摘要
目的:探讨单元管理模式对重症脑卒中患者自护能力及康复效果的影响。方法:将收治的120例重症脑卒中患者根据随机数字表法分为观察组和对照组各60例,对照组应用常规性护理,观察组在对照组基础上应用单元管理模式,包括评估单元、施护单元、康复单元、教育单元;分别于干预前后应用自护能力量表、简易精神状态量表(MMSE)、Fugl-Meyer运动功能积分法(FMA)、Barthel指数对两组自护能力、神经功能及运动功能进行评价。结果:干预后观察组自我效能总评分、健康知识、自我护理技能、自我概念、自护责任感评分显著高于对照组(P<0.05),FMA评分、Barthel指数显著高于对照组(P<0.05),而NIHSS评分显著低于对照组(P<0.05)。结论:神经内科单元管理模式可为重症脑卒中患者提供系统化、全方位护理服务,充分调动患者治疗积极性,使患者能积极应对疾病,有利于促进患者预后。
Objective：To investigate the influence of unit management mode for the ability of patients with severe stroke self -care and rehabilitation effect .Methods：A total of 120 cases of severe stroke patients were randomly divided into the observation group and the con -trol group,each group with 60 cases.The control group used routine care ,while the observation group based on the control group used the unit management model ,including the assessment unit ,nursing unit ,rehabilitation unit ,education unit .Before and after the intervention ,u-sing the self-care ability scale,Mini Mental State Examination（MMSE）,Fugl-Meyer motor function integral method（FMA）,Barthel index is to evaluate two groups′self-care ability,nerve function amd motor function .Results：After the intervention,the observation group′s self-efficacy score,health knowledge,self care skills,self concept,self-care responsibility scores were significantly higher than those of the con-trol group（P〈0.05）.FMA score,Barthel index were significantly higher than those of the control group （P〈0.05）,while the NIHSS score was significantly lower than that in the control group （P〈0.05）.Conclusion：The neurology unit management mode can provide sys-tematic and comprehensive nursing service for the patients with severe stroke ,and fully mobilize the enthusiasm of the patients ,so that pa-tients can actively respond to the disease ,and help to improve the prognosis of patients.
作者
钟爱娟
尹乐英
何伟豪
胡慧晴
Zhong Aijuan Yin Leying He Weihao et al(Liaobu Hospital of Dongguan, Donggnan Guangdong 523400, Chin)
出处
《齐鲁护理杂志》
2017年第5期10-12,共3页
Journal of Qilu Nursing
关键词
单元管理模式
重症
脑卒中
自护能力
Unit management mode
Severe
Stroke
Self-care ability
