首页|医联体背景下系统化护理对脑卒中患者肢体功能、神经缺损及照顾者心理弹性的影响

医联体背景下系统化护理对脑卒中患者肢体功能、神经缺损及照顾者心理弹性的影响

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目的 探讨医联体背景下系统化护理对脑卒中患者肢体功能、神经缺损及照顾者心理弹性的影响。方法 选择2020年1月至2022年1月在商洛市中心医院接受治疗的180例脑卒中患者为研究对象,采用随机数字表法将其分为对照组和试验组,各90例。对照组给予常规护理,试验组在对照组基础上施加医联体背景下系统化护理。比较两组的护理效果。结果 试验组的康复总有效率高于对照组(P<0。05)。护理后,试验组的肢体功能评分高于对照组,美国国立卫生院卒中量表(NIHSS)评分低于对照组(P<0。05)。出院后,试验组的身体功能、角色功能、情绪功能、社会功能评分及总分高于对照组(P<0。05)。护理后,试验组照顾者的坚韧、自强及乐观评分高于对照组(P<0。05)。试验组的住院天数短于对照组,住院费用低于对照组(P<0。05);护理后,试验组的疾病相关知识知晓评分高于对照组(P<0。05)。结论 医联体背景下系统化护理可有效改善脑卒中患者肢体功能、神经功能及照顾者心理弹性。
Effects of systematic nursing under the background of medical alliance on limb function,nerve defect and psychological resilience of caregivers in stroke patients
Objective To explore the effects of systematic nursing under the background of medical alliance on limb function,nerve defect and psychological resilience of caregivers in stroke patients.Methods A total of 180 stroke patients who were treated in Shangluo Central Hospital from January 2020 to January 2022 were selected as the research objects,and the patients were divided into control group and experimental group by random number table method,with 90 cases in each group.The control group was given routine nursing,and the experimental group was given systematic nursing under the background of medical alliance on the basis of the control group.The nursing effects of the two groups were compared.Results The total effective rate of rehabilitation in the experimental group was higher than that in the control group(P<0.05).After nursing,the limb function score of the experimental group was higher than that of the control group,and the National Institutes of Health Stroke Scale(NIHSS)score was lower than that of the control group(P<0.05).After discharge,the scores of physical function,role function,emotional function,social function and total score of the experimental group were higher than those of the control group(P<0.05).After nursing,the scores of tenacity,self-improvement and optimism of caregivers in the experimental group were higher than those in the control group(P<0.05).The hospitalization days of the experimental group was shorter than that of the control group,and the hospitalization expenses was lower than that of the control group(P<0.05);after nursing,the score of disease related knowledge awareness in the experimental group was higher than that in the control group(P<0.05).Conclusion Systematic nursing under the background of medical alliance can effectively improve the limb function,neurological function and caregivers psychological resilience of stroke patients.

medical alliancesystematic nursingstrokelimb functionalneurological function

王茜、全咏莉、徐莉

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商洛市中心医院,陕西商洛,726000

延安大学咸阳医院,陕西咸阳,712000

医联体 系统化护理 脑卒中 肢体功能 神经功能

2020年度延安大学咸阳医院院内科学研究基金项目

2020ZX057

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(19)