协同护理模式对脑梗死护患者生活质量及心理状态影响.doc

协同护理模式对脑梗死患者生活质量及心理状态的影响 摘要：目的 探讨协同护理对脑梗死患者中的应用效果。方法 将80例脑梗死患者分为观察组和对照组，每组40例，对照组采用常规护理，观察组采用协同式护理，比较两组患者的护理效果。结果 观察组的神经功能、生活能力的改善显著优于对照组(P0.05)。观察组在家务活动、心理状态、工作及经济情况等方面的生活质量评分均显著高于对照组(P0.05)。结论 协同护理能促进脑梗死患者的神经功能恢复，提高患者的生活质量。 关键词：协同护理；脑梗死；生活质量；心理状态 Effects of collaborative care model on life quality and psychological status in cerebral infarction patients Yu Aihua Xia Hanying Tang YalanThe Guangxi Zhuang Autonomous Region Affiliated Hospital of Guilin Medical College Department of internal medicine 541001 Abstract: Objective to investigate the effect of collaborative care model in the patients with cerebral infarction. Methods 80 cases of cerebral infarction were divided into the observation group and the control group, 40 cases in each group, the control group was given the routine nursing, the observation group was given collaborative care, and nursing effects were compared between two groups. Results the improvement of nerve function and the ability of living in observation group were significantly better than those in the control group (P0.05). The life quality score in household activities, mental state, work and economic in the observation group were significantly higher than those in the control group (P0.05). Conclusion collaborative care can promote recovery of neurological function in patients with cerebral infarction, and improve the life quality of patients. Keywords: collaborative care; cerebral infarction; quality of life; psychological state 脑梗死是老年患者的常见病和多发病，是以出现意识障碍和局灶性神经功能丧失为共同特征的脑血管疾病。虽然近年来，脑梗死中诊疗技术飞速发展，但存活患者中有70%以上遗留有不同程度的功能残疾，严重影响了患者的身心健康和日常生活能力，降低了患者的生活质量。因此，有效的二级预防仍被认为是降低脑梗死负担的重要因素。协同护理重视家属和患者在护理中所发挥的作用，是使使患者及患者家属共同参与到康复护理中的一种方法，自应用以来取得了较好的效果[1]。我院2011年12月至2012年4月对40例脑梗患者实施协同护理，效果满意，现报告如下。 1 资料与方法 1.1 一般资料 80例脑梗死患者，均符合1996中华神经学会修订的《各类脑血管病诊断要点》脑梗死的诊断标准，均经头颅CT及MRI确诊；无认知知功能障碍，可配合检查和治疗。住院时间14d以上，有家属陪伴。排除标准合并有心、肝、肾和造血系统、免疫系统严重疾病意者。排除遵医行为差、死亡病例。其中男42例，女38例。年龄44～78岁，平均(62.5±5.3)岁。梗死部位：基底节53例，额叶9例，顶叶8例，多发性梗死10例。将90例患者随机分入对照组与观察组，每组各45例。对两组的一般资料进行均衡性检验，