纽曼护理模式对恢复期脑卒中患者康复程度Barthel指数及主要照顾者潜能激发效果的影响

Effect of Newman nursing mode on rehabilitation degree, Barthel index and arousal effect of main caregivers in convalescent stroke patients

目的探讨纽曼护理模式对恢复期脑卒中患者康复程度、Barthel指数及其主要照顾者潜能激发效果的影响.方法将122例脑卒中恢复期患者按随机数字表法分为观察组和对照组,每组61例,均进行改善脑部血液循环、稳定斑块、抗血小板等对症治疗,在此基础上对照组给予常规护理干预,观察组给予纽曼护理模式护理干预,观察3个月.干预前后采用脑卒中影响量表评定康复效果,改良Barthel指数计分法评定生活活动能力,生活质量综合评定问卷评定生活质量,家庭功能评定量表评定家庭功能,比较两组康复依从性、康复意愿状况及满意度.结果干预后两组脑卒中影响量表及改良Barthel指数、生活质量综合评定问卷评分均较干预前显著升高,且观察组评分显著高于对照组(P<0.05或0.01);观察组干预后家庭功能评定量表各维度评分显著低于对照组(P<0.01),康复意愿、依从性评分显著高于对照组(P<0.01),患者满意度(93.4%)显著高于对照组(72.1%).结论采用纽曼护理模式对康复期脑卒中患者进行综合、动态护理干预,能显著提升患者的日常生活能力、自理能力、生活质量及家庭功能,提高康复意愿、依从性和满意度,有利于促进患者的康复,早日实现回归社会,值得在临床工作中推广应用.

Objective To study the effect of Newman nursing mode on rehabilitation degree, Barthel index and arousal effect of main caregivers in convalescent stroke patients. Methods 122 patients with stroke convalescence were divided into the observation group and the control group, with 61 cases in each group. All the patients were treated with the improvement of cerebral blood circulation, stable plaque and anti-platelet therapy. The patients in the control group were given routine nursing meavsures, while the obser-vation group was treated with Newman nursing mode. The patients were observed for 3 months. Before and after the intervention, the SIS was used to assess the rehabilitation effect, the Barthel index score method was used to assess the living activity ability, the GQOLI-74 was used to assess the quality of life, and the FAD was used to assess the family function. The rehabilitation dependence, rehabilitation willing-ness and satisfaction of the two groups were compared. Results After intervention, the scores of stroke impact scale, modified Barthel index and comprehensive assessment of quality of life in both groups were significantly higher than those before intervention, and the scorevS in the observation group were signifi-cantly higher than those in the control group (P <0. 05 or 0. 01). After intervention, the scores of each dimension of the family function rating scale in the observation group were significantly lower than those in the control group (P<0. 01), the scores of rehabilitation intention and compliance were significantly lower than those in the control group (P<0. 01).and the satisfaction of patients (93. 4%) was significantly higher than that in the control group (72. 1%). Conclusion Newman's nursing model provides comprehensive and dynamic nursing intervention for pa-tients with convalescent stroke, which can significantly improve patients daily living ability, self-care abili-ty, quality of life and family function. It can improve the willingness to recover, compliance and satisfac-tion, help to promote the rehabilitation of patients, and realize the return to society at an early date, which is worthy of promotion and application in clinical work.