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医护患协同管理模式在急性脑梗死患者中的应用效果

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目的 探讨急性脑梗死患者中应用医护患协同管理模式的效果.方法 纳入收治的92例急性脑梗死患者为对象,时间段为2022年3月至2023年3月,按随机数字表法分2组,每组46例.对照组和观察组分别采用常规干预和医护患协同管理模式进行干预,比较2组的干预效果.结果 2组干预后的蒙特利尔认知评估量表(MoCA)、Fugl-Meyer运动功能量表(FMA)评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);2组干预后的中国卒中量表(CSS)评分和焦虑、抑郁评分均低于干预前(P<0.05),且观察组低于对照组(P<0.05).自我管理能力评分组间比较,观察组高于对照组(P<0.05).2组干预后的心理弹性量表(CD-RISC)评分和生活质量量表(QOL)评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05).结论 急性脑梗死患者中应用医护患协同管理模式,能缓解患者的负性情绪,提升心理弹性水平、自我管理能力、认知及运动功能,进一步促进患者的生活质量得到提高.
Application effect of medical care collaborative management model in patients with acute cerebral infarction
Objective To explore the effectiveness of medical care collaborative management model in patients with acute cerebral infarction.Methods Ninety-two patients with acute cerebral infarction admitted to our hospital from March 2022 to March 2023 were included as the subjects.They were randomly assigned in a 1∶1 ratio to conventional intervention(control group)or medical care collaborative management model(observation group).The intervention effects of the two groups were compared.Results After intervention,the scores of the Montreal Cognitive Assessment Scale(MoCA)and Fugl-Meyer Motor Assessment Scale(FMA)in both groups were significantly higher than those before intervention,and which were significantly higher in the observation group than in the control group(P<0.05).The Chinese Stroke Scale(CSS)scores and anxiety and depression scores after intervention in both groups were significantly lower than those before intervention,and the decrease was more pronounced in the observation group than in the control group(P<0.05).The self-management ability score in the observation group was significantly higher than that of the control group(P<0.05).The scores of the Connor-Davidson Resilience Scale(CD-RISC)and quality of life scale(QOL)after intervention in both groups were significantly higher than those before intervention,and which were significantly higher in the observation group than in the control group(P<0.05).Conclusion The application of medical care collaborative management mode in patients with acute cerebral infarction can alleviate negative emotions,improve psychological resilience,self-management ability,cognitive and motor functions,and further promote the improvement of patients'quality of life.

acute cerebral infarctionnegative emotionmedical care collaborative management modequality of lifepsychological resilience theory

车雅男、葛晓梅、郭天天

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072750 河北省保定市第二中心医院神经内三老年病科

急性脑梗死 负性情绪 医护患协同管理模式 生活质量 心理弹性理论

河北省卫生健康委科研基金项目

20181496

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(19)
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