Volume 19 Issue 11
Nov.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(11): 1893-1896
ZHENG Hong-yan, YU Yan, LUO Shu-yin, JIA Lan, HU Wen. Application of rehabilitation path based on linkage of hospital-community-family in patients with ischemic stroke[J]. Chinese Journal of General Practice, 2021, 19(11): 1893-1896. doi: 10.16766/j.cnki.issn.1674-4152.002194
Citation: ZHENG Hong-yan, YU Yan, LUO Shu-yin, JIA Lan, HU Wen. Application of rehabilitation path based on linkage of hospital-community-family in patients with ischemic stroke[J]. Chinese Journal of General Practice, 2021, 19(11): 1893-1896. doi: 10.16766/j.cnki.issn.1674-4152.002194
shu

Application of rehabilitation path based on linkage of hospital-community-family in patients with ischemic stroke

doi: 10.16766/j.cnki.issn.1674-4152.002194

  • Department of Neurosurgery, the Affiliated Huai'an Hospital of Xuzhou Medical University (Huai'an Second People's Hospital), Huai'an, Jiangsu 223001, China

Funds:

 H2018054

  • Received Date: 2020-09-01
    Available Online: 2022-02-15
    Abstract
  •   Objective  To explore the application effect of rehabilitation path based on the linkage of hospital-community-family in patients with ischemic stroke.  Methods  A total of 120 patients with ischemic stroke admitted to our hospital from January 2018 to April 2020 were selected and randomly divided into the control group and observation group, with 60 cases each. The control group received traditional rehabilitation management, whilst the observation group received rehabilitation path management based on linkage of hospital-community-family. The nerve function, limb function recovery, activities of daily living, quality of life, mental state and complications of both groups were compared.  Results  The neurological deficits of stroke in the observation group [(21.12±2.32) points] were lower than those in the control group [(27.81±4.33) points], whilst the simple mental status score in the observation group was higher than that in the control group (all P < 0.05). The Fugl-Meyer limb movement function in the observation group [(39.49±5.38) points] was higher than that in the control group [(33.67±4.02) points]. Moreover, the modified Barthel index in the observation group [(77.17±8.20) points] was higher than that in the control group [(65.17±9.21) points, all P < 0.05]. The quality of life in the observation group after stroke [(164.65±18.76) points] was higher than that in the control group [(110.76±21.83) points, P < 0.05]. The scores of the anxiety self-rating scale and depression self-rating scale in the observation group were lower than those in the control group (P < 0.05). The incidence of complications in the observation group during the intervention period was lower than that in the control group (P < 0.05).  Conclusion  The rehabilitation path model based on the linkage of hospital-community-family can promote the recovery of patients with ischemic stroke after discharge, improve the quality of life and reduce the negative emotions and adverse reactions of patients.

     

