医院-社区-家庭护理模式在脑卒中合并压力性损伤患者中的应用效果

Effects of hospital-community-family nursing model among stroke patient combined with pressure injury

目的探讨医院-社区-家庭护理干预模式对脑卒中合并压力性损伤患者疗效及生活质量的影响。方法选择2016年1—10月在广州医科大学附属第五医院神经内科、康复科等科室出院的60例脑卒中已出现压力性损伤且须长期卧床患者为研究对象,按照压力性损伤分期分为观察组与对照组各30例,对照组患者采用常规护理方法;观察组患者采用医院-社区-家庭护理干预模式。3个月后,采用WHO生活质量简表分别评估两组患者的生活质量,同时确定患者压力性损伤治愈情况及分期。结果干预后,观察组患者生活质量各维度评分均高于对照组,两组比较差异均有统计学意义(P<0.05);观察组患者压力性损伤治愈情况优于对照组,差异有统计学意义(P<0.05)。结论对脑卒中合并压力性损伤患者实施医院-社区-家庭护理,可有效提高患者压力性损伤的治愈率,改善其临床症状,提高患者生活质量。

Objective To explore the effects of hospital-community-family nursing model on curative effect and quality of life (QOL) of stroke patient combined with the pressure injury. Methods From January to October 2016, we selected 60 stroke outpatients with pressure injury who needed long-term lying discharged from the Department of Neurology, Rehabilitation Department and other of the Fifth Affiliated Hospital of Guangzhou Medical University as subjects. All of the patients were divided into observation group and control group based on the stages of pressure injury, 30 cases in each group. Patients of control group received routine nursing, while patients of observation group were treated with hospital-community-family nursing model. Three months later, we evaluated the quality of life of patients between two groups with the World Health Organization Quality of Life Scale Brief Version (WHOQOL-BREF) and determined the cure rate and stages of pressure injury. Results After intervention, the dimension scores of QOL of patients in observation group were higher than those in control group with statistical differences (P<0.05);the cure rates of pressure injury of patients in observation group was better than those in control group with statistical differences (P<0.05) . Conclusions The application of hospital-community-family nursing model in stroke patient combined with pressure injury can effectively increase the cure rate of pressure injury, improve clinical symptoms and QOL of patients.