基于知识-行动模型的电子护理交接单在脑卒中患者中的应用

Effects of electronic nursing delivery sheet based on knowledge-to-action model in stroke patients

目的探讨基于知识-行动模型的电子护理交接单在脑卒中患者中的应用效果。方法采用便利抽样法,选取2019年1月—2020年12月在河南省人民医院康复科住院的脑卒中患者140例为研究对象。将2019年1—12月住院的患者设为对照组,2020年1—12月住院的患者设为观察组,各70例。对照组采用床旁口头交接模式,观察组采用基于知识-行动模型的电子护理交接单进行交接,采用中文版护士交接班评估量表、生活质量综合评定问卷-74(GQOL-74)分别评价护士交接班质量及干预前后两组患者的生活质量。结果观察组患者的护士交接班评估量表总分及各维度得分均高于对照组患者的护士,差异有统计学意义(P<0.01)。干预后观察组患者GQOL-74各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于知识-行动模型的电子护理交接单应用于脑卒中患者后,可改善护士交接班质量,提高患者生活质量。

Objective To explore the effect of electronic nursing delivery sheet based on knowledge-to-action(KTA)model in stroke patients.Methods From January 2019 to December 2020,convenience sampling was used to select 140 stroke patients in the Rehabilitation Department of Henan Provincial People's Hospital as the research object.The patients who were hospitalized from January to December 2019 were set as the control group,and the patients who were hospitalized from January to December 2020 were set as the observation group,with 70 cases in each.The control group adopted bedside oral delivery mode,and the observation group conducted the electronic nursing delivery sheet based on the KTA model.The Chinese version of the Nursing Assessment of Shift Report(NASR)and the Generic Quality of Life Inventory-74(GQOL-74)were used to evaluate the quality of nurse shift and the quality of life of the two groups of patients before and after intervention.Results The total score and dimension scores of the NASR of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.01).After intervention,the scores of all dimensions of GQOL-74 in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions The application of electronic nursing delivery sheet based on the KTA model in stroke patients can improve the quality of nurse shift and the quality of life of patients.