摘要
目的:探究康复日记-家庭鼓励-护理随访在颅脑损伤患者出院后延续性护理中的应用价值。方法:采用计算机随机数字法将86例颅脑损伤患者分为观察组和对照组,各43例。对照组予以出院后常规康复护理,观察组在常规康复护理基础上配合采取康复日记-家庭鼓励-护理随访的干预方式。比较两组患者并发症发生情况、主观生存质量[生活满意度量表(SWLS)]。比较两组干预前后护理依从性、认知功能[简易精神状态评价量表(MMSE)]、运动功能[简式Fugl-Meyer运动功能评分(FMA)]、独立生活能力[Barthel指数(BI评分)、功能独立性量表(FIM)]变化情况。结果:观察组并发症发生率低于对照组,SWLS评分高于对照组,差异均有统计学意义(P<0.05)。干预后两组患者护理依从性评分、MMSE评分、FMA评分、BI评分、FIM评分均较干预前升高,且观察组均高于对照组,差异有统计学意义(P<0.05)。结论:颅脑损伤患者在常规康复护理基础上配合采取康复日记-家庭鼓励-护理随访的干预方式,能有效减少并发症的发生,提高护理依从性,有利于认知功能、肢体运动功能、独立生活能力和生存质量的改善。
Objective:To explore the application value of rehabilitation diary-family encouragement-nursing follow-up in the continuous nursing of discharged patients with craniocerebral injury.Method:A total of 86 patients with craniocerebral injury were divided into the observation group and the control group by computer random number method,with 43 cases in each group.The control group received routine rehabilitation nursing after discharge,and the observation group adopted the intervention mode of rehabilitation diary-family encouragement-nursing follow-up on the basis of routine rehabilitation nursing.The incidence of complications and subjective quality of life[satisfaction with life scale(SWLS)]were compared between the two groups.The nursing compliance,cognitive function[mini-mental state examination(MMSE)],motor function[Fuzl-Meyer motor assessment(FMA)]and independent living ability[Barthel index(BI score),function independent measure(FIM)]were compared between the two groups before and after intervention.Result:The incidence of complications in the observation group was lower than that in the control group,and the SWLS score was higher than that in the control group,the differences were statistically significant(P<0.05).The scores of nursing compliance,MMSE,FMA,BI and FIM in the two groups were all higher than those before intervention,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Rehabilitation diary-family encouragement-nursing follow-up intervention on the basis of routine rehabilitation nursing in craniocerebral injury patients can effectively reduce the occurrence of complications,and promote the nursing compliance,and it helps to improve the cognitive function,limb motor function,independent living ability and quality of life.
作者
沈文娟
赵学华
SHEN Wenjuan;ZHAO Xuehua(People’s Hospital of Yangxin County,Yangxin 435200,China;不详)
出处
《中外医学研究》
2020年第25期98-101,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
康复日记
家庭鼓励
护理随访
颅脑损伤
延续性护理
Rehabilitation diary
Family encouragement
Nursing follow-up
Craniocerebral injury
Continuous nursing
