發(fā)布時間：2018-06-19 21:01

  本文選題：腦卒中 + 醫(yī)院-社區(qū)-家庭��； 參考：《中華全科醫(yī)學》2016年03期

【摘要】：目的研究醫(yī)院-社區(qū)-家庭整體護理體系在腦卒中患者康復中的應用,進一步利用醫(yī)院、社會和家庭各方面的資源,以充分擴展和完善腦卒中患者延續(xù)康復護理范圍和內容,為腦卒中患者的康復尋找一條更為簡便、快速、高效、實用、廉價的新路徑。方法選取2013年11月—2014年7月期間在某三級甲等醫(yī)院住院的腦卒中患者191例,按他們出院后屬于該院社區(qū)街道居住和不屬于該院社區(qū)街道居住分為實驗組和對照組,分別選取符合條件的實驗組98例患者,對照組93例患者。住院的病房護士及社區(qū)護士一起為實驗組患者在常規(guī)護理的基礎上進行醫(yī)院-社區(qū)-家庭整體康復護理干預,而對照組患者只采用常規(guī)出院護理,均在出院時及出院6個月后分別對191例腦卒中患者做生活自理能力(Barthel指數(shù))評定、心理[采用漢密頓抑郁量表(HAMD)]評定和患者對護士的護理滿意度評定。結果干預后實驗組和對照組患者的Barthel指數(shù)評分、HAMD量表評分及對護理工作滿意度評分與干預前比較差異均有統(tǒng)計學意義(P0.05),并且實施醫(yī)院-社區(qū)-家庭整體護理干預的實驗組患者的改善幅度更加明顯。結論醫(yī)院-社區(qū)-家庭整體護理模式對腦卒中患者的生活自理能力和心理康復都有積極的作用,能有效促進腦卒中患者身心整體恢復,值得在各醫(yī)療機構應用并推廣。
[Abstract]:Objective to study the application of hospital-community-family holistic nursing system in the rehabilitation of stroke patients, and to make further use of hospital, social and family resources in order to fully expand and improve the scope and content of rehabilitation nursing for stroke patients. Find a simpler, faster, more efficient, more practical, and cheaper way for stroke patients to recover. Methods 191 stroke patients hospitalized in a Grade 3A hospital from November 2013 to July 2014 were divided into two groups: experimental group and control group. 98 patients in the experimental group and 93 patients in the control group were selected. The hospitalized ward nurses and the community nurses together carried out the hospital-community-family holistic rehabilitation nursing intervention on the basis of routine nursing for the patients in the experimental group, while the patients in the control group were only treated with routine discharge nursing. At the time of discharge and 6 months after discharge, 191 patients with stroke were assessed with Barthel index, psychological [Hamilton Depression scale] and nursing satisfaction. Results after intervention, the scores of Barthel Index and Hamd scale of patients in experimental group and control group were significantly different from those before intervention (P 0.05), and the hospital, community and family holistic nursing intervention was carried out. In the experimental group, the improvement was more obvious. Conclusion Hospital-community-family holistic nursing model plays a positive role in the self-care ability and psychological rehabilitation of stroke patients and can effectively promote the overall recovery of stroke patients. It is worth applying and popularizing in various medical institutions.
【作者單位】： 合肥市第二人民醫(yī)院護理部;
【基金】：2015年安徽省科技攻關項目(1501ld04058)
【分類號】：R473.74
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本文編號：2041245