协同护理模式对脑卒中患者照顾者生活质量及照顾能力的影响  

Effect of collaborative nursing on the quality of life and care ability of stroke patients

作　　者：居海艳[1] 吴婕[1] 周建梅[1] 奚广军[1] 谢丽娜[1] 

机构地区：[1]南京医科大学附属无锡市人民医院神经内科,江苏无锡214023

出　　处：《现代临床护理》2017年第4期16-20,共5页Modern Clinical Nursing

基　　金：国家自然科学基金青年基金;项目编号为81201051

摘　　要：目的探讨协同护理模式对脑卒中患者照顾者生活质量和照顾能力的影响。方法选择本院于2013年2月至2014年2月收治的42例脑卒中患者照顾者作为对照组,将2014年3月-2016年3月收治的42例脑卒中患者照顾者作为研究组。其中对照组开展传统的护理照顾,研究组则在对照组基础上引入协同护理模式干预。两组照顾者于干预前及干预后第4周末接受生活质量量表、照顾能力量表(family caregiver task inventory,FCTI)测评。结果干预前两组照顾者生活质量各维度评分比较,差异均无统计学意义(均P>0.05);干预后研究组照顾者的躯体症状、焦虑情况、抑郁情况、失眠情况及社会功能障碍评分均高于对照组,差异有统计学意义(均P<0.05)。干预前两组照顾者照顾能力评分差异无统计学意义(均P>0.05);干预后研究组照顾者的适应照顾角色、应变及提供协助、处理个人情绪、评估家人及社区资源、调整生活以满足照顾需要评分均低于对照组,差异有统计学意义(均P<0.05)。结论对脑卒中患者照顾者引入协同护理模式干预有助于提高照顾者的生活质量,且能提升其对患者的照顾能力,值得临床推广。ObjectiveTo explore the effect of collaborative nursing on the quality of life and nursing of stroke patients.MethodsToally 84 care-givers for 84 stroke patients hospitalized during February 2014 to March 2016 were chosen.In the control group（hospitalized from Feburary 2013 to Feburary 2014）,traditional nursing was carried out,while in the research group（hospitalized from March 2014 to March 2016）,the collaborative care intervention was done.The comparisons were done between the two groups in terms of quality of life and care ability by the GHQ-28 quality of life scale assessment,family caregiver task inventory（FCTI）before the intervention and 4 weeks after the intervention.ResultsBefore the intervention,the two groups had no significant differences in life quality and care ability（all P0.05）.After the intervention,the scores on symptoms,anxiety,depression,insomnia and social dysfunction were all significantly higher than those of the control group（all P0.05）.The scores on the care role,strain,assistance,personal emotion control,family assessment and community resources,and adjustment of life to meet the care needs were all significantly lower than those of the control group（all P0.05）.Conclusions The collaborative care is effective in improving the quality of life of stroke patients.It can improve the care ability of the caregiver.

关 键 词：脑卒中 协同护理模式 照顾者 生活质量 照顾能力 

分 类 号：R473.74[医药卫生—护理学]