摘要
目的:探究社区护理人员主导式内行患者多路径志愿者教育活动对缺血性脑卒中恢复期患者遵医行为及生活质量(GQOLI-74)评分的影响。方法:选取2018年1月—2020年4月河南科技大学第一附属医院收治的96例缺血性脑卒中恢复期患者作为研究对象,根据入院顺序不同分为对照组和观察组,每组各48例。对照组采用常规干预,观察组在对照组基础上采用社区护理人员主导式内行患者多路径志愿者教育活动干预模式。比较两组患者干预前后遵医行为、日常生活能力量表(ADL)评分、神经功能卒中量表(NIHSS)评分、生活质量综合评定问卷-74 (GQOLI-74)评分变化、肢体功能数据情况。结果:干预前,两组患者遵医行为比较,差异无统计学意义(t=1.059、0.388、1.160、0.856,P>0.05);干预后观察组遵医行为评分高于对照组,差异有统计学意义(t=5.776、7.224、6.670、11.166,P<0.05)。干预前,两组患者ADL、NIHSS评分比较,差异无统计学意义(t=0.459、0.734,P>0.05);干预后观察组ADL评分高于对照组,NIHSS评分低于对照组,差异有统计学意义(t=4.321、5.340,P<0.05)。干预前,两组患者GQOLI-74评分比较,差异无统计学意义(t=0.889,P>0.05);干预后观察组GQOLI-74评分高于对照组,差异有统计学意义(t=5.996,P<0.05)。干预前,两组患者肢体功能数据比较,差异无统计学意义(t=0.354、0.259、0.241,P>0.05);干预后观察组肢体功能数据高于对照组,差异有统计学意义(t=6.541、5.963、3.574,P<0.05)。结论:社区护理人员主导式内行患者多路径志愿者教育活动干预模式能显著提升缺血性脑卒中恢复期患者遵医行为,促进神经功能恢复,增强日常生活能力,改善生活质量。
Objective: To explore the effect of community-led multi-path volunteer education on compliance behavior and quality of life(GQOLI-74) score of patients with ischemic stroke in recovery period. Methods: A total of 96 patients in the recovery period of ischemic stroke who were admitted to the hospital from January 2018 to April 2020 were selected as the research objects, and divided into the control group and the observation group according to the order of admission, with 48 cases in each group. The control group received routine intervention, on this basis, the observation group received community nursing staff led multi-path volunteer education activities for professional patients. The compliance behavior, activities of daily living(ADL),neurological function stroke scale(NIHSS) and GQOLI-74 scores and limb function data were compared between the two groups before and after intervention. Results: There was no statistically significant difference in the compliance of the two groups before the intervention(t=1.059, 0.388, 1.160, 0.856, P>0.05). After the intervention, the scores of compliance with medicine in the observation group were higher than those in the control group, and the difference was statistically significant(t=5.776, 7.224,6.670, 11.166, P<0.05). There was no statistically significant difference in the ADL and NIHSS scores of the two groups before the intervention(t=0.459, 0.734, P>0.05). After intervention, the ADL score of the observation group was higher than that of the control group, and the NIHSS score was lower than that of the control group, and the difference was statistically significant(t=4.321. 5.340, P<0.05). There was no statistically significant difference in the GQOLI-74 score of the two groups before the intervention(t=0.889, P>0.05). After the intervention, the GQOLI-74 score of the observation group was higher than that of the control group, and the difference was statistically significant(t=5.996, P<0.05). There was no statistically significant difference in the limb function data of the two groups before the intervention(t=0.354, 0.259, 0.241, P>0.05). After the intervention, the limb function data of the observation group was higher than that of the control group, and the difference was statistically different(t=6.541, 5.963, 3.574, P<0.05). Conclusion: The multi-path volunteer education activity intervention mode led by community nurses can significantly improve the medical compliance behavior of ischemic stroke convalescent patients, promote the recovery of neurological function, enhance the ability of daily life, and improve the quality of life.
作者
李英
LI Ying(Department of Critical Care Medicine,New District Hospital of the First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)
出处
《黑龙江医学》
2022年第16期2027-2029,2033,共4页
Heilongjiang Medical Journal
关键词
社区
主导式内行患者多路径志愿者教育活动
缺血性脑卒中
恢复期
遵医行为
生活质量
Community
Multi-path volunteer education activities for leading and expert patients
Ischemic stroke
Recovery period
Compliance behavior
Quality of life