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    • References(21)
  • [1]
    林朝霞, 忻燕. PAC心理弹性理论联合感觉统合训练在缺血性脑卒中患者康复护理中的应用[J]. 中华现代护理杂志, 2020, 26(28): 3977-3981. doi: 10.3760/cma.j.cn115682-20191220-04682
    [2]
    朱莉, 曹晓林, 李红燕, 等. 缺血性脑卒中患者疾病管理路径的建立与应用研究[J]. 中国医药导报, 2020, 17(32): 170-174. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202032043.htm
    [3]
    隆卫娟, 张娟. 病人照顾者综合康复护理培训联合延续护理对缺血性脑卒中病人居家生活质量及日常生活能力的影响[J]. 护理研究, 2017, 31(20): 2456-2461. doi: 10.3969/j.issn.1009-6493.2017.20.008
    [4]
    田卫平, 刘颖. 卒中专职护士救护模式在急性缺血性脑卒中患者中的应用[J]. 中华现代护理杂志, 2020, 26(3): 390-393. doi: 10.3760/cma.j.issn.1674-2907.2020.03.021
    [5]
    中华医学会神经病学分会, 中华医学会神经病学分会神经康复学组, 中华医学会神经病学分会脑血管病学组. 中国脑卒中早期康复治疗指南[J]. 中华神经科杂志, 2017, 50(6): 405-412. doi: 10.3760/cma.j.issn.1006-7876.2017.06.002
    [6]
    张君宏, 沈谷丰, 崔婷, 等. 老年全髋关节置换术后患者医院-社区-家庭三段式康复策略研究[J]. 中国全科医学, 2021, 24(28): 3620-3628. doi: 10.12114/j.issn.1007-9572.2021.00.257
    [7]
    中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组. 中国急性缺血性脑卒中诊治指南2018[J]. 中华神经科杂志, 2018, 51(9): 666-682. doi: 10.3760/cma.j.issn.1006-7876.2018.09.004
    [8]
    刘国菊, 丁芸, 程阅凤, 等. 洼田饮水试验联合吞咽训练对脑梗死吞咽障碍患者治疗效果的影响[J]. 实用临床医药杂志, 2018, 22(2): 5-8. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL201802002.htm
    [9]
    王萍, 王思杰, 常海霞, 等. 缺血性脑卒中康复护理中临床护理路径的应用效果[J]. 中国医药导报, 2020, 17(10): 177-180. https://www.cnki.com.cn/Article/CJFDTOTAL-YYCY202010046.htm
    [10]
    徐乐义, 周颖, 刘美快, 等. 镜像治疗对亚急性脑卒中患者下肢运动及步行功能的影响[J]. 中国康复理论与实践, 2018, 24(7): 834-838. doi: 10.3969/j.issn.1006-9771.2018.07.015
    [11]
    郦铮铮, 丛文杰, 郑晓露, 等. 脑卒中后抑郁患者交感神经皮肤反应与血浆多巴胺、5-羟色胺及HAMD评分的相关性分析[J]. 中华全科医学, 2019, 17(3): 384-387. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201903013.htm
    [12]
    张学敏, 毕胜, 张嗣敏, 等. 扩展Barthel指数量表评定脑卒中ADL能力的效度研究[J]. 中国康复, 2019, 34(3): 134-137. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201903009.htm
    [13]
    王加松, 余敏智. 解语丹、针灸联合康复训练辨治风痰瘀阻证脑卒中后偏瘫疗效及对患者FMA、MBI、SS-QOL评分的影响[J]. 现代中西医结合杂志, 2017, 26(31): 3514-3516. doi: 10.3969/j.issn.1008-8849.2017.31.033
    [14]
    钟洪艳, 衣维华, 刘美驿. 聚焦解决模式在脑卒中偏瘫患者负性情绪中的应用[J]. 中华现代护理杂志, 2018, 24(5): 593-596. doi: 10.3760/cma.j.issn.1674-2907.2018.05.025
    [15]
    王丹, 于海华, 冯凯. 老年非瓣膜性心房颤动合并急性缺血性脑卒中患者的临床特点分析[J]. 中华老年心脑血管病杂志, 2019, 21(11): 1129-1132. doi: 10.3969/j.issn.1009-0126.2019.11.003
    [16]
    景福权, 周钰, 牛相来, 等. 针刺结合康复运动疗法对缺血性脑卒中恢复期患者肢体运动功能障碍的影响[J]. 中华全科医学, 2018, 16(8): 1364-1367. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201808039.htm
    [17]
    LIN C, CHATTERJEE N, LEE J, et al. Predictive value of the combination of lesion location and volume of ischemic infarction with rehabilitation outcomes[J]. Neuroradiology, 2019, 61(4): 1-6. http://d.wanfangdata.com.cn/periodical/ChlQZXJpb2RpY2FsRW5nTmV3UzIwMjEwMzAyEiAxNjMzOGY5YWQ2OWEyYTUyMzI2YTI2ZDBjMTUxNGY5YhoIMW54djg4Z2g%3D
    [18]
    罗盛, 高航, 王祥, 等. 老年脑卒中患者社区康复护理服务需求及影响因素研究[J]. 护理学杂志, 2020, 35(4): 74-77. doi: 10.3870/j.issn.1001-4152.2020.04.074
    [19]
    崔琼, 袁欢, 邓晓敏, 等. 脑卒中患者实施医院家庭一体式康复护理的疗效评价[J]. 西部医学, 2018, 30(6): 926-929. doi: 10.3969/j.issn.1672-3511.2018.06.035
    [20]
    倪维欣, 钟建兵, 刘剑. 医院-社区-家庭三元联动管理在脑卒中后抑郁患者中的应用效果[J]. 心血管康复医学杂志, 2019, 28(4): 393-397. doi: 10.3969/j.issn.1008－0074.2019.04.02
    [21]
    袁修银, 任俊翠, 刘畅, 等. 医院-社区-家庭整体护理在脑卒中康复中的应用[J]. 中华全科医学, 2016, 14(3): 491-493, 514. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201603051.htm
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