摘要
目的:评估护士医务社工合作模式在初发脑卒中患者健康教育中的应用效果。方法:2011年1-12月(引入医务社工前),便利抽样法选取在某院神经内科住院的初发脑卒中患者72例为对照组。2013年1至12月(引入医务社工后),同法选择98例患者为观察组。两组患者的健康教育均根据脑卒中患者护理措施及健康教育临床路径实施。对照组健康教育实施者为护士,而观察组实施者为护士及医务社工。采用中华医学会推荐的神经功能缺损程度评分(CNS)标准及汉密顿抑郁量表对两组患者入院及出院时的神经功能及抑郁状态进行评估。在患者出院时采用自行设计的初发脑卒中患者健康教育调查表评估患者健康教育情况。结果:入院时两组患者CNS评分及抑郁量表评分的差异均无统计学意义。出院时,两组患者CNS评分、抑郁量表评分均低于入院时,且观察组患者评分均低于对照组,差异均有统计学意义(P<0.05)。出院时,两组患者对脑卒中知识掌握的评分差异有统计学意义(P<0.05);两组患者对医疗满意度评分差异无统计学意义。结论:护士医务社工合作的工作模式能更好改善患者的健康教育质量。
Objective.. To evaluate the application effect of the cooperation model between nurses and medical social workers in health education for patients with primary stroke. Methods： Comparative the changes of introduce medical social workers before and after the two groups patient＇s nerve function defect degree score and depression table score, stroke knowledge score, medical care satisfaction score. From January to December, 2011 （before the introduction of medical social workers）, convenience sampling method was adopted to select 72 cases of primary stroke patients hospitalized in the Department of Neurology of a hospital as the control group. From January to December, 2013 （after the introduction of medical social workers）, the same method was adopted to select 98 cases as the observation group. The health education of the two groups was based on the nursing measures for stroke patients and the clinical pathway of health education. Health education in the control group was implemented by nurses, while that in the observation group was implemented by nurses and medical social workers. The neurological function and depression status were assessed in two groups of patients when they were admitted to hospital and discharged from hospital by the clinical neropathy score （CNS） recommended by Chinese Medical Association and the Hamilton Depression Scale. Health education of patients was assessed by a self-designed health education questionnaire for primary stroke patients when they were discharged from hospital. Results, At admission, there was no significant difference between the two groups in CNS scores and depression scale scores. When discharged, the CNS scores and depression scale scores of two groups were both lower than at admission, the scores of observation group were lower than those of the control group, and the differences were statistically significant （P〈0. 05）. When discharged, the stroke knowledge score difference between the two groups of patients was statistically significant （P�
出处
《中国临床医学》
2016年第3期362-364,共3页
Chinese Journal of Clinical Medicine
关键词
脑卒中
健康教育
医务社工
stroke
health education
medical social worker
