ACTED康复模式结合医护一体化护理干预对脑卒中术后患者康复及预后的影响

The Impact of Nursing Intervention under the ACTED Rehabilitation Model combined with the Integrated Medical and Nursing Model on the Rehabilitation Status and Prognosis of Stroke Patients after Surgery

目的 探讨ACTED康复模式结合医护一体化护理干预对脑卒中术后患者康复情况及预后的影响。方法 选取2022年2月至2023年12月九江学院附属医院收治的168例脑卒中患者为研究对象,按照随机数字表法分为对照组与观察组,各84例。对照组术后予以常规护理干预,观察组在对照组基础上实施ACTED康复模式结合医护一体化模式下的护理干预。比较两组患者神经功能缺损评分标准(CSS)、Wolf运动功能测试量表(WMFT)、Barthel指数(BI)评定量表、Connor-Davidson心理弹性量表(CD-RISC)、脑卒中生命质量测定量表(QLICD-ST)评分、并发症及满意度。结果 干预2周后,两组CSS评分均降低,且观察组低于对照组,两组WMFT及BI评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预2周后,两组CD-RISC中自强、坚韧、乐观评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率显著低于对照组(P<0.05)。干预8周后,两组QLICD-ST中生理维度、心理维度、社会维度、特异性维度评分升高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组满意度高于对照组(P<0.05)。结论 ACTED康复模式结合医护一体化模式下的护理干预可提高脑卒中术后患者的康复效果,改善心理状态及满意度,减少并发症发生,提高生命质量。

Objective To explore the effect of nursing intervention in ACTED rehabilitation mode combined with integrated medical care mode on rehabilitation and prognosis of patients after stroke surgery.Methods A total of 168 stroke patients admitted to the Affiliated Hospital of Jiujiang University from February 2022 to December 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 84 cases in each group.The control group was given routine nursing intervention after operation,and the observation group ACTED rehabilitation mode combined with nursing integration mode based on the control group.Neurological impairment Scale(CSS),Wolf Motor Function Scale(WMFT),Barthel Index(BI)rating scale,Connor-Davidson Mental Resilience Scale(CD-RISC),Stroke Quality of Life Scale(QLICD-ST)scores,complications and satisfaction were compared between the two groups Degree.Results After 2 weeks of intervention,CSS scores of both groups were decreased,and the observation group was lower than the control group,WMFT and BI scores of both groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).After 2 weeks of intervention,the scores of self-improvement,tenacity and optimism in CD-RISC in both groups were increased,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The complication rate of observation group was significantly lower than that of control group(P<0.05).After 8 weeks of intervention,the scores of physiological dimension,psychological dimension,social dimension and specific dimension of QLICD-ST in two groups were increased,and the observation group was higher than the control group,the difference was statistically significant (P<0.05). The satisfaction of observation group was higher than control group (P<0.05). Conclusion Nursingintervention based on ACTED rehabilitation model combined with integrated medical care model can improve the rehabilitationeffect of patients after stroke surgery, improve psychological state and satisfaction, reduce complications and improve quality of life.