出院计划对海洛因海绵状白质脑病病人日常生活能力的影响  

Effects of discharge planning on daily living ability in patients with heroin spongiform leukoencephalopathy

作　　者：王静新[1] 罗冬华[2] 雷迎[2] 杨曼[2] 周亮[2] Wang Jingxing Luo Donghua Lei Yinga Yang Man Zhou Liang(Department of Nursing, Shenzhen Hospital, Southern Medical University, Shenzhen, Guangdong 518000, China Department of Neurology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China)

机构地区：[1]南方医科大学深圳医院护理部,518000 [2]南方医科大学南方医院神经内科,510515

出　　处：《中国微侵袭神经外科杂志》2016年第12期573-576,共4页Chinese Journal of Minimally Invasive Neurosurgery

基　　金：广东省科技计划项目资助项目(编号:2012B031800133);广东省科技计划项目资助项目(编号:2012B031800472)

摘　　要：目的探讨多学科合作的出院计划模式对海洛因海绵状白质脑病(HSLE)病人日常生活能力的影响。方法将59例HSLE病人按照数字表随机分为对照组29例,干预组30例。对照组实施常规治疗和护理,干预组在此基础上,制定并实施个体化多学科合作的出院计划模式。采用Barthel指数评定HSLE病人的日常生活能力,社会支持评定量表评价病人的社会支持度;并进行统计学分析。结果出院前24 h、出院后1、6个月干预组Brthel指数均较对照组显著升高(P<0.05)。出院后1、6个月干预组主观支持评分明显高于对照组(P<0.05);出院后6个月干预组对支持的利用度评分明显高于对照组(P<0.05)。结论多学科合作的出院计划模式能有效提高HSLE病人日常生活能力和社会支持度。Objective To explore the effects of the discharge planning mode of interdisciplinary cooperation on daily living ability in patients with heroin spongiform leukoencephalopathy（HSLE）. Methods Fifty-nine HLSE patients were randomly divided into control group（n = 29） and experimental group（n = 30） according to the number table. Routine therapy and nursing care were performed in control group, while the individual discharge planning mode of interdisciplinary cooperation was performed in experimental group additionally. The daily living ability and social support degree were assessed by Barthel index（BI） and social support rating scale（SSRS）respectively, then statistical analysis was performed. Results Compared with control group, BI scores increased obviously at 24 h before discharge, and 1 month and 6 months after discharge in experimental group（P〈0.05）. Compared with control group, the scores of subjective support increased obviously 1 month and 6 months after discharge（P〈0.05）, and the availability scores from social support also increased obviously 6 months after discharge in experimental group（P〈0.05）. Conclusion The discharge planning mode of interdisciplinary cooperation can effectively improve daily living ability and social support degree of HSLE patients.

关 键 词：海洛因海绵状白质脑病 出院计划 日常生活活动 社会支持 

分 类 号：R473.74[医药卫生—护理学]