Application effect analysis of stroke patient management plan of comprehensive unit-based safety program / 中国实用护理杂志

ABSTRACT

Objective:To explore the formulation and application effect of the management plan for stroke patients of comprehensive unit-based safety program (CUSP), and to provide theoretical basis for the formulation of nursing intervention measures.Methods:This study was a quasi-experimental study. Using the convenient sampling method, 60 patients with stroke hospitalized in the First Affiliated Hospital of Harbin Medical University from January to March 2021 were selected as the observation group, and 60 patients hospitalized from April to June 2021 were selected as the control group. The control group was given routine nursing measures for stroke patients, and the observation group was given intervention measures based on CUSP. The effects before and after the intervention were evaluated with the Stroke Self-management Behavior Scale, the Stroke Patient Health Literacy Scale, the Fatigue Scale, the 6MWT and the maximum inspiratory pressure.Results:After intervention, the total score of stroke self-management behavior, the total score of health literacy, the score of the maximum inspiratory pressure and the 6MWT in the observation group were (138.16 ± 13.23) points, (86.42 ± 2.32) points, (103.11 ± 18.52) cmH 2O (1 cmH 2O=0.098 kPa) , (478.91 ± 28.27) m, which were higher than those of the control group (132.48 ± 14.61) points, (84.26 ± 3.25) points, (91.82 ± 11.23) cmH 2O, (434.81 ± 20.86) m, the difference were statistically significant ( t values were 2.23-9.37, all P<0.05).After intervention, the total score of fatigue in the observation group was 2.51 ± 1.24, which was higher than the control group (4.71 ± 2.49), the difference was statistically significant ( t=-6.00, P<0.05). Conclusions:Intervention measures based on CUSP can promote the rehabilitation of stroke patients, and should be further strengthened and applied in clinical nursing.