多模块康复护理模式在脑卒中患者智能化随访中的应用效果

doi:10.3761/j.issn.0254-1769.2023.03.003

摘要/Abstract

摘要：

目的制订多模块康复护理模式并应用于脑卒中患者智能化随访中，评价对脑卒中患者症状体验及生活质量的影响。方法采用便利抽样法，选取新疆维吾尔自治区某三级甲等医院神经内科的脑卒中患者316例，按照入院时间先后顺序，将2021年1月1日—10月31日入院的160例作为试验组，2020年1月1日—10月31日入院的156例作为对照组，采用历史对照的方法，试验组在脑卒中患者智能化随访中采用多模块康复护理模式，对照组采用常规方法进行康复护理。评价干预前后患者的症状体验、生活质量和自我管理行为。结果试验组157例、对照组154例完成干预。干预后试验组症状体验较干预前改善，生活质量和自我管理行为较干预前均提高，与对照组比较，差异均具有统计学意义（P<0.05）。结论在脑卒中患者智能化随访中应用多模块康复护理模式可减少或减轻脑卒中患者症状体验，并有效改善其生活质量和自我管理行为。

关键词: 智能化, 随访, 康复护理, 脑卒中, 生活质量

Abstract:

Objective To develop a multi-module rehabilitation nursing model，and apply it in intelligent follow-up of stroke patients，and evaluate the effect on symptom experience and quality of life of stroke patients. Methods From January 1，2020 to October 31，2021，a total of 316 stroke patients in the Department of Neurology of a tertiary A hospital in Xinjiang Uygur Autonomous Region were selected by convenience sampling. According to the order of admission time，160 patients admitted from January 1，2021 to October 31，2021 were selected as the experimental group. A total of 156 patients admitted from January 1 to October 31，2020 were selected as the control group. The historical control method was used to verify the effect of multi-module rehabilitation nursing model on symptom experience and quality of life of stroke patients during intelligent follow-up. Results The symptom experience of the experimental group was improved compared with that before intervention；the quality of life and self-management behavior were improved；compared with the control group，the differences were statistically significant（P<0.05）. Conclusion The application of multi-module rehabilitation nursing model in intelligent follow-up of stroke patients can reduce or alleviate the symptom experience of stroke patients，and effectively improve their quality of life and self-management behavior.

Key words: Intelligent, Follow-up, Rehabilitation Nursing, Stroke, Quality of Life

段春梅, 王媛媛, 王玲玲. 多模块康复护理模式在脑卒中患者智能化随访中的应用效果[J]. 中华护理杂志, 2023, 58(3): 276-281.

DUAN Chunmei, WANG Yuanyuan, WANG Lingling. Application effect of multi-module rehabilitation nursing model in intelligent follow-up of stroke patients[J]. Chinese Journal of Nursing, 2023, 58(3): 276-281.

图/表 4

图1 多模块康复护理模式流程图

Figure 1 Flow chart of multi-module rehabili-tation nursing model

表1 两组一般资料比较[例（百分比，%）]

Table 1 Comparison of general data between the 2 groups[case（percent，%）]

表2 干预前后两组症状体验量表情况比较（分，$\bar{x}±s$）

Table 2 Comparison of symptom experience scale between the 2 groups before and after intervention（points，$\bar{x}±s$）

表3 干预前后两组生活质量及自我管理行为情况比较（分，$\bar{x}±s$）

Table 3 Comparison of quality of life and self-management behaviors between the 2 groups before and after intervention（points，$\bar{x}±s$）

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