CAJ | 학술논문

[目的]探讨多学科护理照顾模式对脑梗死病人自我护理能力及生活质量的影响。[方法]选取124例脑梗死病人为研究对象，根据随机数字表将病人分为观察组及对照组各62例，对照组给予常规性护理，观察组给予多学科护理照顾模式。干预前后应用Fugl Meyer 运动功能(FMA)、Barthel 指数、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、自护能力测定量表(ES-CA)、世界卫生组织(WHO)生存质量测定量表(WHO QOL BREF)对两组病人关节活动度、日常生活能力、自护能力、生活质量进行评定。[结果]观察组治疗后 FMA 下肢功能评分显著高于治疗前(P <0.05)，且观察组治疗后高于对照组(P <0.05)，观察组治疗后 Barthel 指数均高于对照组(P <0.05)。观察组干预后自我概念、自我护理技能、自我责任感、健康知识及总评分显著高于对照组(P <0.05)。观察组干预后生理维度、心理维度、社会适应性以及生存质量总评分高于对照组(P <0.05)。[结论]多学科护理照顾模式能有效提高病人自我护理能力及日常生活能力，改善病人运动功能，提高病人生活质量。
[목적]탐토다학과호리조고모식대뇌경사병인자아호리능력급생활질량적영향。[방법]선취124례뇌경사병인위연구대상，근거수궤수자표장병인분위관찰조급대조조각62례，대조조급여상규성호리，관찰조급여다학과호리조고모식。간예전후응용Fugl Meyer 운동공능(FMA)、Barthel 지수、한밀이돈초필량표(HAMA)、한밀이돈억욱량표(HAMD)、자호능력측정량표(ES-CA)、세계위생조직(WHO)생존질량측정량표(WHO QOL BREF)대량조병인관절활동도、일상생활능력、자호능력、생활질량진행평정。[결과]관찰조치료후 FMA 하지공능평분현저고우치료전(P <0.05)，차관찰조치료후고우대조조(P <0.05)，관찰조치료후 Barthel 지수균고우대조조(P <0.05)。관찰조간예후자아개념、자아호리기능、자아책임감、건강지식급총평분현저고우대조조(P <0.05)。관찰조간예후생리유도、심리유도、사회괄응성이급생존질량총평분고우대조조(P <0.05)。[결론]다학과호리조고모식능유효제고병인자아호리능력급일상생활능력，개선병인운동공능，제고병인생활질량。
Objective:To probe into the influence of multidisciplinary care model on self care ability and quality of life of cerebral obstruction patients.Methods:A total of 124 cerebral obstruction patients were selected as the re-search objects,they were divided into the observation group and control group by the random number table,62 cases in each.The patients in control group received the routine nursing,while the patients in observation group received the multidisciplinary care model.Then the joint activities,daily life ability,self care ability and quality of life of patients were evaluated between both groups before and after the intervention by using the FMA,BI, HAMA,HAMD,ESCA and WHO QOL BREF.Results:The lower limb function score of FMA after treatment was significantly higher than that before treatment in observation group (P <0.05),and the score in observa-tion group was higher than that in control group (P <0.05).The Barthel indexes in observation group were all higher than that in control group after treatment (P <0.05).The scores of self concept,self care skills,self responsibility,health knowledge and total score in observation group after intervention were significantly higher than those in control group (P <0.05).The physiological dimension,psychological dimension,social adaptabili-ty and total score of quality of life in observation group after intervention were higher than those in control group (P <0.05).Conclusion:The multidisciplinary care model can effectively enhance the patient's self care a-bility and daily life ability,improve the patient's motor function and their quality of life.