首页|多学科协作干预模式在老年脑出血患者中的应用效果及对应对方式的影响

多学科协作干预模式在老年脑出血患者中的应用效果及对应对方式的影响

扫码查看
目的:探讨多学科协作干预模式在老年脑出血患者中的应用效果及对应对方式的影响.方法:选取2022年2月—2023 年 8 月广州市第一人民医院收治的 80 例老年脑出血患者.根据简单抽样法将其分为对照组和观察组,各 40 例.对照组采用常规护理,观察组在对照组基础上给予多学科协作干预模式.比较两组干预前及干预 3 个月后运动耐力、运动能力、应对方式、神经缺损、肢体运动功能、日常生活能力及干预满意度.结果:干预 3 个月后,两组 6 分钟步行试验(6MWT)距离、无氧阈(AT)及最大运动负荷(MWL)均升高,观察组 6MWT距离、AT及MWL均高于对照组,差异有统计学意义(P<0.05).干预 3 个月后,两组面对评分高于出院时,回避及屈服评分均低于出院时,观察组面对评分高于对照组,回避和屈服评分均低于对照组,差异有统计学意义(P<0.05).干预 3 个月后,两组美国国立卫生研究院卒中量表(NIHSS)评分降低,Fugl-Meyer运动功能评分量表(FMA)评分及Barthel指数均升高,观察组NIHSS评分低于对照组,FMA评分及Barthel指数均高于对照组,差异有统计学意义(P<0.05).观察组干预总满意度高于对照组,差异有统计学意义(P<0.05).结论:多学科协作干预模式能提高老年脑出血患者运动耐力和运动能力,提升患者积极医学应对方式,减轻神经缺损,改善患者肢体运动功能,有助于提高患者日常生活能力和满意度.
Application Effect of Multidisciplinary Collaborative Intervention Model in Elderly Patients with Cerebral Hemorrhage and Its Impact on Coping Style
Objective:To explore the application effect of multidisciplinary collaborative intervention mode in elderly patients with cerebral hemorrhage and its impact on coping styles.Method:A total of 80 elderly patients with cerebral hemorrhage treated in Guangzhou First People's Hospital from February 2022 to August 2023 were selected.According to simple sampling method,they were divided into control group and observation group,40 cases in each group.The control group received routine nursing,and the observation group received multidisciplinary collaborative intervention mode on the basis of the control group.Exercise endurance and exercise ability,coping style,nerve deficit,limb motor function,daily living ability before intervention and 3 months after intervention,and intervention satisfaction were compared between the two groups.Result:After 3 months of intervention,the 6-min walking test(6MWT)distance,anaerobic threshold(AT)and maximum exercise load(MWL)of both groups were increased,and the 6MWT distance,AT and MWL of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the face score of both groups was higher than that of discharge,and the avoidance and submission scores were lower than that of discharge;the face score of observation group was higher than that of control group,and the avoidance and submission scores were lower than that of control group,the differences were statistically significant(P<0.05).After 3 months of intervention,the National Institutes of Health stroke scale(NIHSS)score decreased,and the Fugl-meyer motor function scale(FMA)and Barthel index increased in both groups,the NIHSS score of the observation group was lower than that of the control group,and the FMA and Barthel index were higher than that of the control group,the differences were statistically significant(P<0.05).The total intervention satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Multidisciplinary collaborative intervention mode can improve the exercise endurance and exercise ability of elderly patients with cerebral hemorrhage,improve the active medical coping style of patients,reduce nerve defects,improve the limb motor function of patients,and contribute to the improvement of patients'daily life ability and satisfaction.

Multidisciplinary collaborative intervention modelElderly cerebral hemorrhageSports enduranceSports abilityMedical coping strategiesQuality of life

周少娟、叶莉华

展开 >

广州市第一人民医院 广东 广州 510000

多学科协作干预模式 老年脑出血 运动耐力 运动能力 医学应对方式 生活质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(20)