脊髓损伤患者居家护理的干预及效果

Effects of Home-based Nursing Interventions for Patients with Spinal Cord Injury

目的探讨居家护理干预对脊髓损伤患者康复知识与技能的影响,以期改善脊髓损伤患者的生活质量。方法采用便利抽样法选择2010年4-10月广西桂林医学院附属医院辖区范围内、在本院康复科出院且便于随访的脊髓损伤患者38例,通过建立居家护理干预团队、及时对患者进行康复知识与技能的指导,对其实施居家护理干预;干预前后采用同一问卷测评患者康复知识及技能掌握情况、训练情况以及并发症发生情况。结果 36例患者通过居家护理干预,康复技能掌握情况及自我训练情况明显改善,并发症发生率明显减少(P<0.01)。结论对脊髓损伤患者实施居家护理干预,能明显提高患者康复技能,促进其健康行为的养成,同时可降低并发症发生率。

Objective To explore the home-based nursing interventions on rehabilitation knowledge and skills for patients with spinal cord injured, so as to improve their quality of life. Methods By convenience sampling, totally 38 patients with spinal cord injury discharged from rehabilitation department of Guilin Medical University affiliated hospital were recruited. Home-based intervention team were set for the guidance of rehabilitation knowledge and skills for patients. Rehabilitation knowledge and skills mastery condition, changes of the training, incidence of complications were assessed before and after the intervention. Results Based on the home-based interventions, rehabilitation skills and self-training abilities were significantly improved for all of the 36 patients（P〈0. 01）. Conclusion The implementation of home-based nursing can significantly improve the rehabilitation skills, promote healthy behaviors, and decrease the incidence of complications for patients with spinal cord injury.