摘要
目的探讨基于Team STEPPS的出院准备联动干预在老年缺血性卒中患者中的应用。方法选取2022年10月—2023年9月在安徽医科大学附属巢湖医院神经内科住院的106例老年缺血性卒中患者为研究对象,按入院时间将2022年10月—2023年3月入院的51例患者作为对照组,予以常规出院护理及随访;2023年4月—2023年9月入院的55例患者为干预组,实施基于Team STEPPS的出院准备联动干预。比较两组患者的出院准备度、主要照顾者过渡期的准备情况以及出院90 d患者日常生活活动能力、不良事件发生及非计划再入院情况。结果干预组患者出院准备度评估量表总分及4个维度得分、主要照顾者过渡期准备情况评估量表总分及8个维度得分均高于对照组,差异有统计学意义(P均<0.01)。干预组患者出院90 d日常生活活动能力评分为55(40,65)分,高于对照组的40(20,55)分,差异有统计学意义(P<0.01)。干预组患者出院90 d发生跌倒/坠床2例、压力性损伤3例、非计划性拔管4例,均低于对照组的8、10、11例,差异有统计学意义(P均<0.05)。干预组患者出院90 d非计划再入院2例,少于对照组的8例,差异有统计学意义(P=0.046)。结论基于Team STEPPS的出院准备联动干预可提升老年缺血性卒中患者出院准备度,改善主要照顾者过渡期的准备情况,提高患者出院90 d后日常生活活动能力,降低不良事件发生及非计划再入院,为老年缺血性卒中患者出院准备提供一定的临床依据。
Objective To explore the effect of Team STEPPS-based linkage intervention on discharge readiness of elderly ischemic stroke patients.Methods A total of 106 elderly patients of ischemic stroke who were hospitalized in the department of neurology,Chaohu hospital of Anhui medical university from October 2022 to September 2023 were selected for the study.According to the admission time,51 patients admitted to the hospital from October 2022 to March 2023 were treated as the control group,and were given routine discharge care and follow-up;55 patients from April 2023 to Septem-ber 2023 were the intervention group,and the Team STEPPS-based linkage intervention was implemented.The two groups were compared in terms of readiness at discharge,readiness of the primary caregiver for the transition,and the patients΄ability to perform activities of daily living and adverse events and unplanned readmission at 90 days after discharge.Re-sults The total score of the discharge readiness assessment scale and the scores of 4 dimensions,the total score of the transition readiness assessment scale of primary caregivers and the scores of 8 dimensions in the intervention group were higher than those in the control group(all P<0.01).The score of activities of daily living of patients at 90 days after dis-charge in the intervention group were 55(40,65),higher than 40(20,55)in the control group(P<0.01).There were 2 cases of falling/falling out of bed,3 cases of pressure injury and 4 cases of unplanned extubation in the intervention group at 90 days after discharge,which were lower than 8 cases,10 cases and 11 cases in the control group(all P<0.05).There were 2 cases of unplanned readmission at 90 days after discharge in the intervention group,which was less than 8 cases in the control group(P=0.046).Conclusions Team STEPPS-based linkage intervention can enhance the discharge readi-ness of elderly patients with ischemic stroke,improve the readiness of primary caregivers for the transition period,improve the patients΄ability of daily living at 90 days after discharge,reduce the occurrence of adverse events and unplanned read-mission,which can provide a certain clinical basis for the discharge readiness of elderly patients with ischemic stroke.
作者
李家乐
洪东好
许敏
LI Jiae;HONG Donghao;XU Min(Department of Internal Medicine,Chaohu Hospital of Anhui Medical University,Hefei 238000,China;Department of Neurology,Chaohu Hospital of Anhui Medical University,Hefei 238000,China)
出处
《老年医学研究》
2024年第3期21-25,共5页
Geriatrics Research
