居家康复护理在老年脑卒中病人恢复期应用的研究进展

Research progress on application of home rehabilitation nursing for elderly stroke patients in recovery period

从老年脑卒中病人居家康复护理概念、国内外发展现状、团队的构成及工作模式、最佳的开始及持续的时间、应用效果进行阐述,提出我国居家康复护理团队构成过于简单,尤其缺乏跨专业的多学科团队,且很多研究仅限于电话和远程的健康教育和健康指导,有必要建立一支由神经内科医师、临床药师、专科护士、康复医师及治疗师、心理咨询师、营养师和社区护士组成的跨专业多学科的居家康复护理团队,定期进行家访、康复训练、用药指导、心理咨询和营养评估及指导,促进老年脑卒中病人全面的居家康复护理。

This article expounded home rehabilitation nursing from concept,developed status quo in China and abroad,composition and working mode of the team,the best time for start and duration,and the application effect.It pointed out that the composition of home rehabilitation nursing team in China was too simple,especially lacking cross-disciplinary team.Many studies were limited to health education and guidance through telephone and remote.It was necessary to establish an interdisciplinary home rehabilitation nursing team composed by neurologist,clinical pharmacist,specialist nurse,rehabilitation physician and therapist,psychologist,nutritionist and community nurses.Regular home visits,rehabilitation training,medication guidance,psychologist,nutrition assessment,and guidance were very important to promote the comprehensive home rehabilitation nursing of the elderly patients with stroke.