基于工作坊模式的脑卒中偏瘫患者延续护理方案的构建

Construction of Transitional Care Plan for Stroke Patients with Hemiplegia Based on Workshop Mode

目的构建基于工作坊模式的脑卒中偏瘫患者延续护理方案,从而为脑卒中偏瘫患者的延续护理提供参考。方法在达标理论和团体动力学理论指导下,综合多学科专业技术人员的思路和意见,采用文献研究法,形成基于工作坊模式的脑卒中偏瘫患者的延续护理方案初稿,通过专家函询论证,完善基于工作坊模式的脑卒中偏瘫患者的延续护理方案。结果2轮问卷的回收率均为100%,专家权威系数为0.82、0.89。最终确定工作坊成员对脑卒中偏瘫患者及其主要家庭照顾者(PFC)每2周进行1次延续护理,根据患者的日常生活活动能力(BI)评分选取相应的PPT演示,并制订个性化的共同目标,同时评价上次共同目标的完成情况,观察脑卒中偏瘫患者的BI和运动功能(FMA)评分。结论本研究构建的基于工作坊模式的脑卒中偏瘫患者延续护理方案具有较高的科学性,有助于指导延续护理实践。

Objective This study was to construct a continuous care plan for stroke patients with hemiplegia based on workshop mode,it can provide reference for the continuous care of stroke patients with hemiplegia.Methods in this study,in the standard under the guidance of the theory and group dynamics theory,comprehensive multi-disciplinary professional and technical personnel to the ideas and opinions,using literature research,form based on the pattern of workshop of stroke patients with hemiplegia care plan draft,enquiry for demonstration by experts,improve cerebral apoplexy hemiplegia patients based on the workshop mode continue care plan.Results The recovery rates of the two rounds of questionnaires were 100%,and the expert authority coeffi cients were 0.82 and 0.89.Finally,it was determined that the workshop members would give continuous care to stroke patients with hemiplegia and their primary family caregivers(PFC)once every 2 weeks.The corresponding PPT presentation was selected according to the patients’ability of daily living activities(BI)score,and personalized common goals were formulated.Meanwhile,the achievement of the last common goal was evaluated.BI and motor function(FMA)scores of stroke patients with hemiplegia were observed.Conclusion In this study,the construction of continuous care plan for stroke patients with hemiplegia based on workshop mode is scientifi c,and helpful to guide the practice of continuous care.