摘要
目的探讨基于临床路径的护理管理方案与家属参与式健康教育对重度颅脑外伤大面积脑梗死患者的临床效果,及该种护理方案对患者生活质量的影响。方法将2016年6月—2018年2月共计48例重度颅脑外伤脑梗死患者随机分成联合组和一般组,两组患者均接受同样的基础治疗与护理。联合组患者接受基于临床路径的护理管理方案及家属参与式的健康教育,一般组患者接受常规的健康教育与护理方案,于干预1个月后比较两组患者的Barthel指数、简易精神状态量表(MMSE)得分、简明Fugl-Meyer量表得分、脑卒中特定生存质量量表(SS-QOL)得分、欧洲卒中量表(ESS)得分及临床疗效。结果干预前,两组患者的Barthel指数、MMSE得分、Fugl-Meyer得分、SS-QOL得分及ESS得分均无差异;干预后,联合组患者的Barthel指数(59.25±3.87)分高于一般组患者(46.46±2.75)分(t=13.199,P<0.05);联合组患者的MMSE得分(27.08±3.35)分高于一般组患者(17.63±2.41)分(t=11.232,P<0.05);联合组患者的Fugl-Meyer得分(41.08±2.38)分高于一般组患者(35.92±3.31)分(t=6.214,P<0.05);联合组患者的SS-QOL得分(120.75±10.47)分高于一般组患者(96.33±10.68)分(t=7.995,P<0.05);联合组患者的ESS得分(56.38±9.70)高于一般组患者(45.33±12.42)分(t=3.433,P<0.05);联合组患者的总有效率95.83%高于一般组患者的总有效率75.00%(χ~2=4.181,P<0.05)。结论基于临床路径的护理管理方案与家属参与式健康教育可明显改善重度颅脑外伤大面积脑梗死患者的神经功能、认知功能、日常生活能力及生活质量,有效减轻疾病症状,能够促进患者的康复。
Objective To explore the clinical effect of nursing management program based on clinical pathway and family participatory health education on patients with severe cerebral infarction with severe cerebral infarction, and the effect of this nursing program on patients’ quality of life. Methods A total of 48 patients with severe craniocerebral traumatic cerebral infarction from June 2016 to February 2018 were randomly divided into a combined group and a general group. Both groups received the same basic treatment and care. Patients in the combined group received a clinical pathway-based nursing management program and family-participated health education. The general group received routine health education and nursing programs. The Barthel index and the simple mental state scale were compared between the two groups after one month of intervention.(MMSE) scores, concise Fugl-Meyer scale scores,stroke-specific quality of life scale(SS-QOL) scores,European Stroke Scale(ESS) scores, and clinical outcomes were compared. Results Before the intervention,there was no difference in Barthel index, MMSE score,Fugl-Meyer score, SS-QOL score and ESS score between the two groups. After the intervention, the Barthel index(59.25±3.87)points was higher in the combined group than in the general group of(46.46±2.75)points(t=13.199, P<0.05);the MMSE score of the combined group(27.08±3.35)points was higher than that of the general group(17.63±2.41)points(t=11.232, P<0.05);The Fugl-Meyer score(41.08±2.38)points was higher than that of the general group(35.92±3.31)points(t=6.214, P<0.05). The SS-QOL score of the combined group(120.75±10.47)points was higher than that of the general group(96.33±10.68)pointspoints(t=7.995, P<0.05)points;the ESS score of the combined group(56.38±9.70)points was higher than that of the general group(45.33±12.42)points(t=3.433, P<0.05);the total effective rate of the combined group of 95.83% was higher than that of the general group 75.00%(χ^2=4.181, P<0.05). Conclusion Nursing management program based on clinical pathway and family-based participatory health education can significantly improve the neurological function, cognitive function, daily living ability and quality of life of patients with severe cerebral infarction in severe craniocerebral trauma, effectively alleviate the symptoms of the disease and promote patients’ rehabilitation.
作者
蔡相娥
李云萍
CAI Xiang-e;LI Yun-ping(Department of Neurosurgery, Qingzhou People's Hospital, Qingzhou, Shandong Province, 262500 China;Department of Nursing, Qingzhou People's Hospital, Qingzhou, Shandong Province, 262500 China)
出处
《系统医学》
2019年第3期183-186,共4页
Systems Medicine
关键词
临床路径
护理管理
健康教育
脑梗死
Clinical pathway
Nursing management
Health education
Cerebral infarction
