摘要
目的对出ICU后老年脑卒中卧床患者开展延续性护理,观察患者压力性损伤与生活质量情况。方法将2017年1月至2020年7月福建省立金山医院ICU连续收治的45例老年脑卒中卧床患者作为研究对象为延续组,并随机选取同期45例老年脑卒中卧床患者为对照组。对照组院内实施常规护理,患者出院后进行随访。延续组基于常规护理实施延续性护理,将护理服务延伸至家庭当中,对两组压力性损伤发生率、生活质量及自护能力情况比较。结果延续组压力性损伤发生率(6.67%)较对照组(24.44%)低,差异有统计学意义(P<0.05)。干预前,两组患者脑卒中专用生活质量量表(SS-QOL)评分比较,差异无统计学意义(P>0.05);出院后3个月,两组患者SS-QOL评分有所上升,延续组高于对照组,差异有统计学意义(P<0.05)。干预前,两组患者自护能力测量表(ESEA)评分比较,差异无统计学意义(P>0.05);出院后3个月,两组患者ESEA评分有所上升,延续组高于对照组,差异有统计学意义(P<0.05)。结论对于ICU后老年脑卒中卧床患者给予延续性护理,可进一步预防压力性损伤,使患者生活质量得到改善,提升患者自护能力。
Objective To explore the effect of continuous nursing on pressure injury and quality of life in elderly bedridden stroke patients after discharge from the intensive care unit(ICU).Methods A total of 45 cases of elderly bedridden stroke patients admitted in order to the ICU in Fujian Provincial Jinshan Hospital from January 2017 to J uly 2020 were s elected as the continuation group,and 45 elderly bedridden s troke patients in the same period were randomly selected as the control group.The continuous group implemented continuous nursing based on routine nursing,extended nursing services to the family,and compared the incidence of stress injury,quality of life and self-care ability between the two groups.Results The incidence of pressure injury was lower in the continuation group(6.67%)than that in the control group(24.44%),with statistically significant difference(P<0.05).Before the intervention,there was no statistically significant difference in scores of the Stroke Specific Quality of Life Scale(SS-QOL)between the two groups(P>0.05).At 3 months after discharge,the SS-QOL scores in the two groups increased,and the scores were higher in the continuation group than those in the control group,with statistically significant difference(P<0.05).Before the intervention,there was no statistically significant difference in scores of the Exercise of Self-care Agency Scale(ESEA)between the two groups(P>0.05).At 3 months after discharge,the ESEA scores in the two groups increased,and the scores were hi gher i n t he c ontinuation g roup t han t hose i n t he c ontrol g roup,w ith st atistically si gnificant di fference(P<0.05).Conclusion The implementation of continuous nursing for elderly bedridden stroke patients after discharge from ICU can further reduce the incidence of pressure injury and improve the quality of life and selfcare ability of patients.
作者
叶梅
林忠宝
YE Mei;LIN Zhongbao(Department of Critical Care MedicineⅠ,Fujian Provincial Jinshan Hospital,Fujian,Fuzhou 350001,China)
出处
《中国医药科学》
2021年第18期128-130,213,共4页
China Medicine And Pharmacy
关键词
延续性护理
ICU
脑卒中
压力性损伤
生活质量
Continuous nursing
Intensive care unit
Stroke
Pressure injury
Quality of life
