协同式康复干预对老年脑卒中患者功能恢复和生活质量的影响  

Effect of collaborative rehabilitation intervention on functional recovery and quality of life in elderly stroke patients

作　　者：刘春凡[1] 张婕[1] 李晓雪 陈玉荣[1] 张振香[3] 孙新宇[1] 苗亚洲 王路路 LIU Chunfan;ZHANG Jie;LI Xiaoxue;CHEN Yurong;ZHANG Zhenxiang;SUN Xinyu;MIAO Yazhou;WANG Lulu(The First People’s Hospital of Zhengzhou,Zhengzhou 450000,China;The Third Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China)

机构地区：[1]郑州市第一人民医院,河南郑州450000 [2]郑州大学第三附属医院,河南郑州450000 [3]郑州大学护理与健康学院,河南郑州450001

出　　处：《中国实用神经疾病杂志》2022年第2期197-201,共5页Chinese Journal of Practical Nervous Diseases

基　　金：河南省医学科技攻关联合共建项目(编号:2018020730);河南省医学科技攻关计划省部共建项目(编号:SBGJ202002014);河南省医学科技攻关联合共建项目(编号:LHGJ20210725)。

摘　　要：目的探讨基于家庭医生团队对社区老年脑卒中后尿失禁患者实施协同式康复管理模式。方法选取2016-12—2019-12康复出院的55例老年脑卒中后尿失禁患者,进行随机分组:对照组(26例)和干预组(29例)。对照组常规出院后居家照护,干预组在对照组基础上实施家庭医生团队协同式康复干预。比较2组干预前后膀胱功能恢复情况及生活质量。结果干预后干预组有效率为93.10%,对照组为76.92%,2组患者尿失禁治疗总有效率差异有统计学意义(P<0.05),干预组优于对照组;干预组干预前患者I-QOL总分为(27.62±13.48)分,干预后患者I-QOL总分为(59.82±25.40)分;对照组干预前患者I-QOL总分为(25.74±16.90)分,干预后患者I-QOL总分为(41.64±22.97)分。干预前2组患者I-QOL总分及各维度得分比较差异无统计学意义(P>0.05),干预后2组患者I-QOL总分及各维度得分比较差异有统计学意义(P<0.01)。结论实施家庭医生团队协同式康复干预模式能够改善社区老年脑卒中后尿失禁患者膀胱功能,提升其生活质量。Objective To discuss the implementation of collaborative rehabilitation management model for elderly post-stroke urinary incontinence patients in community based on family doctor team.Methods A total of55 elderly patients with post-stroke urinary incontinence who recovered and discharged from December 2016 to December 2019 were selected and randomly divided into control group(n=26)and intervention group(n=29).The control group was given routine home care after discharge,while the intervention group was given coordinated rehabilitation intervention by family doctors on the basis of the control group.The recovery of bladder function and quality of life were compared between the two groups before and after the intervention.Results After the intervention,the effective rate of the intervention group was 93.10%,and the effective rate of the control group was76.92%.There was a statistically significant difference in the total effective rate of urinary incontinence between the two groups(P<0.05),and the intervention group was better than the control group.The total score of I-QOL was(27.62±13.48)before the intervention and(59.82±25.40)after intervention in the intervention group,the total score of I-QOL was(25.74±16.90)before the intervention and(41.64±22.97)after intervention,there were no significant differences of the I-QOL total score and each dimension score between the two groups before the intervention(P>0.05).After the intervention,the I-QOL total score and each dimension score were statistically significant between the two groups(P<0.01).Conclusion The implementation of the family doctor team collaborative rehabilitation intervention model can improve the bladder function of elderly patients with post-stroke urinary incontinence in the community and improve their quality of life.

关 键 词：脑卒中 尿失禁 家庭医生团队 老年 协同式康复干预 

分 类 号：R473.74[医药卫生—护理学]