首页|家庭医生签约服务制度下"互联网-家庭"干预模式对老年脑卒中患者的应用效果

家庭医生签约服务制度下"互联网-家庭"干预模式对老年脑卒中患者的应用效果

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目的 研究家庭医生签约服务制度下"互联网-家庭"干预模式对老年脑卒中患者日常生活能力、心理健康水平、家庭照顾者负担水平的影响.方法 选取河南省直第三人民医院2021年1月至2022年12月收治的90例老年脑卒中患者,随机分组,对照组45例接受常规护理模式,观察组45例接受家庭医生签约服务制度下"互联网-家庭"干预模式,对比两组患者日常生活能力、心理健康水平、家庭主要照顾者负担水平.结果 观察组干预后,功能独立评定量表(FIM)、日常生活活动能力量表(ADL)评分均高于对照组(P<0.05);观察组干预后,抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均低于对照组(P<0.05);观察组干预后,照顾者负担量表(CBI)评分低于对照组,照顾者积极感受量表(PAC)评分高于对照组(P<0.05).结论 家庭医生签约服务制度下"互联网-家庭"干预模式能够有效改善老年脑卒中患者心理健康水平,提高日常生活能力,降低家庭主要照顾者负担水平.
Effects of the"Internet-Family"Intervention Mode Under the Contract Service System of Family Doctors in Elderly Stroke Patients
Objective To study the effects of the"internet-family"intervention mode under the family doctor contract service system on the daily living ability,mental health level and family caregiver burden level of elderly stroke patients.Methods A total of 90 elderly stroke patients in the Third People's Hospital of Henan Province from January 2021 to December 2022 were randomly divided into 45 cases in the control group and 45 cases in the observation group.The control group was used the routine nursing mode and the observation group was used the"internet-family"intervention mode under the contract service system of family doctors.The daily living ability,mental health level and the burden level of main family caregivers of patients in the two groups were compared.Results After intervention,the scores of functional independence measure(FIM)and activities of daily living scale(ADL)in observation group were higher than those in control group(P<0.05).After intervention,the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)in observation group were lower than those in control group(P<0.05).After intervention,caregiver burden inventory(CBI)score of observation group was lower than that of control group,and positive aspects of caregiver(PAC)score was higher than that of control group(P<0.05).Conclusion The"internet-family"intervention mode under the contract service system of family doctors can effectively improve the mental health level of elderly stroke patients,improve the ability of daily living,and reduce the burden of family primary caregivers.

strokethe agedfamily doctor contract serviceinternet-family intervention

裴颖丽、左世红、陈高飞

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河南省直第三人民医院护理部,河南郑州 450000

脑卒中 老年人 家庭医生签约服务 互联网-家庭干预

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(22)