摘要
目的探讨延伸护理对预防老年脑卒中卧床患者并发压疮的效果以及生活质量的影响。方法住院接受治疗的62例老年脑卒中卧床患者随机分为对照组和干预组各31例,对干预组出院后实施延伸护理2年以上。出院时及出院2年后采用抑郁自评量表(SDS)和焦虑自评量表(SAS)评估2组患者的心理状态,采用简明SF-36量表评估患者生活质量,并对压疮发生情况进行统计。结果 2组患者出院时SDS、SAS量表评分及SF-36量表评分差异不具有统计学意义(均P>0.05);出院2年后,干预组SDS和SAS量表评分显著低于对照组,SF-36量表评分显著高于对照组(均P<0.01);干预组患者卧床2年以上压疮发生率显著低于对照组(P<0.01)。结论延伸护理可以明显减少老年脑卒中卧床患者压疮发生率,改善患者生活质量。
Objective To observe the effect of ‘ extended care’ in preventing pressure sores and improvement of life quality for patients with Stroke.Method 62 elderly bedridden inpatients resulting from stroke were randomly divided into a control group （n =31） and an experimental group （n =31） for the study.The experimental group were administered with‘extended care’ for a period of no less than two years after they were discharged.Self-rating depression scale （SDS） and self-rating anxiety scale （SAS） were used upon discharge and two years after intervention of ‘extended care’ to assess the two groups’psychological state and SF-36 Scale was used to assess the quality of life of the patients of both groups.The statistical information of the occurrence of pressure ulcers was also collected.Findings Upon discharge, the difference between the groups in the scores as obtained with SDS, SAS and SF-36 Scales was not statistically significant （P 〉0.05）. However, 2 years after discharge, the SDS and SAS Scale scores of the intervention group were significantly lower than the scores of control group and the SF-36 Scale score of the experimental group was significantly higher （P 〈0.01）.The rate of occurrence of pressure sores in the experimental group as observed after they had been bedridden for more than 2 years was significantly lower than that of the control group （P 〈0.01）.Conclusion ‘Extended Care’ for elderly bedridden patients of stroke can significantly reduce the incidence of pressure ulcers and thus improve the quality of life of the patients.
出处
《健康研究》
CAS
2015年第3期248-250,共3页
Health Research
关键词
脑卒中
延伸护理
压疮
生活质量
stroke
extended care
pressure sores
life quality
