系统化认知干预辅以情境模拟演练对脑卒中患者的临床成效

The effect of continuity nursing model on the daily activities and physical function of patients with stroke

目的探究系统化认知干预辅以情境模拟演练对脑卒中患者日常活动能力及躯体功能的影响。方法选取我院神经内科2015年8月~2016年10月收治的88例脑卒中患者,以随机数字表作为分组依据,将纳入对象划分为研究组和对照组,每组各44例。其中对照组实施传统的护理照护,而研究组则在对照组基础上引入系统化认知干预辅以情境模拟演练。干预后两组患者均接受脑卒中残损评价表(SIAS)的评估和日常活动能力(ADL)测评,并进行对比。结果两组患者干预前的Barthel指数比较差异无统计学意义(P>0.05);干预后,研究组患者的Barthel指数高于对照组,差异有统计学意义(P<0.05)。两组患者干预前的SIAS各维度评分比较差异无统计学意义(P>0.05);干预后,研究组患者的运动功能、肌张力、躯干平衡、关节活动范围、感觉功能、视空间神经、语言、疼痛、健侧肢体功能评分高于对照组,差异有统计学意义(P<0.05)。结论系统化认知干预辅以情境模拟演练应用于脑卒中患者,有助于提高其日常生活活动能力,且能促进患者躯体功能的改善,具有一定的临床推广价值。

Objective To explore the effect of continuity nursing model on the daily activities and physical function with stroke, and accumulate evidence experience for the quality diagnosis and treatment of these special groups. Methods 88 stroke patients admitted to our hospital from August 2015 to October 2016 were selected and randomly divided into the study group and the control group. 44 cases in each group were divided into the study group and the control group. While the control group received the traditional nursing care, while the study group was based on the control group, the introduction of continuity care model. After the intervention, the two groups of patients underwent brain stroke impairment assessment table （SIAS） assessment and the ability of activities of daily living （ADL） evaluation, and making a contrast. Results there was no significant difference between the two groups before intervention （Barthel） ; the Barthel index of the study group was higher than that of the control group, the difference was statistically significant （P〈0.05）. Before the intervention, the patients in the two groups of SIAS scores in each dimension difference of no statistical significance （P〉 0. 05） ; after the intervention, patients in the study group of motor function, muscle tension, trunk balance, range of motion, feeling function and visual space neural, language, pain, health limb function score high in the control group, the difference is statistically significant （P〈 0.05）. Conclusion For patients with stroke, the introduction of continuity care model can help improve the ability of daily life of patients, and can promote the improvement of the physi- cal function of patients, and achieve a more significant clinical results.