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4C延续性护理模式对脑卒中康复期患者生活能力及神经功能的影响 被引量:42

Effects of 4C continuing care model on living ability and neurological function in patients with cerebral apoplexy during rehabilitation period
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摘要 目的探讨4C延续性护理模式对脑卒中康复期患者生活能力及神经功能恢复的效果。方法选择2014年7月—2016年7月浙江省庆元县人民医院三病区收治的112例脑卒中康复期患者为研究对象,按照随机数字表法随机分为观察组和对照组,各56例。对照组给予常规随访护理,观察组给予4C延续性护理。分别记录并比较干预前、干预后1、6、12个月两组患者的生活能力、肢体运动功能改善以及神经功能恢复情况。结果干预前,两组患者的生活能力、神经功能恢复得分,差异无统计学意义(P>0.05);干预后1、6、12个月,两组患者的生活能力、神经功能恢复得分差异均有统计学意义(P<0.05);干预前、干预后1个月,两组患者的肢体运动功能得分,差异无统计学意义(P>0.05);干预后6、12个月,两组患者的肢体运动功能得分差异有统计学意义(P<0.05)。结论4C延续性护理模式可以提高脑卒中康复期患者生活能力,促进神经功能的恢复。 Objective To explore the effects of the 4C continuing care model on the living ability and neurological function in patients with cerebral apoplexy during the rehabilitation period. Methods Totally 112 patients with cerebral apoplexy admitted in No.3 Ward of Qiongyuan People's Hospital from July 2014 to July 2016 and divided into the observation group (n=56) and the control group (n=56). Patients in the control group received conventional nursing care, while patients in the observation group received 4C continuing care. The patients' living ability, limb movement function and neurological function 1, 6 and 12 month before and after intervention were recorded and compared between the two groups. Results There was no statistical difference in the scores of living ability and neurological function between the two groups before intervention (P>0.05), However, there was statistical difference in the scores of living ability and neurological function between the two groups 1, 6 and 12 month after intervention (P<0.05). There was no statistical difference in the scores of limb movement function between the two groups before intervention (P>0.05). However, there was statistical difference in the scores of limb movement function between the two groups 6 month and 12 month after intervention (P<0.05). Conclusions The 4C continuing care model can effectively enhance the living ability and neurological function recovery in patients with cerebral apoplexy during the rehabilitation period.
作者 姚林英 叶积美 Yao Linying;Ye Jimei(No.3 Ward,Qingyuan People's Hospital,Zhejiang Province,Lishui 323800,China)
出处 《中华现代护理杂志》 2018年第36期4439-4442,共4页 Chinese Journal of Modern Nursing
关键词 卒中 康复期 生活能力 神经功能 4C延续性护理模式 Stroke Rehabilitation period Living ability Neurological function 4C continuing care model
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