| ObjectivesEstablishing the continuity of care plan that suits our situation of the patients with cerebralhemorrhage during convalescence through the study. Verifying whether the intervention effectof the continuity of care plan is superior to the existing conventional nursing care plan.Byimplementing the continuity of care plan to the patients with cerebral hemorrhage duringconvalescence, to evaluate the effect of the continuity of care plan to the treatment andrehabilitation of patients with cerebral hemorrhage during rehabilitation.Providing researchdata for hospitals carrying out the continuity of care to the patients with cerebral hemorrhageduring convalescence.MethodsSep2012-Sep2013, Through the study to the continuity of care interventions ofevidence-based guidelines of patients with the cerebral hemorrhage and continuity of careliterature research, and the review of the continuity of care plan at home and abroad of patientswith the cerebral hemorrhage. We established the frame structure of the continuity of care planof the patients with cerebral hemorrhage during rehabilitation.Convenient to choose the105cases parents with cerebral hemorrhage during rehabilitation in the fourth affiliated hospital ofzhengzhou university. And randomly divided into intervention group and control group,intervention group53cases, control group52cases.The control group using conventional care,intervention group on the basis of conventional nursing intervention, adopt to the continuity ofcare plan.General information questionnaire, ADL scale, patients discharged guidanceadherence scale, hospital anxiety depression scale, chronic diseases, self-efficacy scale wereused respectively before and after the intervention to collect data.Using SPSS17.0statisticaldata processing. Results1. General data comparison of the two group patientsThe comparison of age, gender, education, age, marital status, occupation, medicalpayment, social support degree, amount of bleeding in the brain and other general data of thecontrol group and intervention group, there were no statistically significant difference (P>0.05).2. The comparison of the anxiety and depression score of the two group patients beforeand after the interventionComparing respectively the anxiety(P=0.646) and depression score(P=0.812) before andafter the intervention of the two groups. The results showed that the difference of two groups’anxiety and depression score before intervention has no statistically significant difference (P>0.05),and has obvious comparability.But after the intervention three months, The anxiety scoreof the intervention group and control group dropped significantly compared with before, thedifference is statistically significant (P <0.05). Depression scores dropped significantly of theintervention group compared with intervention before,the difference has statistical significance(P <0.05），While the depression score of the control group dropped not obviously comparedwith intervention before, there was no statistically significant difference (P>0.05). Andafter the intervention, the level of anxiety and depression of intervention group weresignificantly lower than the control group (P <0.05).3. The comparison of the self-efficacy score of the two group patients before and afterthe interventionComparing respectively the self-efficacy score(P=0.621) before and after the interventionof the two groups.The results showed that the difference of two groups self-efficacy scorebefore intervention has no statistically significant difference (P>0.05),and has obviouscomparability. But after the intervention three months,Intervention group patients self-efficacyscores improved significantly, comparing with before, the difference has statistical significance(P <0.05), the control group patients’ self-efficacy score increase is not obvious, comparingwith before, the difference has no statistically significant (P>0.05). And after the interventionthe difference between the two groups of patients self-efficacy score has statistically significant(P <0.05).4. The comparison of the compliance score of the two group patients before and after theinterventionThe difference of the total score and each dimension score of the patients compliance of thetwo groups before the intervention have no statistically significant(P>0.05),and has obviouscomparability. And after the intervention three months, the difference of the total score andrehabilitation training, life work and rest, follow-up visiting three dimensions score of the patients compliance of the intervention group before and after the intervention havestatistically significant (P <0.05). the difference of the balanced diet(P=0.146), life work andrest(P=0.040)regular medication (P=0.237) three dimensions score of the patients complianceof the intervention group before and after the intervention have no statistical significance (P>0.05). After the intervention, The difference of the total score and rehabilitation training,follow-up visiting two dimensions score have statistically significant (P <0.05).The differenceof balanced diet(P=0.237), lifestyle(P=0.201), regular medication(P=0.338) three dimensionsscore have no statistically significant (P>0.05).5.The comparison of the ADL score of the two group patients before and after theinterventionComparing respectively the ADL score(P=0.652) before and after the intervention of thetwo groups.The results showed that the difference of two groups ADL score before interventionhas no statistically significant difference (P>0.05),and has obvious comparability. And after theintervention three months,The group patients ADL scores improved significantly, comparingwith before, the difference has statistical significance (P <0.05). And after the intervention thedifference between the two groups of patients ADL score has statistically significant (P <0.05).And the ADL score of the intervention group increased is greater than the control group beforeand after the intervention, the difference between the two groups has statistical significant (P<0.05)Conclusion1. The intervention effect of the continuity of care plan is superior to the existing conventionalnursing care plan.2.The continuity of care plan can reduce the patients anxiety and depression level, and canstrength the patients self-efficiency, and can increase the patients compliance, and can promotethe rehabilitation of the patients with the cerebral hemorrhage... |
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