Establishment and effects evaluation of extended care plan for stroke patients
10.3760/cma.j.issn.1674-2907.2016.22.004
- VernacularTitle:脑卒中患者延续护理方案的建立及效果评价
- Author:
Hongmei CHEN
1
;
Hong LAN
;
Zeqing ZHONG
Author Information
1. 442000 湖北省十堰市太和医院神经内科
- Keywords:
Stroke;
Extended care;
Evidence-based Nursing
- From:
Chinese Journal of Modern Nursing
2016;22(22):3122-3125,3126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application effects of extended care plan in patients with stroke based on evidence-based nursing. Methods A total of 130 patients who met inclusion criteria were selected and received matched groups. The patients of observation group were given the implementation of evidence-based extended nursing plan, while the patients of control group were provided telephone follow-up 1 month after discharge. We compared differences in the ability of daily life ( Barthel index) and health behavior ( HPLP Ⅱ) between two groups at the patients discharged from hospital 1 month, 3 months, 6 months and 12 months. Results Compared between two groups at patients discharged from hospital 3 months, 6 months and 12 months, the differences of Barthel index score were statistically significant ( Ftime=13.389,P<0.05; Fgroup=19.352,P<0.05;Ftime?group=3.416,P<0.05); patients discharged from hospital after 3 months, 6 months and 12 months, the differences of HPLP Ⅱ score were statistically significant between two groups (Ftime=12.187, P<0.05;Fgroup=36.512,P<0.01; Ftime?group=6.692,P<0.01); 3 months, 6 months and 12 months after discharge, the incidences of recurrence were 3. 33%, 10. 00%, 18. 33% in observation group while they were 3.57%, 17.85%, 33.93% in the control group (P<0.01).Conclusions Taking the evidence-based nursing method to develop scientific and normative extended care plan can improve the ability of stroke patients′ daily life and health behavior and reduce the recurrence, which is worth of clinical practice recommendations.
