Influence of extended nursing intervention on stroke patients after discharge

Abstract

Objective To observe the clinical influence of extended nursing intervention in the stroke patients after discharge, and explore the measures to improve the quality of nursing for stroke patients. Methods A total of 72 discharged stroke patients were randomly divided into control group (n=36) undergoing no nursing intervention and observation group (n=36) which receiving extended nursing intervention. We compared the Activities of Daily Living (ADL) scores, medical compliance behavior, complications and re-hospitalization of the two groups. Results Barthel index of patients in the two groups had no statistically significance (P>0.05). After discharge 1 month, 3 months and 6 months, the Barthel index in the observation group were (49.8±11.3), (57.5±13.7) and (60.6±14.6) , which were statistically significant with those of the control group (t=2.017, 2.115, 2.096, respectively; P<0.05). After 6 months of discharge, the training according to rehabilitation plan, insisting reasonable diet and rest, following medical compliance behavior in the intervention group were better than those of the control group (χ2=4.963, 4.531, 5.573, respectively; P<0.05). The incidences of complication were 4 cases in the intervention group compared with 11 cases in the control group ( χ2=4.32, P<0.05), and there were 1 case of re-hospitalization in the intervention group and 6 cases in the control group (χ2=3.956, P<0.05) after 6 months discharged. Conclusions The stroke patients should be actively given the extended nursing intervention after discharge, since it can promote the recovery of activities of daily living, patients′ medical compliance behavior and reduce the incidence of complications and re-hospitalization. Key words: Stroke; Extended nursing; Complications; Medical compliance behavior