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医养一体化护理模式对老年卒中后遗症期患者康复的影响 被引量:19

A treatment-eldercare integrating program for elderly patients with stroke sequela
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摘要 目的探讨医养一体化护理模式对老年卒中后遗症期患者康复的影响。方法将140例老年卒中后遗症期患者随机分为观察组和对照组各70例,对照组采用家庭照护模式,观察组采用医养一体化护理模式(集医疗、养生、养老为一体的模式)。分别在入组时、入组12个月时对患者日常生活活动能力、抑郁状态、卒中复发率及经济学指标进行比较。结果入组12个月时,观察组日常生活活动能力评分显著高于对照组,抑郁评分、卒中复发率、脑卒中相关费用显著低于对照组(P<0.05,P<0.01)。结论医养一体化护理模式可提高老年卒中后遗症期患者的日常生活活动能力,减少负性情绪,降低成本,有利于康复。 Objective To explore the impact of a treatment-eldercare integrating program on recovery of elderly patients with stroke sequela. Methods A total of 140 elderly patients with stroke sequela were randomly assigned into two groups, with 70 in each group. Patients in the control group were cared for by family members within their family home, while their counterparts in the observation group received treatment eldercare integrating services. Activity of daily living (ADL), depression, stroke recurrence rate, and economic indicators were compared between the two groups after 12 months. Results Comparing to the control group, ADL score was significantly higher, whereas depression score, stroke recurrence rate and medical expenditure for stroke were sig nificantly lower in the observation group (P〈0.05, P〈0.01). Conclusion The treatment-eldercare integrating program can improve ADL of patients after stroke, alleviate negative emotions, and decrease medical expenditure.
作者 黄波 王桂荣
出处 《护理学杂志》 CSCD 2016年第13期1-4,共4页 Journal of Nursing Science
关键词 脑卒中 老年人 医养一体化 护理模式 康复 复发率 经济学评价 stroke the elderly treatment eldercare integrating mode nursing mode recovery recurrence rate eco nomic evaluation
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