全面护理对老年脑出血患者生活质量改善的临床观察(1)
【摘要】 目的：探讨全面护理对老年脑出血患者生活质量改善效果。方法：选取笔者所在医院2013年3月-2014年9月收治的78例脑出血老年患者为研究对象，将其随机分为干预组和常规组，分别采用全面护理和常规方法护理，比较两组患者运动功能、日常生活能力、生活质量及满意度。结果：干预组患者运动功能、日常生活能力及生活质量中生理功能、生理职能、健康状况、社会职能、情感职能评分均高于常规组，两组间各值比较差异均有统计学意义(P<0.05)。干预组患者满意度为94.87%，高于常规组的71.79%，差异有统计学意义(P<0.05)。结论：老年脑出血患者应用全面护理可提高患者运动功能、日常生活能力、生活质量及患者满意度，具有显著应用效果。
【关键词】 全面护理； 老年； 脑出血
中图分类号 R47 文献标识码 B 文章编号 1674-6805(2015)29-0122-03
Clinical Observation of Comprehensive Care in the Improvement of the Quality of Life of Elderly Patients with Cerebral Hemorrhage/SHI Xiao-qin，TONG Xi，DING Ling.//Chinese and Foreign Medical Research，2015，13(29)：122-124
【Abstract】 Objective：To investigate the clinical observation of comprehensive care in the improvement of the quality of life of elderly patients with cerebral hemorrhage.Method：78 cases of elderly patients with cerebral hemorrhage were selected from March 2013 to September 2014 in our hospital，randomly divided into intervention group and conventional group，respectively comprehensive nursing care and conventional methods，compared the patients in motor function，activities of daily living，quality of life and satisfaction of the two groups.Result：Motor function，activities of daily living，and quality of life in physical function，physical role，health status，social function，emotional function scores of the patients in the intervention group were higher than the conventional group，and the differences between the two groups were statistically significant values(P<0.05).Satisfaction rate for the intervention group was 94.87%，higher than the conventional group’s satisfaction rate(71.79%)，and the difference was statistically significant(P<0.05).Conclusion：The application of the comprehensive care in elderly patients with cerebral hemorrhage can improve motor function，activities of daily living，quality of life and patient satisfaction，which has a significant application results.
【Key words】 Comprehensive care； Elderly； Cerebral hemorrhage
First-author’s address：Tongji Medical College Affiliated Liyuan Hospital，Wuhan 430077，China
doi：10.14033/j.cnki.cfmr.2015.29.060
随着生活水平提高，生活习惯改善，心血管疾病发生率呈逐年上升趋势，脑出血为老年患者常见的严重心血管事件[1]。脑出血常因脑血管在血压急剧变化情况下导致破裂出血，具有起病急、病情重的特点，如不及时治疗可危及患者生命健康[2]。脑出血可引起脑组织受损，破坏神经功能，造成患者偏瘫、痴呆等，严重影响患者生活质量。临床中在有效治疗前提下根据影响患者预后因素进行全面护理，可帮助患者改善预后、提高生活质量。为探究全面护理在老年脑出血患者中的应用效果，现研究如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2013年3月-2014年9月收治的78例脑出血老年患者为研究对象，根据患者就诊奇偶顺序随机分为干预组和常规组，每组39例。干预组中男22例，女17例；年龄62～79岁，平均(68.8±3.7)岁。常规组中男21例，女18例；年龄61～78岁，平均(68.7±3.6)岁。所有患者均自愿参加本次研究，并签署知情同意书。两组患者性别、年龄比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(史小琴 童希 丁玲)
【关键词】 全面护理； 老年； 脑出血
中图分类号 R47 文献标识码 B 文章编号 1674-6805(2015)29-0122-03
Clinical Observation of Comprehensive Care in the Improvement of the Quality of Life of Elderly Patients with Cerebral Hemorrhage/SHI Xiao-qin，TONG Xi，DING Ling.//Chinese and Foreign Medical Research，2015，13(29)：122-124
【Abstract】 Objective：To investigate the clinical observation of comprehensive care in the improvement of the quality of life of elderly patients with cerebral hemorrhage.Method：78 cases of elderly patients with cerebral hemorrhage were selected from March 2013 to September 2014 in our hospital，randomly divided into intervention group and conventional group，respectively comprehensive nursing care and conventional methods，compared the patients in motor function，activities of daily living，quality of life and satisfaction of the two groups.Result：Motor function，activities of daily living，and quality of life in physical function，physical role，health status，social function，emotional function scores of the patients in the intervention group were higher than the conventional group，and the differences between the two groups were statistically significant values(P<0.05).Satisfaction rate for the intervention group was 94.87%，higher than the conventional group’s satisfaction rate(71.79%)，and the difference was statistically significant(P<0.05).Conclusion：The application of the comprehensive care in elderly patients with cerebral hemorrhage can improve motor function，activities of daily living，quality of life and patient satisfaction，which has a significant application results.
【Key words】 Comprehensive care； Elderly； Cerebral hemorrhage
First-author’s address：Tongji Medical College Affiliated Liyuan Hospital，Wuhan 430077，China
doi：10.14033/j.cnki.cfmr.2015.29.060
随着生活水平提高，生活习惯改善，心血管疾病发生率呈逐年上升趋势，脑出血为老年患者常见的严重心血管事件[1]。脑出血常因脑血管在血压急剧变化情况下导致破裂出血，具有起病急、病情重的特点，如不及时治疗可危及患者生命健康[2]。脑出血可引起脑组织受损，破坏神经功能，造成患者偏瘫、痴呆等，严重影响患者生活质量。临床中在有效治疗前提下根据影响患者预后因素进行全面护理，可帮助患者改善预后、提高生活质量。为探究全面护理在老年脑出血患者中的应用效果，现研究如下。
1 资料与方法
1.1 一般资料
选取笔者所在医院2013年3月-2014年9月收治的78例脑出血老年患者为研究对象，根据患者就诊奇偶顺序随机分为干预组和常规组，每组39例。干预组中男22例，女17例；年龄62～79岁，平均(68.8±3.7)岁。常规组中男21例，女18例；年龄61～78岁，平均(68.7±3.6)岁。所有患者均自愿参加本次研究，并签署知情同意书。两组患者性别、年龄比较差异均无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(史小琴 童希 丁玲)