CAJ | 학술논문

目的：探讨医护患一体化自我管理教育在脑卒中患者居家康复中的应用效果.方法便利抽样选取2014年1－6月在本院治疗并出院的脑卒中患者40例为观察组,2013年1－6月出院的脑卒中患者40例为对照组.对照组给予常规人院宣教及出院康复指导,观察组在接受常规护理的基础上,在出院居家期间实施医护患一体化自我管理教育3个月,对两组患者出院时及出院后3个月的相关指标进行比较分析.结果出院后3个月,观察组患者居家功能锻炼依从性、自我管理能力、日常生活活动能力、患侧手关节总主动活动度(total activemovement,TAM)均优于对照组,跌倒/坠床发生率低于对照组,差异均有统计学意义(均P＜0．05).结论医护患一体化自我管理教育提高了患者居家康复锻炼的依从性、自我管理水平及日常生活活动能力,降低了跌倒/坠床发生率,有效改善了患者的生活质量,可推广应用于脑卒中二级预防.
목적：탐토의호환일체화자아관리교육재뇌졸중환자거가강복중적응용효과.방법편리추양선취2014년1－6월재본원치료병출원적뇌졸중환자40례위관찰조,2013년1－6월출원적뇌졸중환자40례위대조조.대조조급여상규인원선교급출원강복지도,관찰조재접수상규호리적기출상,재출원거가기간실시의호환일체화자아관리교육3개월,대량조환자출원시급출원후3개월적상관지표진행비교분석.결과출원후3개월,관찰조환자거가공능단련의종성、자아관리능력、일상생활활동능력、환측수관절총주동활동도(total activemovement,TAM)균우우대조조,질도/추상발생솔저우대조조,차이균유통계학의의(균P＜0．05).결론의호환일체화자아관리교육제고료환자거가강복단련적의종성、자아관리수평급일상생활활동능력,강저료질도/추상발생솔,유효개선료환자적생활질량,가추엄응용우뇌졸중이급예방.
Objective To access the application effect of doctor-nurse-patient integration model in self-management education on the home rehabilitation of stroke patients.Methods By convenience sam-pling,4 0 patients which were admitted from January to June in 2 0 1 4 were selected as observation group,and other 4 0 cases which were admitted from January to June in 2 0 1 3 were selected as control group.Patients in control group received admission education and discharge rehabilitation guidance,while the observation group received 3 months of doctor-nurse-patient integration model in self-management education on the basis of routine nursing.The relevant indexes of two groups of patients on the time of discharge and 3 months after discharge were compared.Results After 3 months of discharge,the at-home functional exercise compliance,ability of self-management,activities of daily-life,and the total ac-tivemovement of side joints of hand in observation group were all better than which in control group,while the incidence rate of fall-off the bed was lower than that of the control group (all P<0.05).Conclusion The implementation of doctor-nurse-patient integration mode in self-management education can improve patients’at-home functional exercise compliance,ability of self-management,activities of daily-life and re-duce the incidence rate of fall-off the bed,it can also improve patients’quality of life,which can be applied to the prevention of stroke.