Application of hospital-community-family holisticnursing in the rehabilitation of stroke patients
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摘要: 目的 研究医院-社区-家庭整体护理体系在脑卒中患者康复中的应用,进一步利用医院、社会和家庭各方面的资源,以充分扩展和完善脑卒中患者延续康复护理范围和内容,为脑卒中患者的康复寻找一条更为简便、快速、高效、实用、廉价的新路径。 方法 选取2013年11月—2014年7月期间在某三级甲等医院住院的脑卒中患者191例,按他们出院后属于该院社区街道居住和不属于该院社区街道居住分为实验组和对照组,分别选取符合条件的实验组98例患者,对照组93例患者。住院的病房护士及社区护士一起为实验组患者在常规护理的基础上进行医院-社区-家庭整体康复护理干预,而对照组患者只采用常规出院护理,均在出院时及出院6个月后分别对191例脑卒中患者做生活自理能力(Barthel指数)评定、心理[采用汉密顿抑郁量表(HAMD)]评定和患者对护士的护理满意度评定。 结果 干预后实验组和对照组患者的Barthel指数评分、HAMD量表评分及对护理工作满意度评分与干预前比较差异均有统计学意义(P<0.05),并且实施医院-社区-家庭整体护理干预的实验组患者的改善幅度更加明显。 结论 医院-社区-家庭整体护理模式对脑卒中患者的生活自理能力和心理康复都有积极的作用,能有效促进脑卒中患者身心整体恢复,值得在各医疗机构应用并推广。Abstract: Objective To explore the application of hospital-community-family holistic nursing in the rehabilitation of stroke patients,further make full use of hospitals,community and family resources,fully extend and improve the scope and content of continuation rehabilitation care for stroke patients,and look for a more simple,fast,efficient,practical,affordable new path for the rehabilitation of stroke patients. Methods Total 191 stroke in-patients resided in the community streets belong to our hospital were recruited from November 2013 to July 2014 and assigned into experimental group(98 cases)and control group(93 cases).The control group received the routine rehabilitation nursing,while the experimental group received the hospital-community-family holistic nursing provided by community nurses and ward nurses.The ability of daily life(Barthel Index),mental condition(Hamilton Rating Scale for Depression,HRSD),and patient satisfaction for nursing service were survived at discharge and 6 months late. Results The ability of daily life,mental condition and patient satisfaction were improved in both groups(P<0.05),and more obvious in the experimental group undergoing hospital-community-family holistic nursing. Conclusion Hospital-community-home holistic nursing can effectively improve the ability of daily life and mental condition of stroke patients,promote the physical and psychological recovery.
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Key words:
- Stroke /
- Hospital-community-family /
- Holistic nursing
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