病房延伸责任制康复护理模式在脑卒中康复患者中的应用效果
|
摘要
目的探讨病房延伸责任制康复护理模式在脑卒中康复患者中的应用效果。方法选取2017年1～12月我科收治的250例脑卒中住院患者作为观察组,另外选取2016年1～12月我科收治的230例脑卒中住院患者作为对照组。观察组患者采用病房延伸责任制康复护理模式,对照组患者采用常规康复护理的工作模式。比较两组患者的废用综合征发生情况、对护理工作的满意度及住院天数。结果观察组患者的废用综合征总发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者的护理总满意度为98.40%,明显高于对照组的92.17%,差异有统计学意义(P<0.05)。观察组患者的住院时间为(67.60±1.08)d,短于对照组的(79.20±1.21)d,差异有统计学意义(P<0.05)。结论病房延伸责任制康复护理模式的应用明显降低了脑卒中住院患者的废用综合征发生率,提高了护理工作满意度,缩短了患者的住院天数,值得临床推广。
Objective To investigate the application effect of nursing model of ward extended responsibility system in the rehabilitation of stroke patients. Methods A total of 250 hospitalized stroke patients from January to December2017 were selected as the observation group, and another 230 hospitalized stroke patients from January to December2016 were selected as the control group. Patients in the observation group were given the nursing model of ward extended responsibility system, while patients in the control group were given the routine rehabilitation nursing. The incidence of disuse syndrome during hospitalization, the degree of nursing satisfaction and the hospitalization time were compared between the two groups. Results The total incidence rate of disuse syndrome in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The total satisfaction of patients in the observation group was 98.40%, which was significantly higher than that in the control group(92.17%),and the difference was statistically significant(P<0.05). The hospitalization time in the observation group was(67.60 ±1.08) d, which was shorter than that in the control group of(79.20±1.21) d, and the difference was statistically significant(P<0.05). Conclusion The application of nursing model of ward extended responsibility system can significantly reduce the incidence of disuse syndrome in stroke patients, improve the degree of nursing satisfaction, and also shorten the hospitalization time, which is worthy of clinical promotion.
Objective To investigate the application effect of nursing model of ward extended responsibility system in the rehabilitation of stroke patients. Methods A total of 250 hospitalized stroke patients from January to December2017 were selected as the observation group, and another 230 hospitalized stroke patients from January to December2016 were selected as the control group. Patients in the observation group were given the nursing model of ward extended responsibility system, while patients in the control group were given the routine rehabilitation nursing. The incidence of disuse syndrome during hospitalization, the degree of nursing satisfaction and the hospitalization time were compared between the two groups. Results The total incidence rate of disuse syndrome in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05). The total satisfaction of patients in the observation group was 98.40%, which was significantly higher than that in the control group(92.17%),and the difference was statistically significant(P<0.05). The hospitalization time in the observation group was(67.60 ±1.08) d, which was shorter than that in the control group of(79.20±1.21) d, and the difference was statistically significant(P<0.05). Conclusion The application of nursing model of ward extended responsibility system can significantly reduce the incidence of disuse syndrome in stroke patients, improve the degree of nursing satisfaction, and also shorten the hospitalization time, which is worthy of clinical promotion.
引文
[1]肖爽,石淑兰,赵庆华,等.持续改善在优质护理工作中的应用及成效[J].重庆医学,2016,45(34):4782-4787.
[2]敬洁,温贤秀,蒋文春.基于患者健康需求的优质护理特色病房创建与效果评价[J].中国医院药学,2016,9(36):400.
[3]商艳萍,刘小芳.病房康复延伸治疗对脑卒中患者ADL提高效果分析[J].吉林医学,2013,34(12):2361.
[4]唐春妮,病房延伸护理对脑卒中偏瘫肢体运动功能恢复的影响研究[J].实用临床护理学杂志,2018,3(24):34-35.
[5]邓小灵,康丽芬.护士管床责任制护理模式在人工髋关节置换术患者中的应用[J].齐鲁护理杂志,2018,24(8):120-122.
