延续护理在提高老年高血压并脑卒中患者治疗依从性、改善生活质量中的作用

邓敏华 韩聪聪 牛银荷

【摘要】 目的：探讨延续护理在提高老年高血压并脑卒中患者治疗依从性、改善生活质量中的作用。方法：选取本院于2017年1月-2018年12月收治的70例老年高血压并脑卒中患者为研究对象，按照随机数字表法分为两组，每组各35例。对照组予以常规护理，研究组在此基础上加以延续护理。比较两组患者治疗依从性、肢体运动功能、自我护理能力以及生活质量。结果：研究组治疗依从性评分均显著高于对照组（P<0.05）。干预前，两组患者肢体运动功能FMA评分比较，差异无统计学意义（P>0.05）;干预后，两组肢体运动功能FMA评分均较干预前显著升高，且研究组高于对照组（P<0.05）。干预前两组患者自我护理能力评分、生活质量评分比较，差异均无统计学意义（P>0.05）;干预后，研究组自我护理能力评分、生活质量评分较干预前显著升高，且研究组高于对照组（P<0.05）。结论：老年高血压并脑卒中患者应用延续护理具有较高的治疗依从性，可显著提高肢体运动功能及自我护理能力，改善生活质量。

【关键词】 高血压; 脑卒中; 延续护理; 自我护理能力; 治疗依从性

【Abstract】 Objective：To explore the role of continuing nursing in improving the treatment compliance and quality of life of elderly patients with hypertension and stroke.Method：70 elderly patients with hypertension and stroke admitted to our hospital from January 2017 to December 2018 were selected as the research objects.They were divided into two groups according to random number method，35 cases in each group.The control group was given routine nursing，the research group was given continual nursing.The treatment compliance，limb motor function，self-care ability and quality of life between the two groups were compared.Result：The treatment compliance score of the study group was significantly higher than that of the control group（P<0.05）.There was no significant difference in FMA score of forelimb motor function between the two groups after intervention（P>0.05）.FMA score of limb motor function in the two groups after intervention was significantly higher than that before intervention，that in the study group was higher than that in the control group（P<0.05）.There was no significant difference in the scores of self-care ability and quality of life between the two groups before intervention（P>0.05）.After intervention，the scores of self-care ability and quality of life in the study group were significantly higher than those before intervention，and the scores in the study group were higher than those in the control group（P<0.05）.Conclusion：Continuous nursing in elderly patients with hypertension and stroke has high treatment compliance，which can significantly improve limb motor function and self-care ability，and improve the quality of life.

【Key words】 Hypertension; Stroke; Continuous nursing; Self-nursing ability; Treatment compliance

First-authors address：Nanhai Hospital，Southern Medical University，Foshan 528244，China

doi：10.3969/j.issn.1674-4985.2019.16.023

腦卒中具有较高的致残率和病死率，对患者生存质量造成严重影响。给患者家庭和社会带来沉重的经济和精神负担[1]。有研究表明，高血压是脑卒中患者复发的独立且重要的危险因素，如果没有有效控制，可能造成患者复发[2]。高血压并脑卒中患者在院内可接受到优质的护理服务，治疗依从性较高，可相对维持血压稳定，因此复发率较低[3]。但高血压并脑卒中患者出院后由于缺乏有效的监督和护理，治疗依从性不高，可能导致脑血管危险因素控制不佳[4]。因此需要在患者出院后给予患者有效的护理服务，提高患者依从性。延续护理是将院内护理服务延伸至院外，持续给予患者优质的护理服务，从而提升患者治疗性[5]。……