4C延续护理在脑卒中患者中的应用效果

Application Effect of 4C Continuous Nursing in Stroke Patients

目的探讨4C延续护理管理模式在脑卒中患者康复期的应用效果,为临床护理干预提供参考。方法采用简单随机抽样法选取2020年7月至2021年2月河南中医药大学人民医院神经内科收治的96例脑卒中患者。通过分层随机法将患者分为对照组(47例)和干预组(49例)。对照组接受常规护理,干预组在此基础上接受4C延续护理。出院前及干预后6个月采用简易智力状态检查表(MMSE)、蒙特利尔认识评估量表(MoCA)、改良Rankin评分(MRS)对两组患者进行评估,比较两组出院后6个月卒中相关性肺炎发生情况。结果出院前,两组各指标相比,差异无统计学意义(P>0.05)。出院后6个月,干预组MMSE、MoCA得分高于对照组(P<0.05),MRS评分低于对照组(P<0.05)。对照组和干预组卒中相关性肺炎发生率分别为20.00%(9/45)、4.35%(2/46),干预组SAP发生率低于对照组(P<0.05)。结论4C延续护理模式可有效改善脑卒中患者神经功能和认知功能,减少卒中相关性肺炎的发生。

Objective To explore the application effect of 4C continuous nursing management model in the rehabilitation period of stroke patients,and to provide reference for clinical nursing.Methods The simple random sampling method was used to select 96 stroke patients admitted to the Department of Neurology,People’s Hospital of Henan University of Chinese Medicine from July 2020 to February 2021.The patients were divided into control group(47 cases)and intervention group(49 cases)by stratified random method.The control group received routine care,and the intervention group received 4C continuous care on this basis.Before discharge and 6 months after the intervention,the two groups were evaluated by the Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA)and Modified Rankin Score(MRS).The incidence of stroke-related pneumonia in the 6 months after discharge was compared between the two groups.Results Before discharge,there was no statistical difference in each index between the two groups(P>0.05).Six months after discharge,the MMSE and MoCA scores of the intervention group were higher than those of the control group(P<0.05),and the MRS score of the intervention group was lower than that of the control group(P<0.05).The incidence rates of stroke-related pneumonia in the control group and intervention group were 20.00%(9/45)and 4.35%(2/46),respectively.The incidence of SAP in the intervention group was lower than that in the control group(P<0.05).Conclusion 4C continuous nursing could effectively improve the neurological and cognitive functions of stroke patients,and reduce the occurrence of stroke-related pneumonia.