Objective To explore the application effect of integrated rehabilitation model of medical care and treatment in pulmonary rehabilitation of stroke patients with tracheotomy.Methods Forty-eight patients with stroke diagnosed by tracheotomy in the Department of Rehabilitation from July 1 st,2021 to June 31 st,2022 were selected as the research objects.Patients admit-ted before December 31 st,2021 were selected as the control group,and patients admitted after that were selected as the experi-mental group.Patients in the two groups were given routine treatment and nursing in the department,and patients in the experi-mental group were given integrated rehabilitation nursing on this basis.Both groups were observed for 4 weeks.Forced vital ca-pacity(FVC),forced expiratory volume in 1 second(FEV1),peak expiratory flow(PEF),diaphragm thickness and activity were measured on the day of admission and 4 weeks after nursing intervention in both groups,and the incidence of pulmonary in-fection,antibiotic use time,tracheal tube extubation rate and satisfaction at discharge were compared between the two groups after 4 weeks of nursing intervention.Results After 4 weeks of nursing intervention,FVC,FEV1,PEF,diaphragm thickness and di-aphragm calm breathing mobility were all higher than on the day of admission in both groups,P＜0.05 or＜0.01;After 4 weeks of nursing intervention,compared with that in the control group,the incidence of pulmonary infection in the experimental group decreased,P＜0.05,and the duration of antibiotic use reduced,P＜0.01.The satisfaction of the experimental group(91.7%)was higher than that of the control group(83.3%),but the difference was not statistically significant.Conclusion The integrat-ed rehabilitation management model can effectively improve the pulmonary function of stroke patients with pulmonary dysfunction,and reduce the incidence of pulmonary infection,so as to improve the quality of life of patients.The effect of rehabilitation inter-vention was satisfactory and the patient satisfaction was high.
关键词
脑卒中/肺康复/医护治一体化康复模式
Key words
stroke/pulmonary rehabilitation/integrated rehabilitation model of medical care and treatment
维普
万方数据