摘要
目的:分析基于疾病轨迹框架的护理模式对脑卒中合并偏瘫病人自我护理能力与功能康复效果的影响。方法:选取脑卒中偏瘫病人90例作为研究对象,随机分为研究组和对照组,各45例。对照组接受常规护理方案,研究组接受基于疾病轨迹框架的护理模式,比较2组病人干预前后功能康复情况与自我护理能力。结果:干预前,2组病人上下肢Brunnstrom评分和Fugl-Meyer量表平衡部分(FM-B)评分、改良Barthel指数(modified Barthel index,MBI)、自我护理能力测定量表(exercise of self-care agency,ESCA)评分差异均无统计学意义(P>0.05);干预后,2组病人上下肢Brunnstrom评分和FM-B评分、MBI及ESCA各维度评分均较干预前升高(P<0.05),且研究组上下肢Brunnstrom评分和FM-B评分及ESCA各维度评分均高于对照组(P<0.05~P<0.01),2组MBI评分差异无统计学意义(P>0.05)。结论:基于疾病轨迹框架的护理模式有助于提升脑卒中偏瘫病人自我护理能力和功能康复效果。
Objective:To analyze the effects of the nursing model based on disease trajectory framework on self-care ability and rehabilitation effects of patients with cerebral infarction complicated with hemiplegia.Methods:Ninety patients with stroke complicated with hemiplegia were andomly divided into the study group(n=45)and control group(n=45).The control group was nursed with routine care plan,and the study group was nursed with the nursing model based on disease trajectory framework.The functional recovery and self-care ability in two groups were compared between before and after intervention.Results:Before intervention,the differences of the Brunnstrom scores of upper and lower limbs,FM-B scores of Fugl-Meyer scale,modified Barthel index(MBI)and exercise of self-care agency(ESCA)scores between two groups were not statistically significant(P>0.05).After intervention,the Brunnstrom scores of the upper and lower limbs,FM-B scores,MBI and ESCA scores in two groups increased compared with before intervention(P<0.05),the Brunnstrom scores of the upper and lower limbs,FM-B scores and ESCA scores in study group were higher than those in control group(P<0.05 to P<0.01),and there was no statistical significance in MBI score between two groups(P>0.05).Conclusions:The nursing model based on chronic disease trajectory framework can significantly improve the self-care ability,and enhance the effects of functional rehabilitation of stroke patients with hemiplegia.
作者
鲍月红
周娟
BAO Yue-hong;ZHOU Juan(Stroke Center,Tongling People′s Hospital,Tongling Anhui 244000,China)
出处
《蚌埠医学院学报》
CAS
2021年第7期959-962,共4页
Journal of Bengbu Medical College
关键词
慢性疾病轨迹框架护理模式
缺血性脑卒中
偏瘫
自我护理
康复
nursing model based onchronic disease trajectory framework
ischemic stroke
hemiplegia
self-care
rehabilitation
