医师-康复师-护士-患者一体化康复护理模式在脑卒中患者早期康复护理的应用研究

Study the Effect of Rehabilitation Nursing Model of Doctor-Physician-Nurse-Patient in Early Rehabilitation Nursing of Patients with Stroke

目的:探讨医师-康复师-护士-患者一体化康复护理模式对脑卒中患者早期康复的效果。方法:将符合纳入标准的80例脑卒中患者随机分为干预组和对照组,每组各40例。干预组实施医师-康复师-护士-患者一体化康复护理模式,对照组仅进行常规护理,比较两组患者入院第2天、出院时、出院后1、3个月的肢体运动动功能(FMA)及日常生活活动能力(Barthel指数)。结果:干预组的FMA评分与Barthel指数评分均高于对照组,两组比较差异均有统计学意义(P<0.05)。结论:医师-康复师-护士-患者一体化康复护理模式能够促进脑卒中患者瘫痪肢体的功能恢复,提高患者的日常生活能力,在临床上值得推广和借鉴。

Objective：To evaluate the effet of rehabilitation nursing model of Doctor-Physician-NursePatient in early rehabilitation nursing of patients with stroke.Method：80 patients with stroke were randomly divided into experimental group and control group,40 cases in each group.The experimental group was givenrehabilitation nursing model of doctor-physician-nurse-patient,while control group was treated routine nursing.The patients＇ scores of Fugl-Meyer（FMA） and Barthel Index（BI） of two groups at admission,discharge,1 and 3 months after discharge were compared.Result：The Fugl-Meyer（ FMA） score and Barthel Index（BI） in the experimental group were significantly higher than those of control group,the differences were statistically significant（P0.05）.Conclusion：Rehabilitation nursing model of doctor-physician-nurse-patient could improve the patients＇ recovery of limb function and the ability of daily life.It is worthy of popularizing in the future.