The outcome of nursing quality control management on geriatric post-stroke patients / 中国实用护理杂志

ABSTRACT

Objective To explore the effect of nursing quality control program on geriatric post-stroke patients. Methods Retrospective control research method was adopted to conduct this research in Shanghai Zhongyuan Nursing Home. Forty eight stroke patients who were admitted and discharged between November 2016 and February 2017 were enrolled in the experimental group, implemented nursing quality control program, and 35 stroke patients who were admitted and discharged between July 2016 and October 2016 were enrolled in the control group. The self-care ability improvement, limb function improve degree, hospitalization days and hospitalization expenses when they were discharged from the hospital were compared between the two groups. Results When the patients were discharged from the nursing home, the score of activity of daily living of patients in the experimental group was (6.15 ± 3.14) points, which was higher than that of the control group (0.28 ± 0.17) points, and the difference was statistically significant(t =-10.516, P <0.05). Seven patients in the experimental group had a better function of limb, the limb function of the rest 41 patients kept unchanged, while the limb function of all the 35 patients in the control group kept unchanged , and the difference between the two groups was statistically significant (x2=5.574, P< 0.05). The length of hospitalization in the experimental group was (90.73 ± 12.25) days, shorter than that in the control group (98.69 ± 15.72) days, and the difference was statistically significant(t=2.592, P<0.05). There was no significant difference in the total hospitalization expenses per capita between the two groups(t=0.750, P >0.05).The average daily nursing cost for the experimental group patients was (25.16 ± 3.68) yuan, lower than control group nursing fee (27.18 ± 4.54) yuan, and the difference was statistically significant (t=0.455, P<0.05). Conclusions Nursing quality control program for post-stroke patients can effectively improve their self-care ability and physical function, shorten the days of hospitalization, and reduce the nursing cost.