摘要
目的探讨基于CICARE沟通模式的激励性护理对神经内科患者下床活动依从性及跌倒恐惧心理的影响。方法选取2021年10月至2022年3月期间安康市中心医院收治的86例神经内科住院患者作为研究对象,按随机数表法分为对照组和观察组各43例,对照组患者采用常规护理,观察组患者采用基于CICARE沟通模式的激励性护理,两组患者均护理2周。比较护理前后两组患者的Barthel指数、Fugl-Meyer运动功能评分法(FMA)和中文修订版跌倒效能量表(MFES)评分,以及护理后下床活动依从性、满意度调查问卷[健康教育、医疗环境、心理护理、服务态度、操作性护理]评分。结果护理后,观察组患者的Barthel指数、FMA评分和MFES评分分别为(56.75±4.24)分、(57.27±6.83)分、(7.55±1.63)分,明显高于对照组的(51.26±4.39)分、(43.67±5.32)分、(5.27±1.34)分,差异均具有统计学意义(P<0.05);护理后,观察组患者完全依从14例、部分依从26例、不依从3例,分别优于对照组的7例、19例、17例,差异有统计学意义(P<0.05);观察组患者健康教育、医疗环境、心理护理、服务态度、操作性护理评分分别为(3.15±0.32)分、(3.12±0.58)分、(2.84±0.75)分、(3.35±0.57)分、(3.46±0.25)分,明显高于对照组的(1.30±0.27)分、(1.24±0.26)分、(1.08±0.32)分、(1.14±0.45)分、(1.32±0.23)分,差异均有统计学意义(P<0.05)。结论基于CICARE沟通模式的激励性护理应用于神经内科患者有利于改善其生活能力和运动能力,缓解跌倒恐惧心理,提高下床活动依从性和满意度。
Objective To explore the effects of incentive nursing based on CICARE communication mode on off-bed activity compliance and falling fear of patients in Department of Neurology.Methods A total of 86 patients admitted to Department of Neurology,Ankang Central Hospital between October 2021 and March 2022 were enrolled as the research objects.According to random number table method,they were divided into a control group(routine nursing)and an observation group(incentive nursing based on CICARE communication mode),with 43 patients in each group.The patients were nursed for 2 weeks.The scores of Barthel index,Fugl-Meyer Assessment(FMA),and Modified Falls Efficacy Scale(MFES)before and after nursing,and scores of off-bed activity compliance,and satisfaction questionnaire(health education,medical environment,psychological nursing,service attitude,operational nursing)after nursing were compared between the two groups.Results After nursing,scores of Barthel index,FMA,and MFES in the observation group were(56.75±4.24)points,(57.27±6.83)points,and(7.55±1.63)points,significantly higher than(51.26±4.39)points,(43.67±5.32)points,(5.27±1.34)points in the control group(P<0.05).After nursing,there were 14 cases with complete compliance,26 cases with partial compliance,and 3 cases without compliance in the observation group,better than 7,19,17 in the control group(P<0.05).The scores of health education,medical environment,psychological nursing,service attitude,and operational nursing in the observation group were(3.15±0.32)points,(3.12±0.58)points,(2.84±0.75)points,(3.35±0.57)points,and(3.46±0.25)points,significantly higher than(1.30±0.27)points,(1.24±0.26)points,(1.08±0.32)points,(1.14±0.45)points,(1.32±0.23)points in the control group(P<0.05).Conclusion The application of incentive nursing based on CICARE communication mode is beneficial to improve activities of daily living and motor ability,relieve falling fear,improve off-bed activity compliance and satisfaction in Department of Neurology.
作者
方梅
阴玥
郭婷婷
FANG Mei;YIN Yue;GUO Ting-ting(WardⅡ,Department of Neurology,Ankang 725000,Shaanxi,CHINA;Stroke Center,Ankang Central Hospital,Ankang 725000,Shaanxi,CHINA)
出处
《海南医学》
CAS
2023年第7期1024-1027,共4页
Hainan Medical Journal
基金
陕西省科技厅计划项目(编号:QS061-C33-21)。
