| 丁美芹.医院-社区-家庭护理模式在卒中康复期患者健康管理中的应用[J].上海护理,2021,21(S1): |
| 医院-社区-家庭护理模式在卒中康复期患者健康管理中的应用 |
| Application of hospital - community - home nursing model in health management of stroke patients in rehabilitation period |
| DOI： |
| 中文关键词: 医院-家庭-社区 护理模式 脑卒中康复期 |
| 英文关键词:Hospital family community Nursing mode Stroke rehabilitation period |
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| 中文摘要: |
| 目的 探讨医院-社区-家庭综合护理模式在脑卒中康复期患者慢病管理工作中的临床应用效果。方法 研究时间段为2018年1月至2019年1月，我院脑卒中康复随访的100名患者，随机将这100名患者分为对照组和观察组，各50例。对照组受传统护理模式中的领导力培训，观察组接受了医院-社区-家庭综合护理模式中的领导力培训。比较干预前后两组患者患肢的生存和运动功能指标。结果 干预前，两组的Barthel指数值无明显统计学差异;两组Barthel指数得分均较未干预时有所提升。观察组的Barthel指数为48.91±9.89，这显著高于对照组40.12±8.92，差异具有统计学意义。干预前，两组患者的Brunnstrom's指数均无明显统计学意义。干预后，两组的Brunnstrom评分均高于干预前，观察组的Brunnstrom评分显著高于对照组，差异具有统计学意义。结论 医院-社区-家庭综合护理模式可更有效地治疗卒中康复期患者，能显著改善患者运动和日常活动的功能，改善患者的生活质量，且患者满意度较前明显提升，有一定的临床应用价值。 |
| 英文摘要: |
| Objective To explore the clinical application effect of hospital - community - family comprehensive nursing model in chronic disease management of stroke patients in rehabilitation period.Methods The study period was from January 2018 to January 2019. 100 patients were followed up after stroke rehabilitation in our hospital, and randomly divided into control group and observation group, 50 patients in each group. The control group received leadership training in the traditional nursing mode, while the observation group received leadership training in the hospital-community-family comprehensive nursing mode. The survival and motor function indexes of affected limb were compared between the two groups before and after intervention.Results Before intervention, there was no statistically significant difference in Barthel index values between the two groups. Barthel index scores in both groups were improved compared with those without intervention. The Barthel index of the observation group was 48.91±9.89, which was significantly higher than that of the control group (40.12±8.92), with a statistically significant difference. Before intervention, there was no statistically significant difference in Brunnstrom's index between the two groups. After the intervention, Brunnstrom score in both groups was higher than that before the intervention, and the Brunnstrom score in the observation group was significantly higher than that in the control group, with statistically significant differences.Conclusion The hospital - community - family comprehensive nursing model can treat stroke patients in rehabilitation more effectively, significantly improve the function of exercise and daily activities of patients, improve the quality of life of patients, and patient satisfaction is significantly increased than before, has a certain clinical application value. |
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