家属院内辅助护理对提升脑梗死出院患者家庭及社会支持效果与意义

李清葵中南大学湘雅二医院神经内科，湖南长沙　410004

家属院内辅助护理对提升脑梗死出院患者家庭及社会支持效果与意义

李清葵
中南大学湘雅二医院神经内科，湖南长沙410004

目的探讨院内护理期间对家属行辅助护理，对提升脑梗死出院患者家庭及社会支持的效果。 方法纳入2014年6月～2015年6月我院接收的138例脑梗死患者及其主要照顾者为研究对象，于院内护理期间将其划分为两组：对照组仅接受常规护理；观察组在常规护理基础上对家属行院内辅助护理。患者出院后持续随访，半年后统计比较患者功能锻炼依从性量表、家庭支持自评量表、社会支持评定量表、Herth希望量表得分。 结果观察组功能锻炼依从性量表、家庭支持自评量表得分、社会支持自评量表得分、Herth希望量表得分均明显高于对照组，差异均有统计学意义（P＜0.05）；患者功能锻炼依从性量表及Herth希望量表得分均与家庭支持自评量表得分及社会支持自评量表得分呈显著正相关（P＜0.05）。结论对家属行辅助护理，能够有效提升脑梗死住院患者所感受的主观家庭及社会支持，对提升其治疗依从性及治疗希望有积极意义，值得推广。

脑梗死；患者家属；家庭支持；社会支持

［Abstract］Objective To investigate nursing fami1y members in hospita1 in improving the effect and significance of fami1y and socia1 support to the fami1y members of patients with cerebra1 infarction after discharge.Methods 138 cases of patients with cerebra1 infarction treated in our hospita1 and their primary caregivers from June 2014 to June 2015 were se1ected as the research objects and divided into two groups during the period of nursing in hospita1.Patients in the contro1 group were on1y given routine nursing care whi1e in the observation group auxi1iary nursing was given to fami1y members of patients in hospita1 on the basis of routine nursing.After discharge，patients were fo11owed up for six months.The functiona1 exercise comp1iance sca1e of patients，the se1f rating sca1e of fami1y support，the socia1 support rating sca1e and Herth Hope Sca1e were compared.Results The scores of functiona1 exercise comp1iance sca1e，se1f rating sca1e of fami1y support，socia1 support rating sca1e and Herth Hope Sca1e in the observation group were significant1y higher than those in the contro1 group，the differences were significant（P＜0.05）.The scores of functiona1 exercise comp1iance sca1e of patients and Herth Hope Sca1e were significant1y positive1y corre1ated with the scores of se1f rating sca1e of fami1y support and se1f rating sca1e of socia1 support（P＜0.05）.Conclusion Auxi1iary nursing for fami1y members of patients can effective1y improve the subjective fami1y and socia1 support of patients with cerebra1 infarction，which has a positive significance in improving the treatment comp1iance and treatment hope.This method is worth promoting.

［Key words］Cerebra1 infarction；Fami1y members of patients；Fami1y support；Socia1 support

脑梗死为临床常见脑血管疾病，常可导致患者偏瘫、失语，甚至丧失生活自理能力，而其康复治疗周期较长，受医疗条件限制，患者可能需要接受长期院外护理［1］。若无法主观感受到家庭及社会对自身的支持，患者可能丧失治疗希望，导致选择消极的疾病应对方式，影响治疗效果。……