协同护理模式对偏瘫患者躯体、心理及生活方式的干预

Effects of collaborative care on body, psychology and lifestyle in stroke patients with hemiplegia

目的探讨协同护理模式对脑梗死偏瘫患者躯体和心理及生活方式的影响。方法 113名脑梗死偏瘫患者根据不同护理模式随机分为常规护理组(n=51)和协同护理组(n=62),记录患者满意度,采用欧洲脑卒中评分(ESS)调查其神经功能,采用改良Barthel指数评价其生活能力,采用运动量表(FMA)评价肢体运动功能,并随访患者生活方式的改变。结果协同护理组和常规护理组出院时ESS评分分别为13.345±4.67和16.97±4.56,差异有统计学意义(t=4.156,P<0.01);Barthel指数分别为75.43±21.22和51.27±19.85,差异有统计学意义(t=6.200,P<0.01);2组FMA评分分别为26.45±8.23和20.12±7.45,差异有统计学意义(t=4.2449,P<0.01)。结论协同护理组患者较常规护理组神经功能显著恢复,生活能力增强。患者下肢运动能力及步行能力也增强,协同护理模式可以提高护理满意度并改善患者的躯体、心理及生活方式。

[ Objective ] To investigate the effects of collaborative care on body, psychology and lifestyle in stroke patients with hemiplegia. [ Methods ] A total of 113 stroke patients with hemiplegia were randomly divided into the routine care group （n=51） and collaborative care group （u=62）. The patient satisfaction was recorded. The nerve function was evaluated by ESS, lifestyle was evaluated by modified Barthel Index, motor function was evaluated by FMA. The lifestyle of all patients was followed up. [ Results] The ESS score was 13.345±4.67 and 16.97±4.56, respectively in the routine care group and collaborative care group, with significant difference（t=4.156,P〈0.01 ）. Barthel Index was 75.43±21.22 and 51.27±19.85, with significant difference（t=6.200, P〈0.01 ）. FMA score was 26.45±8.23 and 20.13±7.45, with significant difference （t=4.2449,P〈0.01）[ Conclusion] Compared to the routine care group, better nerve function and life skills are observed in collaborative care group. In addition, lower extremity motor ability and walking ability of patients in routine care group are also increased. The collaborative care group can improve nursing satisfaction, body, psychology and lifestyle of patients.