基于Siebens领域管理模式的延续性护理在重症脑出血患者中的应用  

Application of continuous nursing based on Siebens domain management model in patients with severe cerebral hemorrhage

作　　者：魏娇 刘辉 鲁慧敏 杨文郁 高乐 Wei Jiao;Liu Hui;Lu Huimin;Yang Wenyu;Gao Le(No.3 Department of Neurology,Zhumadian Central Hospital of Henan Province,Zhumadian 463000,China;Department of Nursing,Zhumadian Central Hospital of Henan Province,Zhumadian 463000,China)

机构地区：[1]河南省驻马店市中心医院神经内三科,463000 [2]河南省驻马店市中心医院护理部,463000

出　　处：《中华现代护理杂志》2021年第22期3055-3059,共5页Chinese Journal of Modern Nursing

摘　　要：目的探讨基于Siebens领域管理模式(SDMM)的延续性护理在神经内科重症脑出血患者中的应用效果。方法采用便利抽样法,选取2019年7月—2020年6月驻马店市中心医院神经内科收治的284例重症脑出血患者为研究对象,随机分为对照组和观察组,每组142例。对照组患者应用常规延续性护理干预,观察组在对照组基础上应用基于SDMM的延续性护理,两组患者均干预3个月。采用美国国立卫生研究院脑卒中量表(NIHSS)、简明健康状况量表(SF-36)比较两组患者干预前后的神经功能及生活质量。结果两组患者干预后NIHSS得分低于干预前,且观察组患者干预后NIHSS得分低于对照组,差异有统计学意义(P<0.01)。观察组患者干预后SF-36的生理机能、精力、一般健康状况、精神健康维度得分高于对照组,差异有统计学意义(P<0.01)。结论基于SDMM的延续性护理模式可有效提高神经内科重症脑出血患者的神经功能及生活质量,值得临床应用。Objective To explore the effects of continuous nursing based on Siebens domain management model(SDMM)in patients with severe cerebral hemorrhage.Methods A total of 284 patients with severe cerebral hemorrhage admitted to the Department of Neurology of Zhumadian Central Hospital from July 2019 to June 2020 were selected and randomly divided into control group and observation group,with 142 cases in each group.Patients in the control group were treated with conventional continuous nursing intervention,while patients in the observation group were treated with continuous nursing based on SDMM.Both groups were intervented for 3 mouths.The National Institutes of Health Stroke Scale(NIHSS)and the MOS 36-Item Short-Form Health Survey(SF-36)were used to compare the neurological function and quality of life of the two groups before and after the intervention.Results The NIHSS scores of the two groups of patients after the intervention were lower than those before the intervention,and the NIHSS score of the observation group was lower than that of the control group after the intervention,with statistically significant differences(P<0.01).After the intervention,the SF-36 scores of physiological function,energy,general health and mental health in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.01).Conclusions Continuous nursing based on SDMM can effectively improve neurological function and quality of life in neurological patients with severe cerebral hemorrhage,which is worth promoting in clinical practice.

关 键 词：脑出血 生活质量 Siebens领域管理模式 延续性护理 神经功能 

分 类 号：R473.74[医药卫生—护理学]