摘要
目的:探讨医共体框架下的延续护理对出院后脑卒中患者自我管理能力及生活质量的影响。方法:选取2019年6月-2020年10月本院治疗的80例脑卒中患者,依据出院后是否属于本院医共体成员单位慢病管理的患者,分对照组(出院后不在本城区居住)和干预组(本院医共体成员单位慢病管理的患者),每组40例。对照组实施常规护理干预,干预组在对照组的基础上实施基于医共体框架下的延续护理干预。比较两组并发症发生情况及干预前和干预3个月后的生活质量评分(心理功能、环境、独立性、精神、躯体功能、社会关系、生活质量总分)、自我管理能力状况(用药管理、生活管理、疾病管理、情绪管理、社会与人际管理、饮食管理、康复锻炼管理)。结果:干预前,两组心理功能、环境、独立性、精神、躯体功能、社会关系、生活质量总分和用药管理、生活管理、疾病管理、情绪管理、社会与人际管理、饮食管理、康复锻炼管理评分比较,差异均无统计学意义(P>0.05);干预3个月后,干预组心理功能、环境、独立性、精神、躯体功能、社会关系、生活质量总分和用药管理、生活管理、疾病管理、情绪管理、社会与人际管理、饮食管理、康复锻炼管理评分均高于对照组,差异均有统计学意义(P<0.05)。干预组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:医共体框架下的延续护理干预应用于出院后脑卒中患者能使患者自我管理能力提升,生活质量提高,值得应用推广。
Objective:To explore the effect of continuing nursing under the medical alliance framework on self management ability and quality of life of stroke patients after discharge from hospital.Method:A total of 80 patients with stroke treated in our hospital from June 2019 to October 2020 were selected,they were divided into control group (not living in this city after discharge) and intervention group (patients with chronic disease management of the medical alliance member units) according to whether the patients belonged to the chronic disease management of the hospital medical alliance member units after discharge,40 cases in each group.The control group was treated with routine nursing intervention,the intervention group was treated with continuing nursing based on the medical alliance framework on the basis of the control group.The incidence of complications was compared between two groups,the quality of life scores (psychological function,environment,independence,spirit,physical function,social relations,the quality of life scores),the condition of self management ability (drug management,life management,disease management,emotion management,social and human management,diet management,rehabilitation exercise) before intervention and 3 months after intervention were compared between two groups.Result:Before intervention,there were no statistically significant differences in the scores of psychological function,environment,independence,spirit,physical function,social relations,the quality of life scores,and drug management,life management,disease management,emotion management,social and human management,diet management,rehabilitation exercise scores between two groups (P>0.05);3 months after intervention,the psychological function,environment,independence,spirit,physical function,social relations,the quality of life scores,and drug management,life management,disease management,emotion management,social and human management,diet management,rehabilitation exercise scores of the intervention group were higher than tho
作者
黄瑛
梁武乔
梁杰秀
蒙亚东
隆广冠
黄河清
HUANG Ying;LIANG Wuqiao;LIANG Jiexiu;MENG Yadong;LONG Guangguan;HUANG Heqing(People’s Hospital of Yongning District Nanning City,Nanning 530299,China)
出处
《中国医学创新》
CAS
2021年第23期109-113,共5页
Medical Innovation of China
基金
南宁市邕宁区科学研究与技术开发计划项目(20160325A)。
关键词
脑卒中
延续护理
医共体
自我管理能力
生活质量
Stroke
Continuing nursing
Medical alliance
Self management ability
Quality of life
