Influence of stroke community nursing process on the quality control of community nursing for strokepatients
脑卒中社区护理流程对脑卒中患者社区护理质量控制的影响

摘要

目的 关于脑卒中社区护理流程对脑卒中患者社区护理质量控制的影响及其临床改善效果。方法 此次研究初始时间为2020年2月，截止时间为2021年12月，抽取此段时间内我院接收的脑卒中患者，共90例作为本次研究对象。按照随机抓阄法均分组，其中45例予以社区护理流程干预，为观察组，余下45例予以常规护理常规，为对照组。结果 观察组患者在康复训练、饮食结构、心理状态、服药依从性、及戒烟酒多个方面的遵医嘱行为明显优于对照组，具有统计学意义（P<0.05）；观察组患者在穿衣、饮食、洗漱、沐浴、如厕、走动、排便控制、排尿控制、上下楼梯、体位变换、及整体健康状态的整体生活质量改善效果高于对照组，具有统计学意义（P<0.05）；且护理后相对于对照组来说观察组患者心理状态及神经功能恢复效果均得到较好的改善效果，具有统计学意义（P<0.05）。结论 脑卒中社区护理流程对脑卒中患者社区护理质量控制的实践中发现，患者的遵医行为更佳，预后生活质量等均得到显著的提升，值得推广应用。

Abstract

Objective To study the effect of stroke community nursing process on the quality control of community nursing for stroke patients and its clinical improvement effect.
Methods The initial time of this study was February 2020, and the cut-off time was December 2021. A total of 90 stroke patients received in our hospital during this period were selected as the research objects. According to the random lottery method, they were divided into groups. Among them, 45 cases were given community nursing process intervention, which was the observation group, and the remaining 45 cases were given routine nursing routine, which was the control group.
Results The patients in the observation group were significantly better than those in the control group in terms of rehabilitation training, diet structure, psychological state, medication compliance, and smoking cessation and alcohol cessation, with statistical significance (P<0.05), diet, washing, bathing, going to the toilet, walking, defecation control, urination control, up and down stairs, body position change, and overall quality of life improvement effects were higher than those in the control group, with statistical significance (P<0.05); and After nursing, compared with the control group, the psychological state and neurological recovery effect of the observation group patients were better improved, with statistical significance (P<0.05).
Conclusion  s The practice of stroke community nursing process on the quality control of community nursing for stroke patients found that the patients' compliance with medicine was better, and the prognosis and quality of life were significantly improved, which is worthy of popularization and application.