家庭访视式延续性照护模式对脊髓损伤患者术后功能及社会交往的影响研究  

Effect of family visit continuity care on social support and quality of life in patients with spinal cord injury

作　　者：孙丽[1] 顾海燕[1] 成卫萍[1] 徐冠华[1] 沈丹 Sun Li;Gu Haiyan;Cheng Weiping;Xu Guanhua;Shen Dan(Department of Spinal Surgery,Nantong City First People's Hospital,Nantong Jiangsu 226001)

机构地区：[1]江苏省南通市第一人民医院脊柱外科

出　　处：《护士进修杂志》2020年第5期395-398,共4页Journal of Nurses Training

基　　金：江苏省南通市市级科技计划(指导性)项目(编号:HS149026);江苏省南通市市级科技计划(指导性)项目(编号:GJZ16019)

摘　　要：目的探讨家庭访视式延续性照护策略对脊髓损伤患者术后功能及社会交往的影响。方法将我院2015年10月-2016年9月收治的45例脊髓损伤患者设为对照组,实施电话随访;2016年10月-2017年9月收治的42例脊髓损伤患者设为研究组,实施家庭访视式延续性照护。两组患者在干预前及干预后6个月末均接受功能独立性评定量表(FIM)、社会交往量表、家庭支持自评量表、生存质量量表测评并加以比较;比较两组患者在干预后6个月内并发症发生率。结果研究组干预后的FIM、社会交往、家庭支持及生存质量的评分均较对照组高,差异有统计学意义(P<0.05)。并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论我们发现,家庭访视式延续性照护模式应用于脊髓损伤患者,能提高患者的社会支持力度,且能改善其生存质量,值得进一步推广。Objective To analyze the effect of family visiting continuation care strategy on the social support and quality of life for patients with spinal cord injury.Methods 45 patients with spinal cord injuries admitted by our hospital from October 2015 to September 2016 were set as control group,and 42 cases of spinal cord injury in our hospital from October 2016 to September 2017 were set as the study group.Family visiting continuity care was carried out for both group.The patients in the two groups were assessed by functional independence measurement(FIM),social interaction scale,family support self-evaluation scale and quality of life scale before and at the end of 6 months after the intervention;The incidence of adverse events within 6 months after intervention was compared between the two groups.Results The scores of FIM,social interaction,family support and quality of life in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The quality of life score of the study group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was lower than that in the control group(P<0.05).Conclusion The introduction of family visiting continuous care can improve the social support of the patients and improve the quality of life for patients with spinal cord injury.It is worth further promoting.

关 键 词：家庭访视 延续性照护 脊髓损伤 功能恢复 社会交往 家庭支持 生存质量 并发症 护理 

分 类 号：R473.6[医药卫生—护理学] R681.5[医药卫生—临床医学]