协同家属全程参与的整合康复护理干预模式在脑卒中患者中的应用

Effectiveness of integrated nursing model for rehabilitation of stroke patients

目的探索协同家属全程参与的整合康复护理干预模式对脑卒中患者康复护理效果、生活质量及满意度的影响。方法将124例脑卒中患者按随机数字表法分为研究组和对照组两组,每组62例,对照组采用常规康复护理,研究组采用协同家属全程参与的整合康复护理干预模式。治疗4周后,采用改良护理对象肢体能力分级Brunnstrom评价量表对患者康复效果进行评价、改良Spiter生活质量评价量表对康复干预前后患者生活质量进行评价,并对患者护理满意度进行统计。结果研究组康复护理效果评分较治疗前提高(6.00±0.49)分,对照组较治疗前提高(2.90±0.37)分,差异有统计学意义(P<0.05)。护理前后研究组生活质量患者Spiter评分差值为(12.12±3.01)分,较对照组患者(5.17±2.88)分高,差异有统计学意义(P<0.05)。研究组护理满意率为90.32%,对照组护理满意率为79.03%,差异有统计学意义(P<0.05)。结论协同家属全程参与的整合康复护理干预模式能够取得良好的康复护理效果、提高患者生活质量、获得较好护理满意度。

Objective To evaluate the effectiveness of integrated nursing model in rehabilitation of stroke patients.Methods One hundred and twenty four stroke patients undergoing rehabilitation from January 2015 to January 2017 in ourhospital were randomly divided into two groups with 62 cases in each group. Patients in trial group received integrated nursingintervention in which the family members were actively involved; while patients in control group received the routine nursing care.The effectiveness of rehabilitation was assessed with the modified Brunnstrom evaluation scale, the quality of life was assessedwith improved Spiter life quality evaluation scale, and the satisfaction of patients with nursing care was also documented .Results The improvement of rehabilitation nursing effect score in trial group was higher than that in control group （6.00±0.49 vs2.90±0.37, P〈0.05）. The quality of life Spiter score in trial group was improved more markedly after nursing intervention than thatin control group （12.12±3.01 vs. 5.17±2.88, P〈 0.05）. The satisfaction rate of patients in trial group was significantly higher thanthat in control group （90.32% vs. 79.03%, P〈0.05）. Conclusion The integrated nursing model can achieve good rehabilitationeffect, improve the quality of life and satisfaction of stroke patients.