4C延续性护理管理模式在脑卒中康复期患者中的应用效果
| 作者: |
1叶日春,
1刘文硕,
1莫苗苗,
1叶雪珍,
1林满秋
1 广东省中医院神经内科，广州 510120 |
| 通讯: |
叶日春
Email: yerichun1980@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2017.03.011 |
摘要
目的：探讨4C延续性护理管理模式对脑卒中康复期患者的护理效果。方法：采用随机数字表法将符合纳入标准的150名脑卒中康复期患者随机分为观察组和对照组，对照组实施常规电话随访和门诊复诊干预，观察组在常规随访的基础上实施4C延续性护理管理模式，比较两组患者在出院前及出院第1，3，6月后的日常生活能力(Barthel index，BI)、肢体运动功能(Fugl Meyer assessment，FMA)和神经功能恢复评分(Modified Rankin Scale，MRS)。结果：出院1，3，6个月后两组的BI评分均较出院前明显提升，且观察组的评分明显高于对照组，差异具有统计学意义(P<0.05)；出院后3，6个月两组患者的FMA评分均较出院前显著升高，观察组的评分明显高于对照组，差异具有统计学意义(P<0.05)；出院1、3、6个月后两组的MRS评分均较出院前明显下降，且观察组的评分明显低于对照组，差异具有统计学意义(P<0.05)。结论：4C延续性护理管理模式能够明显改善脑卒中康复期患者的日常活动能力、肢体运动功能及神经功能，从而提高其康复水平。
关键词：
脑卒中
康复
4C延续性护理
Effect of 4C continuous nursing management model on recovering stroke patients
CorrespondingAuthor: YE Richun Email: yerichun1980@126.com
DOI: 10.3978/j.issn.2095-6959.2017.03.011
Abstract
Objective: To explore the nursing effect of 4C continuous nursing management model on stroke patients who are in the stage of rehabilitation. Methods: A total of 150 stroke patients who are in the stage of rehabilitation were randomly divided into an observation group and a control group by the random number table. The patients in the control group adopted conventional telephone follow-up management and outpatient subsequent visits, while the observation group implemented 4C continuous nursing management model based on the conventional follow-up management. Then, compared the patients of the two groups before they were discharged from the hospital and in the first month, the third month and the sixth month after they were discharged from the hospital in terms of their Barthel index (BI), Fugl Meyer Assessment (FMA) and Modified Rankin Scale (MRS). Results: The scores of BI in the first month, the third month and the sixth month after the patients were discharged were significantly higher than those before they were discharged, and the BI scores of the observation group were much higher than those of the control group, thus, the difference was statistically significant (P<0.05). The FMS scores of the two groups in the third month and the sixth month after the patients were discharged were significantly higher than those before they were discharged, and the FMA scores of the observation group were much higher than those of the control group, thus, the difference was statistically significant (P<0.05). The MRS scores of the two groups in the first month, the third month and the sixth month after the patients were discharged were obviously lower than those before they were discharged, and the MRS scores of the observation group were lower than those of the control group, thus, the difference was statistically significant (P<0.05). Conclusion: The 4C continuous nursing management model can greatly improve the ability of daily activities, limb movement function and neurological function of stroke patients who are in the stage of rehabilitation, so as to improve their rehabilitation level.