家庭病床服务模式在护理脑卒中恢复期患者中的应用

Application of home sickbed service model in nursing stroke convalescent patients

目的:探讨并研究采用家庭病床服务模式对脑卒中恢复期患者进行护理的效果。方法:将2017年10月至2018年10月期间在鹤山市人民医院社区卫生服务中心接受康复治疗的50例脑卒中恢复期患者作为研究对象,将其随机分为家庭病床服务模式组(FBSM组,n=25)与常规护理组(RC组,n=25)。对两组患者均进行常规护理,在此基础上采用家庭病床服务模式对FBSM组患者进行护理,然后比较两组患者美国国立卫生研究院卒中量表(NIHSS)的评分、Fugl-Meyer运动功能评定表(FMA)的评分、改良Barthel指数评定量表(MBI)的评分及其生活质量指数量表(QLI)的评分。结果:护理后,FBSM组患者的NIHSS评分低于RC组患者,其FMA评分、MBI评分和QLI评分均高于RC组患者,差异有统计学意义(P<0.05)。结论:采用家庭病床服务模式对脑卒中恢复期患者进行护理能显著减轻其神经功能损伤,改善其运动功能,提高其日常生活活动能力和生活质量。

Objective:To explore and study the nursing effect of the convalescent stroke patients by using the home hospital bed service mode.Methods:A total of 50 stroke convalescent patients received rehabilitation treatment in the Community Health Service Center of Heshan People’s Hospital from October 2017 to October 2018 were selected as study subjects.They were randomly divided into the home sickbed service mode group(FBSM group,n=25)and the routine care group(RC group,n=25).On two groups of patients were routine nursing,on the basis of using domestic sickbed patients with nursing service mode for FBSM group,then compared two groups of patients with the United States national institutes of health stroke scale(NIHSS)scores,Fugl-Meyer motor function evaluation form(FMA)rating scale score,modified Barthel index(MBI)score and quality of life index scale score(QLI).Results:After nursing,THE NIHSS score of the PATIENTS in the FBSM group was lower than that of the RC group,and the FMA score,MBI score and QLI score of the patients in the FBSM group were all higher than those in the RC group,with statistically significant differences(P<0.05).Conclusion:Nursing of convalescent stroke patients with home hospital bed service model can significantly reduce their neurological damage,improve their motor function,improve their daily activity and quality of life.