[6]吴丽春.管床责任制护理在重症脑卒中患者中的应用效果[J].中国社区医师,2016,32(3):123-124.
[7]郑茶凤,路千里,邵秀芹.康复延伸训练对提高稳定期脑卒中患者日常生活能力的效果[J]实用临床医学,2013,14(11):107-108.
[8]李婉玲,兰红珍,孔蝉.Bobath技术在脑卒中后偏袒患者体位转移中的应用[J].护理学报,2018,25(1):57-59.
[9]唐双.护理模式与医学模式的比较研究[D].太原:山西医科大学,2013.
[10]李卉梅,刘小芳.康复护理功能延伸指导工作模式的探讨[C].中国康复护理学术高峰论坛暨推进优质护理服务研讨会论文集,2012:56-59.
[11]陈莉莉,蔡洁,王红.医务社会工作者参与康复护理对脊髓损伤患者功能独立性和生命质量的影响[J].护理学报,2012,19(6A):35.
[12]张兰香,徐秀群,朱振杰,等.延伸病房训练治疗脑卒中后吞咽功能障碍的效果及对血浆S100β水平的影响[J].中国老年学杂志,2018,2(38):791-792.
[13]周素萍,黄宏,蒋桂花,等.综合干预对脑卒中患者康复效果及生活质量的影响[J].中国健康教育,2015,31(11)1085-1087.
[14]蒋芙蓉,冯芳.病房延伸护理对脑卒中偏瘫肢体运动功能恢复的影响[J].当代护士,2017,(6):29-30.
[15]王娟,常进红.脑卒中康复期临床护理路径制定[J].重庆医学,2018,47(33):4315-4316.
[2]敬洁,温贤秀,蒋文春.基于患者健康需求的优质护理特色病房创建与效果评价[J].中国医院药学,2016,9(36):400.
[3]商艳萍,刘小芳.病房康复延伸治疗对脑卒中患者ADL提高效果分析[J].吉林医学,2013,34(12):2361.
[4]唐春妮,病房延伸护理对脑卒中偏瘫肢体运动功能恢复的影响研究[J].实用临床护理学杂志,2018,3(24):34-35.
[5]邓小灵,康丽芬.护士管床责任制护理模式在人工髋关节置换术患者中的应用[J].齐鲁护理杂志,2018,24(8):120-122.
[6]吴丽春.管床责任制护理在重症脑卒中患者中的应用效果[J].中国社区医师,2016,32(3):123-124.
[7]郑茶凤,路千里,邵秀芹.康复延伸训练对提高稳定期脑卒中患者日常生活能力的效果[J]实用临床医学,2013,14(11):107-108.
[8]李婉玲,兰红珍,孔蝉.Bobath技术在脑卒中后偏袒患者体位转移中的应用[J].护理学报,2018,25(1):57-59.
[9]唐双.护理模式与医学模式的比较研究[D].太原:山西医科大学,2013.
[10]李卉梅,刘小芳.康复护理功能延伸指导工作模式的探讨[C].中国康复护理学术高峰论坛暨推进优质护理服务研讨会论文集,2012:56-59.
[11]陈莉莉,蔡洁,王红.医务社会工作者参与康复护理对脊髓损伤患者功能独立性和生命质量的影响[J].护理学报,2012,19(6A):35.
[12]张兰香,徐秀群,朱振杰,等.延伸病房训练治疗脑卒中后吞咽功能障碍的效果及对血浆S100β水平的影响[J].中国老年学杂志,2018,2(38):791-792.
[13]周素萍,黄宏,蒋桂花,等.综合干预对脑卒中患者康复效果及生活质量的影响[J].中国健康教育,2015,31(11)1085-1087.
[14]蒋芙蓉,冯芳.病房延伸护理对脑卒中偏瘫肢体运动功能恢复的影响[J].当代护士,2017,(6):29-30.
[15]王娟,常进红.脑卒中康复期临床护理路径制定[J].重庆医学,2018,47(33):4315-4316.