医务社会工作者参与康复护理对脊髓损伤患者功能独立性和生命质量的影响  

Effects of Medical Social Workers' Participation in Rehabilitative Nursing on Functional Independence and Quality of Life of Patients with Spinal Cord Injury

作　　者：陈莉莉[1] 蔡洁[1] 王红[2] 

机构地区：[1]中国人民解放军广州军区武汉总医院骨科,湖北武汉430070 [2]中国人民解放军广州军区武汉总医院护理部,湖北武汉430070

出　　处：《护理学报》2012年第22期35-38,共4页Journal of Nursing（China）

基　　金：广州军区武汉总医院院级课题(201110)

摘　　要：目的研究医务社会工作者(简称医疗社工)参与康复护理对脊髓损伤患者功能独立性和生命质量的影响。方法2008年1月—2010年12月收治脊髓损伤患者100例,随机分为常规护理组和医疗社工组各50例,医疗社工组除进行常规康复护理外,还由医疗社工介入康复护理,分别在入院时和第3个月末对两组患者行功能独立性评定(Functional Independence Measure,FIM)和世界卫生组织生命质量评价量表(World Health Organization Quality of Life Assessment Instrument,WHOQOL-100)评定分析。结果第3个月末,两组患者运动功能、认知功能评分和FIM总分均较入院时有明显提高(P<0.05),医疗社工组患者运动功能、认知功能评分和FIM总分均较常规护理组高(P<0.05);两组患者WHOQOL-100评分较入院时明显提高(P<0.05),医疗社工组WHOQOL-100评分高于常规护理组(P<0.05)。结论医疗社工介入脊髓损伤患者的康复护理,可帮助患者运动及认知功能重建,提高生命质量。Objective To study the effects of medical social workers＇ participation in rehabilitative nursing on functional independence and quality of life of patients with spinal cord injury. Methods Totally 100 patients selected from the inpatients from January 2008 to December 2010 were randomly divided into nursing group with medical social workers and routine nursing group. Functional Independence Measure （FIM） and WHOQOL-IO0 were analyzed when admission and three months after admission. Results Scores of FIM and WHOQOL-100 in two groups were higher three months later （P〈0.05）. Scores of FIM and WHOQOL- 100 in nursing group with medical social workers were higher than those in routine nursing group （P〈0.05）. Conclusion Medical social workers＇ participation in rehabilitative nursing of patients with spinal cord injury is helpful to functional reconstruction and the improvement of quality of life.

关 键 词：脊髓损伤 医务社会工作者 功能独立性 生命质量 

分 类 号：R473.6[医药卫生—护理学]