Clinical evaluation on establishment and application effect of continuity of care for patients with stroke

Li Meizhu; Cai Dongxue; Han Wencong

doi:10.3969/j.issn.1674-4748.2016.15.003

Abstract：Objective:To establish the continuity of care program for patients with cerebral apoplexy,and analyze the nursing effect.Methods:A total of 82 patients with cerebral apoplexy were selected and randomly divided in-to study group and control group based random number table,41 cases in each.Patients in control group were given routine discharge care,the patients in study group were given the continuity of stroke care.The changes of Barthel index scale,quality of life (QOL)scale,compliance score and nursing satisfaction in both groups were observed before discharge and 3 months after discharge.Results:There was no statistically significant difference in Barthel index scores in patients between both groups before discharge(P >0.05).3 months after discharge, the Barthel index score in study group was significantly higher than that in control group (P <0.05),Barthel in-dex scores of patients in study group were significantly higher than those in control group (P <0.05).3 months after discharge,the QOL scores and total score of the patients in study group were significantly higher than those in control group (P <0.05).The ratios of medication on time,exercise on time,timely referral and reason-able diet in patients in study group were higher than that in control group,but there was no statistically signifi-cant difference between both groups (P > 0.05).The total satisfaction rate of the patients in study group was significantly higher than that in control group (P <0.05 ).Conclusion:Continuity of care could effectively im-prove the treatment compliance and satisfaction of patients with cerebral apoplexy,and improve the nursing effect of patients with cerebral apoplexy.