摘要
目的探讨医院-社区-家庭多维护理在脑卒中康复中的应用效果，拓宽延续护理模式，为脑卒中患者康复开辟更经济、有效、实用的途径。方法选取2013年11月至2014年12月在某三甲医院住院的脑卒中患者522例，将出院后于该医院所在社区街道居住的患者258例纳入实验组，不在该医院社区街道居住的患者264例纳人对照组。医院责任护士、社区护士和家庭共同为实验组患者实施医院-社区-家庭多维护理干预模式，而对照组只采用常规康复护理模式，对522例患者均分别在出院时及出院后6个月进行ADL即日常生活活动能力（Barthel指数）评分、心理HAMD（汉密顿抑郁量表）评分和患者对护理满意度评分。结果干预后两组患者ADL、HAMD及满意度评分与干预前比较差异均有统计学意义（P〈0．05），且采用医院-社区-家庭多维护理的实验组改善更为明显（P〈0．05）。结论医院一社区一家庭多维护理能促进脑卒中患者身心整体康复。
Objective To explore the application of hospital-community-family multi-dimensional nursing in the rehabilitation of stroke patients, broaden the continue nursing mode, and open up a more economic, effective and practical way for the rehabilitation of stroke patients. Methods A total of 522 in-patient stroke patients who were allo-cated to two groups in the third level hospital from Nov. 2013 to Dec. 2014 were selected as the study object. And 258 patients on the basis of community street were selected as the experimental group and were implemented the multi-dimensional rehabilitation nursing by nurses in the hospital and community, while the control groups＇ 264 patients were given the routine rehabilitation nursing. The Barthel Index and the Hamilton Depression Rating Scale （HAMD） and satisfaction degree were investigated for both groups during discharge and in six months after discharge, respectively. Results The differences of Barthel and HAMD and satisfaction degree scores of both groups before and after intervention had statistical significance （ P〈0. 05 ）, experimental group showed a more obvious improvement （P〈0. 05 ） . Conclusions Hospital-community-home multi-dimensional nursing can effectively improve the physical and mental rehabilitation of stroke patients.
出处
《国际护理学杂志》
2016年第3期320-322,共3页
international journal of nursing
关键词
脑卒中
医院-社区-家庭
多维护理
Stroke
Hospital-community-family
Multi-dimensional nursing
