模块化康复训练配合协同护理在脑卒中恢复期患者中的应用

Application of modular rehabilitation training coordinated with collaborative nursing in patients with stroke during the period of recovery

目的探讨模块化康复训练配合协同护理在脑卒中恢复期患者中的应用效果。方法选取2017年5月至2019年4月在我院诊治的脑卒中恢复期患者86例,随机分为对照组42例和观察组44例,对照组给予常规护理,观察组采用模块化康复训练配合协同护理干预。干预前后3个月采用Barthel指数(BI)评估患者自我照顾能力;采用个体与社会功能量表(PSP)、社会适应量表(SAFE)评估患者的社会功能;采用健康调查简表(SF-36)评估患者生活质量。结果干预后两组BI指数均较干预前明显升高,且观察组高于对照组(P<0.05);干预后两组SAFE评分较干预前下降,且观察组低于对照组(P<0.05),两组PSP评分较干预前明显提高,且观察组高于对照组(P<0.05);干预后两组SF-36各维度评分均较干预前明显提升,且观察组高于对照组(P<0.05)。结论脑卒中恢复期患者采用模块化康复训练配合协同护理,能提高患者的自我照顾能力,提升其社会功能和生活质量水平。

Objective To explore the application effect of modular rehabilitation training coordinated with collaborative nursing in patients with stroke during the period of recovery.Methods To select 86 cases of stroke patients diagnosed and treated in our hospital from May 2017 to April 2019,and they were randomly divided into a control group of 42 cases and an observation group of 44 cases.The control group was given routine nursing,and the observation group used modular rehabilitation training coordinated with collaborative nursing intervention.At three months before and after the intervention,the Barthel index(BI)was used to assess the self-care ability of the patients,the personal and social performance scale(PSP)and social-adaptive functioning evaiuation(SAFE)were used to assess the patients'social functions,and the the MOS item short from health survey(SF-36)was used to assess the patients'quality of life.Results After intervention,the BI indexes of both groups was significantly higher than that before intervention,and the observation group was higher than the control group(P<0.05).After intervention,the SAFE score of both groups was lower than that before intervention,and the observation group was lower than the control group(P<0.05).After intervention,the PSP score of both groups was significantly higher than that before intervention,and the observation group was higher than the control group(P<0.05).After intervention,the each dimension scores of SF-36 of both groups were significantly higher than those before intervention,and the observation group was higher than the control group(P<0.05).Conclusion The applying of modular rehabilitation training coordinated with collaborative nursing in patients with stroke during the period of recovery,which can improve the self-care ability of patients and improve their social function and quality of life.