| Objective To prepare stroke patients with hemiplegia and to evaluate the nursing effect in order to provide a more effective discharge nursing service for patients with hemiplegia after stroke.Methods 90 cases of stroke patients with hemiplegia were randomly divided into the intervention group (45 cases) and the control group (45 cases) and the control group (cases), which were selected from the First Affiliated Hospital of Sanming City traditional Chinese Medicine University Affiliated to Fujian traditional Chinese Medicine University. On the basis of routine nursing, the intervention group was added to discharge planning intervention. Discharge planning intervention contents are as follows:during hospitalization in patients with complete follow-up care knowledge, including 48 hours of admission to the health education on disease knowledge, assess the patient’s discharge needs, establish discharge planning document, and the issuance of stroke health pamphlet. After discharge once every 2 weeks to telephone follow-up and discharged after 1 month,3 months home follow-up to implementation of the intervention. Control group implementation of routine nursing care in the Department of internal medicine. Collected at admission, discharge and discharged after 1 month,3 months, two groups of patients with activities of daily living score, quality of life scores, Self-efficacy Sense score, satisfaction with care, after discharge compliance, secondary stroke occurred rate as evaluation index. Using the independent sample t test, chi square test to analyze the results of the study, to explore the nursing effect of discharge planning on stroke patients with hemiplegia.Results 1.Patients in the two groups of gender,age,education level,payment way,marital status,type of disease,the number of occupational status and comorbidity data comparison between groups,the difference was not statistically significant (P>0.05),with comparability.2.There was statistical significance of discharge planning on ability of daily life of two groups of patients with hemiplegia after stroke difference (P<0.05).3.The difference of the quality of life of the two groups was statistically significant (P< 0.05)4.There was a statistical difference in the self efficacy of the two groups(P<0.05).5.Comparison of nursing satisfaction in hospitalized patients in the two groups, there was no statistically significant difference (P>0.05); the intervention group at 3 months post discharge nursing satisfaction was significantly higher than the control group, there was significant difference (P<0.05).6.Two groups of patients discharged after treatment compliance of comparison, in addition to a reasonable diet no differences(χ2=0.067.P=0.796),the other five are regular medication,alcoholic drinks and tobacco control,self monitoring, rehabilitation training and further consultation with a doctor on time difference difference was statistically significant(P <0.05).7.The two stroke intervention group was significantly lower than the control group,the difference was statistically significant(χ2=8.775, P=0.003)Conclusion Hemiplegic stroke patients discharged from the hospital plan implementation, can reduce the rate of cerebral apoplexy patients with secondary stroke; greatly improve the patient discharge ability of daily life after discharge, quality of life, self efficacy sense; to promote the patients compliance, nursing satisfaction have a positive impact. Through the control of the knowledge training, making patients more easy to get professional care, to help patients get more functional exercise, patients with more regular medication, these have a certain impact on the long-term prognosis of patients. |
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