脑卒中患者护理告知的规范性研究及效果评价

摘要

Objective To research the care informed standardization based on the situation of incomprehensive content informed and low compliance satisfaction for stroke patients.Methods The questionnaire of stroke patients' care informed by self-designed in 2008 was using to survey 100 cases of stroke patients admitted to hospital as a control group,including the content,the way,the advice and satisfaction of this survey.The patients admitted from July 2009 to July 2011 were selected as experimental group and treated with standardized training of nurses and information and surveyed with their satisfaction for nursing.Results All the subjects were admitted in hospital primitively and the mean stay in hospital was more than 15 days.General conditions - age,gender and degree of educationwere not found differently beteeen the two groups ( P ＞0.05 ).Satisfaction degree was(3.22 ±0.65)in experimental group,and(2.81 ±0.73)in control group,respectively,the different was significant (t =4.18,P ＜0.01 ).In experimental group,the admitted nursing notification score was(22.70 + 2.23),therapy nursing notification was(21.86 ± 3.51 ),healthy instruction score was (21.66 ±4.22),discharged nursing information score was(23.20 ±3.40) ; in control group,those score were ( 15.23 ± 3.50),( 14.08 ± 4.64 ),( 13.42 ± 4.20) and ( 19.45 ± 5.70),respectively; the differences were significantly(t =18.00,13.37,13.85,5.65,respectively; P ＜0.01).Conclusions Research and implementation on the care informed normative for stroke patients can improve the quality of care,patient satisfaction and promote health education standards orderly and efficiently.%目的 针对脑卒中患者护理告知的内容不全面、告知方式不规范、告知满意度不达标情况,进行规范性研究及实施.方法 将200例患者随机分为两组,对照组100例为2008年入院的脑卒中患者,给予常规的护理告知,研究组100例为2009年7月至2011年7月入院的脑卒中患者,给予规范的护理告知.分别于入院后1周内进行入院护理告知及治疗护理告知,入院后2周内进行健康指导告知,出院前进行出院护理告知,再进行护理告知落实情况调查和护理工作满意度调查.结果 两组患者均为首次发病,住院天数均＞15d,一般情况如年龄、性别及文化程度比较差异无统计学意义(P＞0.05),研究组对护士工作的满意度得分为(3.22±0.65)分,明显高于对照组(2.81±0.73)分,差异具有统计学意义(t=4.18,P＜0.01),入院护理告知调查得分为(22.70±2.23)分、治疗护理告知调查得分为(21.86±3.51)分、健康指导告知调查得分为(21.66±4.22)分、出院护理告知调查得分为(23.20±3.40)分,均高于对照组(15.23±3.50)分、(14.08±4.64)分、(13.42±4.20)分、(19.45±5.70)分,两组比较差异均有统计学意义(t分别为18.00,13.37,13.85,5.65,P＜0.01),护理告知落实到位.结论 对脑卒中患者护理告知进行规范性研究和实施,能改善护理质量,提高患者的满意度,推进健康教育工作规范、有序、高效的实施.