处 《中外医疗》 2014年第28期167-168,共2页 China & Foreign Medical Treatment
关键词 脑卒中 脑中风 优质护理 治疗结果 护理对策 Cerebral apoplexy Stroke High quality nursing Therapeutic result Nursing countermeasures
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