居家老年脑卒中患者医养结合管理模式探讨

Study of medical-nursing combination mode for the elderly stroke patients

目的探讨医养结合管理模式在居家老年脑卒中患者的实践运用与效果。方法将60例老年脑卒中患者随机分为观察组和对照组,2组住院期间均采取康复训练方案对患者进行常规药物治疗,功能训练、心理指导及健康教育等,对照组在出院后采用常规家庭照护模式,观察组采取医养结合管理模式为患者提供持续服务。2组患者分别在出院时、出院后3个月、6个月及12个月时进行日常生活能力(ADL)及生命质量(SS-QOL)水平测定,采用重复测量方差分析法,比较2组间的差异性。结果观察组日常生活能力(ADL)明显高于对照组,2组差异有统计学意义(F=235.09,P<0.05),生命质量(SS-QOL)得分也明显高于对照组,差异有统计学意义(F=167.25,P<0.05)。结论医养结合管理模式在居家老年脑卒中的应用,能显著提高患者的日常生活自理能力(ADL),改善他们的生命质量。

Objectives To explore the Medical-Nursing Combination Mode for the elderly stroke patients.Methods Sixty elderly stroke patients were divided randomly into two groups,and each group was 30 patients.The control group was given the routine family nursing,while the trial group was provided with Medical-Nursing Combination Mode.ADL and SS-QOL were measured at the time of patients discharging from the hospital,and at the time of 3 months,6 months,and 12 months of leaving hospital,respectively.Repeated that of analysis of variance were adopted when analyzed.Results The ADL score of the trial group was significantly better than the control group（F=235.09,P〈0.05）,while the SS-QOL score of the trial group was significantly better than the that of control group（F=167.25,P〈0.05）.Conclusion The Medical-Nursing Combination Mode could enhance ADL capacity and improve the quality of life of home-based elderly stroke patient.