医院-社区-家庭整体护理在脑卒中康复中的应用

发布时间：2018-06-19 21:01

  本文选题：脑卒中 + 医院-社区-家庭　； 参考：《中华全科医学》2016年03期

【摘要】：目的研究医院-社区-家庭整体护理体系在脑卒中患者康复中的应用,进一步利用医院、社会和家庭各方面的资源,以充分扩展和完善脑卒中患者延续康复护理范围和内容,为脑卒中患者的康复寻找一条更为简便、快速、高效、实用、廉价的新路径。方法选取2013年11月—2014年7月期间在某三级甲等医院住院的脑卒中患者191例,按他们出院后属于该院社区街道居住和不属于该院社区街道居住分为实验组和对照组,分别选取符合条件的实验组98例患者,对照组93例患者。住院的病房护士及社区护士一起为实验组患者在常规护理的基础上进行医院-社区-家庭整体康复护理干预,而对照组患者只采用常规出院护理,均在出院时及出院6个月后分别对191例脑卒中患者做生活自理能力(Barthel指数)评定、心理[采用汉密顿抑郁量表(HAMD)]评定和患者对护士的护理满意度评定。结果干预后实验组和对照组患者的Barthel指数评分、HAMD量表评分及对护理工作满意度评分与干预前比较差异均有统计学意义(P0.05),并且实施医院-社区-家庭整体护理干预的实验组患者的改善幅度更加明显。结论医院-社区-家庭整体护理模式对脑卒中患者的生活自理能力和心理康复都有积极的作用,能有效促进脑卒中患者身心整体恢复,值得在各医疗机构应用并推广。
[Abstract]:Objective to study the application of hospital-community-family holistic nursing system in the rehabilitation of stroke patients, and to make further use of hospital, social and family resources in order to fully expand and improve the scope and content of rehabilitation nursing for stroke patients. Find a simpler, faster, more efficient, more practical, and cheaper way for stroke patients to recover. Methods 191 stroke patients hospitalized in a Grade 3A hospital from November 2013 to July 2014 were divided into two groups: experimental group and control group. 98 patients in the experimental group and 93 patients in the control group were selected. The hospitalized ward nurses and the community nurses together carried out the hospital-community-family holistic rehabilitation nursing intervention on the basis of routine nursing for the patients in the experimental group, while the patients in the control group were only treated with routine discharge nursing. At the time of discharge and 6 months after discharge, 191 patients with stroke were assessed with Barthel index, psychological [Hamilton Depression scale] and nursing satisfaction. Results after intervention, the scores of Barthel Index and Hamd scale of patients in experimental group and control group were significantly different from those before intervention (P 0.05), and the hospital, community and family holistic nursing intervention was carried out. In the experimental group, the improvement was more obvious. Conclusion Hospital-community-family holistic nursing model plays a positive role in the self-care ability and psychological rehabilitation of stroke patients and can effectively promote the overall recovery of stroke patients. It is worth applying and popularizing in various medical institutions.
【作者单位】： 合肥市第二人民医院护理部;
【基金】：2015年安徽省科技攻关项目(1501ld04058)
【分类号】：R473.74
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本文编号：2041245