医护一体化临床护理模式对脑卒中患者遵医行为和继发合并症的影响分析  

Effect of doctor-nurse-intergration clinical nursing mode on compliance behavior and secondary complications of stroke patients

作　　者：王芳[1] 肖红[2] 范润平 龚青霞 邹宇[3] 王婧[3] 王宇[3] 

机构地区：[1]成都中医药大学附属医院护理部,四川成都610072 [2]成都市第一人民医院,四川成都610072 [3]成都中医药大学,四川成都610072

出　　处：《吉林医学》2017年第9期1778-1781,共4页Jilin Medical Journal

基　　金：四川省科技厅项目[项目编号:2015SZ0194]

摘　　要：目的:探讨医护一体化临床护理模式对脑卒中患者遵医行为和继发合并症的影响。方法:通过构建医护一体化临床护理模式,于患者出院3个月时评定模式实施后(试验组)与实施前(对照组)脑卒中患者的遵医行为和并发症发生情况。结果:与对照组相比,试验组患者的遵医行为得分优于对照组,差异有统计学意义(P<0.05),试验组在肩关节半脱位、肩手综合征和足下垂发生情况方面优于对照组且差异有统计学意义(P<0.05)。结论:医护一体化临床护理模式较传统工作模式更具优势,能有效提高患者遵医行为,降低继发合并症的发生。Objective To investigate the effect of doctor-nurse-intergration clinical nursing mode on compliance behavior and secondary complications of stroke patients. Method By constructing the doctor-nurse-intergration clinical nursing mode,each group compared the compliance behavior and secondary complications of stroke patints 3 month post discharge. Results Compared with the control group,the score of compliance behavior were higher in the experimental group,the differences were statistically significant（ P 〈 0. 05）,and the shoulder subluxation,hand-shoulder syndrome,occurrence of foot drop in the experimental group were better than the control group,the differences were statistically significant（ P 〈 0. 05）. Conclusion Doctor-nurse-intergration clinical nursing mode is superior to the traditional medical nursing mode,it can improve the patients’ medical compliance behavior significantly and reduce the the incidence of secondary complications.

关 键 词：医护一体化 脑卒中 遵医行为 继发合并症 

分 类 号：R473.74[医药卫生—护理学]