| Objective;To explore the effect of continuity of care on neurological function recovery,independent living ability,medication compliance and quality of life of patients discharged from hospital after stent assisted intracranial aneurysm embolization,so as to provide theoretical basis for clinical practice of continuity of care of patients discharged from hospital after stent assisted intracranial aneurysm embolization.Method:From June 2017 to June 2018,44 patients discharged from the neurosurgery department of a top three hospital in Inner Mongolia were selected as the control group,and from January 2019 to October 2019,44 patients discharged from the neurosurgery department were selected as the intervention group.Both groups were given standard and appropriate treatment plan during hospitalization.The control group was given routine neurosurgical care,while the intervention group was given continuous care in addition to the control group.Two groups of patients completed the collection of general information within two days after admission.NIHSS score,Barthel index,quality of life and drug compliance were evaluated at discharge and six months after discharge.Finally,NIHSS score,Barthel index,quality of life and drug compliance were compared between the two groups by repeated measurement analysis of variance,and unplanned readmission of patients was recorded.SPSS22.0 software was used to describe and analyze the data.The measurement data were described by mean±standard deviation((?)±s)paired sample t test was used for intra group comparison,and independent sample t test was used for inter group comparison.The classification data were described by the number of cases(percentage),and the comparison between groups was performed by Pearson?~2test,P<0.05 was statistically significant.Results:1.There was no significant difference between the intervention group and the control group in terms of age,gender,marital status,basic diseases,risk factors of easily induced complications and other general conditions(P>0.05),that is,the baseline of the two groups was comparable.2.NIHSS score:before discharge,the control group was 18.23±3.68,the intervention group was 17.16±3.70,there was no significant difference between the two groups(P>0.05);6months after discharge,the control group was 8.80±2.71,the intervention group was 3.43±1.04,the NIHSS score of the two groups were lower than before discharge,and the NIHSS score of the intervention group was lower than that of the control group,the difference was statistically significant(P<0.05).3.BI index:before discharge,the control group was 48.30±9.21,the intervention group was50.02±7.14,the difference between the two groups was not statistically significant(P>0.05);six months after discharge,the control group was 63.52±10.21,the intervention group was78.41±8.41,the two groups'Barthel scores were higher than before discharge,and the intervention group's Barthel scores were higher than the control group,the difference was statistically significant(P<0.05).4.Morisky compliance score:before discharge,the control group was 7.67±0.46,the intervention group was 7.59±0.45,there was no significant difference between the two groups(P>0.05);6 months after discharge,the control group was 6.55±0.52,the intervention group was 7.49±0.44,the control group's Morisky compliance score was lower than before discharge,and the intervention group's Morisky compliance score was higher than the control group,The difference was statistically significant(P<0.05);there was no significant difference between the intervention group and the Morisky drug compliance score six months after discharge(P>0.05),indicating that the compliance of patients with medical orders did not decrease.5.Quality of life score:before discharge,the control group was 49.93±5.13,and the intervention group was 48.20±4.06.The total score of quality of life,physical dimension,psychological dimension,environmental dimension and social dimension of the two groups were compared,The difference was not statistically significant(P>0.05);six months after discharge,the control group was 59.43±4.29,the intervention group was 68.16±4.22,the total scores of quality of life,physiological dimension,psychological dimension,environmental dimension and social dimension in the pre group were higher than those before discharge,and the total scores of quality of life,physiological dimension,psychological dimension and environmental dimension in the control group were higher than those before discharge,The scores of the intervention group were higher than those of the control group(P<0.05).6.The unplanned readmission rate of the control group was 20.0%.There was no unplanned readmission in the intervention group,and the rate of unplanned readmission was 0.Conclusion:The continuity of care plan constructed in this study can effectively improve Barthel index,quality of life,medication compliance,and reduce NIHSS score and unplanned readmission rate. |
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