摘要
目的探究基于医护协作型的延续护理对首发脑卒中患者居家健康管理的效果。方法选取2021年11月至2022年6月九江学院附属医院收治的100例首发脑卒中患者作为研究对象,根据随机数字表法分为对照组(50例)和观察组(50例)。对照组进行常规延续护理,观察组则进行基于医护协作型的延续护理。比较两组患者护理干预前及出院后1、3、6个月的自我护理能力[自我护理能力量表(ESCA)]、自我效能感[慢病自我效能量表(SECD6)]及生活质量[健康调查简表(SF-36)]评估结果。结果干预前,两组患者的ESCA量表评估等级、SECD6量表及SF-36量表评估分比较,差异无统计学意义(P>0.05);出院后1、3、6个月,两组患者的ESCA量表评估等级均优于本组干预前,SECD6量表各方面评分及SF-36量表各维度评分均高于本组干预前,差异有统计学意义(P<0.05);出院后1、3、6个月,观察组的ESCA量表评估等级均优于对照组,SECD6量表各方面评分及SF-36量表各维度评分均高于对照组,差异有统计学意义(P<0.05)。结论基于医护协作型的延续护理在首发脑卒中患者中的应用效果较好,可显著改善患者的自护能力、自我效能感及生活质量,在本类患者居家健康管理中的应用价值相对较高。
Objective To investigate the effect of continuous nursing based on doctor-nurse collaboration in the home health management of patients with initial stroke.Methods A total of 100 patients with initial stroke admitted to the Jiujiang University Affiliated Hospital from November 2021 to June 2022 were selected as the research objects.According to the random number table method,they were divided into the control group(50 cases)and the observation group(50 cases).The control group was given routine continuous nursing,while the observation group was given continuous nursing based on doctor-nurse collaboration.The evaluation results of self-care agency(exercise of self-care agency scale[ESCA]),self-efficacy(self-efficacy for managing chronic disease 6-item scale[SECD6])and quality of life(the MOS item short from health survey[SF-36])were compared between the two groups before nursing intervention and 1,3 and 6 months after discharge.Results Before intervention,there were no statistically significant differences in ESCA evaluation grade,SECD6 scale and SF-36 scale evaluation scores between the two groups(P>0.05).At 1,3 and 6 months after discharge,the ESCA evaluation grades of patients in the two groups were better than those before the intervention,and the scores of SECD6 and SF-36 were higher than those before the intervention,and the differences were statistically significant(P<0.05).At 1,3 and 6 months after discharge,the ESCA evaluation grades of the observation group were better than those of the control group,and the SECD6 scale scores and SF-36 scale scores were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion Continuous nursing based on doctor-nurse collaboration has a good application effect in patients with initial stroke,which can significantly improve the self-care ability,self-efficacy and quality of life of patients,and has relatively high application value in home health management of patients with this type.
作者
吴小丽
李妹芳
WU Xiaoli;LI Meifang(Department of Neurology,Jiujiang University Affiliated Hospital,Jiangxi Province,Jiujiang 332000,China;Department of Rheumatology and Immunology,Jiujiang University Affiliated Hospital,Jiangxi Province,Jiujiang 332000,China)
出处
《中国当代医药》
CAS
2023年第33期168-173,共6页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202311534)。
关键词
医护协作型
延续护理
首发脑卒中
居家健康管理
Doctor-nurse collaboration
Continuous nursing
Initial stroke
Home health management
