基于医养结合模式下中老年脑卒中后遗症患者居家照护管理机制的实践研究  

A practical study on home-based care management mechanism for middle-aged and elderly patients with sequelae of cerebral stroke based on the combination mode of medical care and recuperation

作　　者：吴洁凡 肖丹丹[2] 黄志萍[3] 符秀梅[4] 吴惠[4] WU Jie-fan;XIAO Dan-dan;HUANG Zhi-ping(Department of Internal Medicine,Cadre Sanatorium of Hainan(Geriatric Hospital of Hainan),Haikou 571100,China;不详)

机构地区：[1]海南省干部疗养院(海南省老年病医院)内科,海南海口571100 [2]海南省干部疗养院(海南省老年病医院)体检中心,海南海口571100 [3]海南省干部疗养院(海南省老年病医院)质控科,海南海口571100 [4]海南省干部疗养院(海南省老年病医院)护理部,海南海口571100

出　　处：《中国医学装备》2020年第11期106-110,共5页China Medical Equipment

基　　金：海南省自然科学基金面上项目(817372)“医养结合养老模式中老年脑卒中患者居家养老医疗服务模式的构建与实践研究”。

摘　　要：目的:探讨医养结合模式在中老年脑卒中后遗症患者居家照护管理中的应用价值。方法:选取医院接诊治疗的67例脑卒中患者,随机分为对照组(34例)和观察组(33例),对照组采用常规居家护理管理模式;观察组采用医养结合模式居家护理管理。自制患者和照护者满意度调研问卷,医护人员满意程度采用盲法对脑卒中特定生存质量量表(SS-QOL)评分结果进行满意度调研。比较两组患者居家护理的SS-QOL评分和患者、照护者及医护人员的满意度,评估两种管理模式的效果。结果:观察组患者个人精力、家庭角色、语言表达、活动能力、个人情绪、个人性格、自理能力、社会角色、个人思维、上肢功能、个人视力和工作劳动12项SS-QOL指标评分均高于对照组,差异有统计学意义(t=2.101,t=2.230,t=2.484,t=2.834,t=3.626,t=2.064,t=3.879,t=2.494,t=2.349,t=3.827,t=2.180,t=3.658;P<0.05);观察组患者居家护理的患者满意、照护者满意和医护人员满意度均高于对照组,差异有统计意义(x^2=4.542,x^2=6.211,x^2=9.672;P<0.05)。结论:医养结合模式下中老年脑卒中患者的生存质量得到有效改善,其居家照护管理机制具有较高的应用价值。Objective:To explore the application value of the combination mode of medical care and recuperation in home-based care management for middle-aged and elderly patients with sequelae of cerebral stroke.Methods:67patients with cerebral stroke admitted to hospital were randomly divided into control group(34 cases)and observation group(33cases).The control group adopted the routine home-based care mode,and the observation group adopted the combination mode of medical care and recuperation for home-based care management.Questionnaires were made to investigate the satisfactions of patients and caregivers,and blind method was adopted to investigate the score results of stroke specialty-quality of life(SS-QOL)about medical personnel.The SS-QOL scores of home-based care of patients,and the satisfaction of patients,caregivers and medical personnel between the two groups were compared so as to assess the advantages and disadvantages of each management mode.Results:The scores of 12 indexes of SS-QOL,which included personal vigor,family role,language expression,capacity for action,personal emotion,personal character,self-care ability,social role,personal thinking,upper limb function,personal vision,and work and labor,in observation group were significantly higher than those in control group(t=2.101,t=2.230,t=2.484,t=2.834,t=3.626,t=2.064,t=3.879,t=2.494,t=2.349,t=3.827,t=2.180,t=3.658,P<0.05).The satisfactions of patients,caregivers and medical personnel for home-based care in observation group were significantly higher than those in control group(x^2=4.542,x^2=6.211,x^2=9.672,P<0.05).Conclusion:The quality of life of middle-aged and elderly patients with cerebral stroke can be effectively improved under the combination mode of medical care and recuperation,and the home-based care management mechanism has higher application value.

关 键 词：医养结合 脑卒中后遗症 居家照护 生存质量评分 

分 类 号：R47-05[医药卫生—护理学]