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目的观察和评价对脑卒中继发癫痫患者开展综合护理干预的多维效果。方法采用历史对照研究,将我院2014年1月综合护理干预后脑卒中继发癫痫患者51例设为干预组,2013年1月至12月干预前基线资料相同的47例患者作为对照组,对干预前后患者心理状态、运动能力、生活能力及护理质量满意度等多维效果进行评价。结果干预组干预后Barthel指数、FM评分提高幅度明显大于对照组,SAS、SDS评分明显低于对照组,差异有统计学意义(P<0.05)。干预组患者对护理服务满意度为92.15%,高于对照组,差异有统计学意义(P<0.05)。结论综合护理干预的应用不仅改善了患者的心理状态,还提高了患者的运动和生活能力,同时促进了护理服务质量的提高。
Objective To observe and evaluate the multidimensional effect of comprehensive nursing intervention on patients with secondary epilepsy after stroke. Methods A historical control study was conducted in which 51 patients with epilepsy secondary to stroke after comprehensive nursing intervention in January 2014 in our hospital were enrolled as the intervention group and 47 patients with the same baseline data before the intervention from January 2013 to December 2013 as the control group. The psychological status, exercise ability, life ability and satisfaction degree of nursing quality of patients before and after intervention were evaluated. Results After intervention, the Barthel index and FM score in intervention group were significantly higher than those in control group. SAS and SDS scores were significantly lower than those in control group (P <0.05). The satisfaction rate of nursing service to the intervention group was 92.15%, which was higher than that of the control group (P <0.05). Conclusion The application of comprehensive nursing intervention not only improves the patient’s psychological status, but also improves the patient’s exercise and living ability, and at the same time promotes the improvement of nursing service quality.