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目的探讨脑卒中家庭病床康复护理模式的临床推广价值。方法选取2014年6月至2015年10月出院在家的脑卒中偏瘫后遗症恢复期患者90例作为研究对象,随机分为观察组和对照组,各45例。对照组采用常规出院指导,观察组采用家庭病床康复护理模式。分别于康复护理前及康复护理治疗6个月后采用Barther自理能力指数评定(MBI)、Fugl-Meyer运动功能评分(FMA)、功能独立检查(FIM)进行肢体功能恢复状况评定;采用抑郁自评表(SDS)和焦虑自评量表(SAS)评定患者的心理变化情况;同时通过患者脑卒中相关知晓率及对护理工作的满意度评价家庭病床康复模式的护理效果。结果治疗6个月后观察组MBI、FMA、FIM评分均高于对照组,差异有统计学意义(P<0.05);观察组患者出现抑郁焦虑的频率明显低于对照组(31.11%vs 84.44%,P<0.05);观察组经家庭病床护理康复治疗后,对脑卒中护理知识知晓率明显高于对照组(88.89%vs 48.89%,P<0.05),而且满意度明显高于对照组(95.56%vs82.22%,P<0.05)。结论家庭病床康复护理模式对脑卒中患者肢体功能与心理状态的恢复都优于单纯常规康复。
Objective To explore the clinical value of rehabilitation nursing model of stroke family sick bed. Methods Totally 90 patients with post-stroke hemiplegia sequelae recovered from home who were discharged from hospital from June 2014 to October 2015 were randomly divided into observation group and control group, with 45 cases in each group. The control group with the conventional discharge guidance, the observation group using family bed rehabilitation nursing model. The functional recovery of limbs was assessed by Barter Self-care Ability Index (MBI), Fugl-Meyer Motor Function Scale (FMA) and Functional Independent Test (FIM) before rehabilitation nursing and rehabilitation nursing treatment respectively. (SDS) and anxiety self-rating scale (SAS) to evaluate the psychological changes of the patients. At the same time, the nursing effect of the family-bed rehabilitation model was evaluated by the awareness rate of the patients with stroke and satisfaction with the nursing work. Results The MBI, FMA and FIM scores of the observation group were significantly higher than those of the control group after 6 months of treatment (P <0.05). The frequency of depression and anxiety in the observation group was significantly lower than that of the control group (31.11% vs 84.44% , P <0.05). The nursing awareness of stroke patients in the observation group was significantly higher than that of the control group (88.89% vs 48.89%, P <0.05), and the satisfaction rate was significantly higher in the observation group than in the control group % vs82.22%, P <0.05). Conclusion The family bed rehabilitation nursing model is superior to simple routine rehabilitation in the recovery of limb function and mental status in patients with stroke.