过渡性护理模式在脑卒中患者从ICU转入普通病房中的应用  

Application of transitional nursing model in patients with stroke transferred from ICU to general ward

作　　者：魏彩霞[1] 易宇玲[1] 王平红[2] WEI Cai-xia;YI Yu-ling;WANG Ping-hong(Department of Neurology,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China;Department of Nursing,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang330006,China)

机构地区：[1]南昌大学第一附属医院神经内科,江西南昌330006 [2]南昌大学第一附属医院护理部,江西南昌330006

出　　处：《中国当代医药》2021年第23期247-250,共4页China Modern Medicine

基　　金：江西省卫生健康委员会科技计划项目(202130229)。

摘　　要：目的探讨过渡性护理(TCM)模式在脑卒中患者从重症监护病房(ICU)转入普通病房中的应用效果。方法选择2018年1月—2020年9月南昌大学第一附属医院从ICU转入普通病房的脑卒中患者200例,按照入组先后顺序编号,偶数组设为试验组(100例),奇数组设为对照组(100例)。对照组实施常规护理,试验组在常规的护理基础上采取TCM模式。比较两组的自护能力、家属对患者卧床的管理效果及护理满意度。结果两组干预前的自护能力量表(ESCA)评分比较,差异无统计学意义(P>0.05);试验组干预后的ESCA评分为(72.87±6.33)分,高于对照组的(55.48±5.15)分,试验组家属对患者卧床的管理效果优良率(92.00%)、护理满意度(97.00%)高于对照组(71.00%、82.00%),差异均有统计学意义(P<0.05)。结论TCM模式可有效提高从ICU转入普通病房的脑卒中患者自护能力及家属对患者卧床的管理能力,取得较高满意度。Objective To explore the application effect of transitional care(TCM)model in the transfer of stroke patients from intensive care unit(ICU)to general ward.Methods A total of 200 stroke patients who were transferred from the ICU to the general ward in the First Affiliated Hospital of Nanchang University from January 2018 to September 2020 were selected and numbered according to the order of entry.The even group was set as the test group(100 cases)and the odd group was set as the control group(100 cases).The control group carried out routine care,and the test group adopted TCM mode on the basis of routine care.The self-care ability,family members′management effect of bed rest and nursing satisfaction were compared between two groups.Results There was no statistically significant difference in the self-care ability scale(ESCA)scores of the two groups before intervention(P>0.05);the ESCA score of the test group after intervention(72.87±6.33)was higher than that of the control group of(55.48±5.15)points,the good rate of bed rest management effect(92.00%)and nursing satisfaction(97.00%)were higher than those of the control group(71.00%,82.00%),and the differences were statistically significant(P<0.05).Conclusion The TCM model can effectively improve the self-care ability of stroke patients transferred from the ICU to the general ward and the ability of their families to manage the patients in bed,and achieve high satisfaction.

关 键 词：脑卒中 重症监护室 普通病房 过渡性护理模式 自护能力 满意度 

分 类 号：R473.5[医药卫生—护理学]