出院计划模式对创伤性颅脑损伤患者的生活自理能力和生活质量的影响  

Effect of discharge planning model on self-care ability and quality of life in patients with traumatic brain injury

作　　者：章莉[1] 谢佼 ZHANG Li;XIE Jiao(Department of Neurosurgery,Shenzhen Nanshan District People′s Hospital,Guangdong Province,Shenzhen 518052,China)

机构地区：[1]深圳市南山区人民医院神经外科

出　　处：《中国当代医药》2019年第33期245-247,共3页China Modern Medicine

摘　　要：目的探讨出院计划模式对创伤性颅脑损伤患者的生活自理能力和生活质量的影响。方法选取2017年1月~2018年6月我院收治的58例创伤性颅脑损伤患者,按照随机数字表法分为研究组和对照组,每组各29例。对照组给予常规护理,研究组增加出院计划模式。比较两组日常生活能力(ADL)评定量表、Karnofsky预后评定表(KPS)、简式Fugl-Meyer评估法(FMA)、颅脑损伤患者生活质量(QOLIBRI)评分。结果两组干预前ADL、KPS、FMA评分、自我护理能力评分比较,差异无统计学意义(P>0.05),干预后两组ADL、KPS、FMA、自我护理能力评分均高于干预前,且研究组高于对照组(P<0.05)。两组干预前QOLIBRI评分比较,差异无统计学意义(P>0.05),两组干预后、出院1、3、6个月QOLIBRI评分高于本组干预前,研究组干预后、出院1、3、6个月QOLIBRI评分均高于对照组,差异有统计学意义(P<0.05)。结论出院计划模式在创伤性颅脑损伤患者中应用可改善患者预后,提高患者日常生活能力及肢体运动功能,患者有较高的生活质量。Objective To explore the effect of discharge planning model on self-care ability and quality of life in patients with traumatic brain injury.Methods A total of 58 patients with traumatic brain injury admitted to our hospital from January 2017 to June 2018 were selected and divided into control group and study group according to random number table method,29 cases in each group.The control group was given routine nursing,and the study group was given discharge planning mode.The activities of daily life function assessment for cerebral palsy(ADL),Karnofsky prognostic scale(KPS),simple Fugl-Meyer assessment(FMA)and quality of life in patients with craniocerebral injury(QOLIBRI)were compared between the two groups.Results There was no significant difference in ADL,KPS,FMA score and self-care ability score between the two groups before intervention(P>0.05).After intervention,ADL,KPS,FMA and self-care ability scores of the two groups were higher than those before intervention,and the study group was higher than that of the control group(P<0.05).There was no significant difference in QOLIBRI score between the two groups before intervention(P>0.05).QOLIBRI scores after intervention,1,3 and 6 months after discharge the two groups were higher than that of the group before intervention,the QOLIBRI score of the study group were higher than those of the control group after intervention,1,3 and 6 months after discharge(P<0.05).Conclusion Discharge planning model can improve the prognosis of patients with traumatic brain injury,improve their daily living ability and limb motor function,and patients have a high quality of life.

关 键 词：创伤性颅脑损伤 出院计划模式 日常生活能力 生活质量 

分 类 号：R473.6[医药卫生—护理学]