Effect of intermediate care on daily life ability of subacute stroke patients after discharge
10.3760/cma.j.issn.1674-2907.2016.22.005
- VernacularTitle:中期照护对亚急性期脑卒中患者出院后日常生活能力的影响
- Author:
Juan SUN
1
;
Weiguo ZHU
;
Qingmei WANG
;
Mei CHEN
Author Information
1. 223300 淮安，南京医科大学附属淮安第一医院门诊部
- Keywords:
Stroke;
Complication;
Daily life ability;
Intermediate care
- From:
Chinese Journal of Modern Nursing
2016;22(22):3126-3129
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of intermediate care on daily life ability of subacute stroke patients after discharge.Methods A total of 64 subacute stroke patients between June 2015 and June 2016 in our hospital were selected, including 20 cases of cerebral hemorrhage, 22 cases of cerebral infarction, and 22 cases of subarachnoid hemorrhage. They were randomly divided into observation group ( n=32) and control group ( n=32) . The intermediate care was performed by the care team according to the plan in observation group and the traditional care was provided in control group. The daily life ability, complications and rehospitalization rate were compared between two groups after discharge.Results There was no significant difference in the score of Barther between two groups at discharge (P>0.05). The scores of Barther in observation group were higher than those in control group at 2 w, 4 w, and 6 w after discharge, and the differences were statistically significant ( P<0.01) . After 6w after discharge, there were 2 cases of complications in observation group, including 1 case of gastric tube detachment and 1 case of aspiration of gastric contents. There were 10 cases of complications in control group, including 4 cases of pressure ulcer, 3 cases of gastric tube blockage or detachment, 1 case of aspiration of gastric contents, and 2 cases of urinary tract infection. The difference between two groups was statistically significant (χ2=6.564,P<0.05) . The rehospitalization rate in observation group was lower than that in control group, and the difference was statistically significant (P<0.05).Conclusions The intermediate care can improve the daily life ability, decrease the complications and rehospitalization rate of subacute stroke patients after discharge.
