摘要
目的探讨介护师参与下的多学科延续护理对脑卒中肢体功能障碍患者康复效果的影响。方法将104例脑卒中肢体功能障碍患者按照入院时间分为对照组与观察组各52例。对照组实施常规出院护理模式,观察组在此基础上实施介护师参与下的多学科延续护理模式。出院后6个月对两组患者康复依从性,焦虑、抑郁评分,肢体运动功能,生活自理能力及再入院等情况进行比较。结果对照组完成随访48例,观察组完成随访49例。出院后6个月观察组患者康复依从性、运动功能及生活自理能力评分显著高于对照组(均P<0.05),焦虑、抑郁评分,急诊及门诊就诊次数显著低于对照组(均P<0.05)。结论对脑卒中肢体功能障碍患者实施介护师参与下多学科延续护理能提高患者的康复依从性,改善其焦虑、抑郁情绪,有助于患者肢体运动功能恢复,提高生活自理能力。
Objective To explore the effect of multidisciplinary continuous nursing with the participation of caregiver on recovery of stroke survivors with limb dysfunction.Methods Totally 104 stroke survivors with limb dysfunction were divided into a control group and an observation group,each of 52,according to admission time.Both groups received routine nursing after discharge,while the observation group was additionally provided with multidisciplinary continuous nursing with the participation of caregiver.Six months after discharge,rehabilitation compliance,anxiety and depression scores,limb motor function,self-care ability and readmission were compared between the two groups.Results Finally,48 patients in the control group and 49 in the observation group completed the follow-up.Six months after discharge,the scores of rehabilitation compliance,motor function and self-care ability of the observation group were significantly higher than the control group(all P<0.05),while anxiety and depression scores,as well as emergency and outpatient visits were significantly lower in the observation group than the control group(all P<0.05).Conclusion Implementation of multidisciplinary continuous care with the participation of caregiver can improve patients′rehabilitation compliance,relieve their anxiety and depression,promote the recovery of the limb motor function and self-care ability.
作者
范彩英
洪翠芹
宋斌
周婕
方锦
金翠红
夏道青
Fan Caiying;Hong Cuiqin;Song Bin;Zhou Jie;Fang Jin;Jin Cuihong;Xia Daoqing(Department of Nursing,Fengcheng Hospital of Fengxian District in Shanghai,Shanghai 201411,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第6期116-120,共5页
Journal of Nursing Science
基金
上海市奉贤区科委基金项目(20191215)。
关键词
脑卒中
肢体功能障碍
多学科协作
介护师
延续护理
依从性
焦虑
抑郁
stroke
limb dysfunction
multidisciplinary collaboration
caregiver
continuing care
compliance
anxiety
depression
