【摘要】 目的:探讨出院计划对佛山地区脑卒中患者预后的影响,进而为临床脑卒中的治疗及护理提供依据。方法:选择2016年1—12月于佛山市第一人民医院神经内科住院的100例首发脑卒中且符合实施出院计划的患者为干预对象,将100例患者随机分为干预组与对照组,各50例。对照组给予常规护理、康复及相关教育指导,干预组则在常规基础上给予患者出院计划干预,比较观察两组患者出院前和出院后1年的血脂、血压、血糖情况,采用NIHSS(美国国立卫生研究院卒中量表)评价两组患者的神经功能,应用SF-36生活质量量表测评两组患者的生活质量。结果:干预组患者的SF-36评分、NIHSS评分均优于对照组,差异有统计学意义(P <0. 05);干预组患者的总胆固醇(CHO)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)及餐后2h血糖(2hPBG)水平较对照组有显著改善(P <0. 05);干预组患者的舒张压(DBP)、收缩压(SBP)较对照组改善明显(P <0. 05)。结论:出院计划干预对脑卒中患者有较好的干预效果,调节了患者的血压、血脂、血糖及神经功能,患者生活质量明显提高,有利于患者预后的恢复。更多还原

【Abstract】 Objective: To explore the impact of discharge plan on prognosis of stroke patients in Foshan area,and to provide basis for clinical treatment and nursing of stroke. Methods: To choose from January to December 2016 in department of neurology,Foshan first people’s hospital,100 cases of starting and conform to the implementation of discharge planning in patients with cerebral apoplexy as the object of intervention,100 patients were randomly divided into intervention group and control group,50 cases each. Control group given conventional nursing,rehabilitation and related education guidance,intervention group on the basis of conventional has given patient discharge planning intervention,two groups of patients were studied before and after discharge from the hospital 1 years of blood lipids,blood pressure,blood sugar,the NIHSS( the United States national institutes of health stroke scale) evaluation of two groups of patients with nerve function,application of SF-36 quality of life scale for assessment of two groups of patients quality of life. Results: The SF-36 and NIHSS scores of the intervention group were better than those of the control group( P < 0. 05). The levels of total cholesterol( CHO) triglyceride( TG),high density lipoprotein cholesterol( HDL-C),low density lipoprotein cholesterol( LDL-C),fasting blood glucose( FBG) and 2 hours postprandial blood glucose( 2 hPBG) in the intervention group were significantly improved compared with those in the control group( P < 0. 05). DBP and SBP in the intervention group were significantly better than those in the control group( P < 0. 05). Conclusion: Discharge planning intervention has a good effect on stroke patients,regulating the blood pressure,blood fat,blood sugar and nerve function of patients,patients with significantly improved quality of life,is conducive to the recovery of prognosis of patients.更多还原