医院-社区-家庭康复护理模式在急性期脑梗死偏瘫患者中的应用效果

Effect of hospital-community-family rehabilitation nursing model on hemiplegic patients with acute cerebral infarction

目的探讨医院-社区-家庭康复护理模式在急性期脑梗死偏瘫患者中的应用效果。方法选择2018年2月~2019年2月大连市中心医院收治的急性期脑梗死偏瘫患者98例,采用随机数字表法分为两组,每组各49例。对照组实施常规护理干预,研究组实施医院-社区-家庭康复护理模式,为期6个月。比较两组护理前、护理6个月后的心理状态、神经功能及日常生活能力。结果两组护理前抑郁自评量表(SDS)、焦虑自评量表(SAS)、美国国立卫生研究院卒中量表(NIHSS)、巴氏指数(BI)评分比较,差异无统计学意义(P>0.05);研究组护理后SDS、SAS、NIHSS评分为(41.19±7.02)、(40.57±7.66)、(6.05±2.29)分,均低于对照组的(45.82±8.35)、(45.27±7.82)、(7.78±2.82)分;研究组护理后BI评分为(74.31±9.11)分,高于对照组的(69.07±8.54)分,差异有统计学意义(P<0.05)。结论医院-社区-家庭康复护理模式利于改善脑梗死急性期脑梗死偏瘫心理状态,促进患者神经功能恢复,提升其日常生活能力,值得推广应用。

Objective To explore the effect of hospital-community-family rehabilitation nursing model on hemiplegic patients with acute cerebral infarction.Methods Ninety-eight hemiplegic patients with acute cerebral infarction admitted to Dalian Central Hospital from February 2018 to February 2019 were selected and divided into two groups by random number table method,with 49 in each group.The control group implemented routine nursing intervention,and the study group implemented the hospital-community-family rehabilitation nursing model for a period of 6 months.The psychological status,neurological function and daily living ability of the two groups before and after 6 months nursing were compared.Results There were no significant differences between the two groups in the pre-nursing self-rating depression scale(SDS),the self-rating anxiety scale(SAS),the National Institutes of Health stroke scale(NIHSS),and the Barthel index(BI)scores(P>0.05).After nursing,the SDS score,SAS score and NIHSS score of the study group were(41.19±7.02),(40.57±7.66),and(6.05±2.29)points,which were lower than those of the control group for(45.82±8.35),(45.27±7.82),(7.78±2.82)points;the BI score of the study group was(74.31±9.11)points,which was higher than that of the control group for(69.07±8.54)points,the differences were statistically significant(P<0.05).Conclusion The hospital-community-family rehabilitation nursing model is conducive to improving the psychological state of hemiplegic patients with acute cerebral infarction,promoting the recovery of neurological function and improving their daily living ability.It is worthy of popularization and application.