多学科护理照顾模式在改善脑卒中患者日常生活能力及应对方式中的作用

The effect of multidisciplinary nursing care mode on improving activity of daily living and coping styles of patients with cerebral stroke

目的探讨多学科护理照顾模式在改善脑卒中患者日常生活能力及应对方式中的作用。方法选取2014年1月～2018年1月于我院就诊的脑卒中患者348例,按随机数字表法分为观察组和对照组,每组174例。对照组患者给予脑卒中常规护理,观察组患者在常规护理的基础上应用多学科护理照顾模式。对比两组患者日常生活能力、应对方式及并发症情况。结果护理后两组患者改良Barthel指数(MBI)及功能独立性评定(FIM)评分较护理前均明显提高(P <0.05),其中观察组高于对照组(P <0.05);护理后MCMQ评分中"面对"分两组较护理前均提高(P <0.05),其中观察组高于对照组(P <0.05),"回避"分及"屈服"分两组护理后均降低(P <0.05),其中观察组低于对照组(P <0.05)。观察组患者出现并发症12例(6.98%),明显少于对照组34例(19.54%)(P <0.05)。结论多学科护理模式能明显改善脑卒中患者日常生活能力,提升患者面对疾病的积极性,减少并发症的发生,值得在临床应用中推广。

Objective To explore the effect of multidisciplinary nursing care mode on improving activity of daily living and coping styles of patients with cerebral stroke. Methods Three hundred and forty-eight patients with cerebral stroke who were treated in our hospital from January 2014 to January 2018 were selected and they were randomly divided into observation group and control group according to random number table method,with 174 cases in each group.The control group was given routine nursing for cerebral stroke and the observation group was given multidisciplinary nursing care mode based on routine nursing.The activities of daily living,coping styles and complications were compared between the two groups. Results After nursing,modified Barthel index(MBI)and functional independence measurement(FIM)score of patients in both groups were significantly improved compared with those before nursing(P < 0.05).MBI and FIM score of the observation group were higher than those of the control group(P < 0.05).The "face" score in MCMQ scores of two groups were increased after nursing(P < 0.05).The "face" score in the observation group was higher than that in the control group(P < 0.05).The "avoidance" and "yield" scores after nursing in two groups were both reduced(P < 0.05),and the "avoidance" and "yield" scores of the observation group was lower than those of the control group(P < 0.05).There were 12 cases(6.98%)of complications in the observation group,which was significantly fewer than 34 cases(19.54%)in the control group(P < 0.05). Conclusion Multidisciplinary nursing care mode can significantly improve activity of daily living of patients with cerebral stroke,enhance their enthusiasm for disease and reduce the incidence of complications.It is worth popularizing in clinical application.