Pender健康促进模式在创伤性脑损伤患者术后康复中的应用价值  

Application Value of Pender Health Promotion Model in Postoperative Rehabilitation of Patients with Traumatic Brain Injury

作　　者：吴燕妮 邓高丽 黄利娜 温一奇 李媚[1] 黄总军 李雪松[1] WU Yanni;DENG Gaoli;HUANG Lina;WEN Yiqi;LI Mei;HUANG Zongjun;LI Xuesong(The Third People's Hospital of Huizhou City,Guangdong Province,Huizhou 516000,China;不详)

机构地区：[1]广东省惠州市第三人民医院,广东惠州516000

出　　处：《中国医学创新》2023年第1期160-164,共5页Medical Innovation of China

基　　金：惠州市科技计划项目(2021WC0106187)。

摘　　要：目的:探讨Pender健康促进模式在创伤性脑损伤患者术后康复中的应用价值。方法:采取临床随机对照试验(RCT)方法,选取2021年1-12月惠州市第三人民医院就诊收治的80例脑外伤患者。对照组接受传统康复指导和健康教育,试验组在对照组的基础上接受Pender健康促进模式的康复护理方案。比较两组患者干预前和干预15、45、90、180 d后的日常活动能力、生活质量、健康促进生活方式及脑外伤术后康复知识掌握情况,同时比较两组平均住院时间及干预6个月内再入院率。结果:试验组干预15、45、90、180 d后的美国国立卫生研究院卒中量表(NIHSS)、Barthel指数(BI)、汉密尔顿焦虑量表(HAMA)、康复知识问卷评分均优于对照组(P<0.05);试验组干预90、180 d的格拉斯哥预后量表(Glasgow outcome scale,GOS)评分均高于对照组(P<0.05);试验组术后平均住院时间(16.08±4.96)d低于对照组(25.38±3.93)d(P<0.05);试验组干预6个月内再入院率为12.5%低于对照组的32.5%(P<0.05)。结论:Pender健康促进模式有助于创伤性脑损伤患者术后日常生活能力的恢复、生活质量的提高、康复知识的掌握,在临床推广中有重要应用价值。Objective:To explore the application value of Pender health promotion model in postoperative rehabilitation of patients with traumatic brain injury.Method:A randomized controlled clinical trial(RCT)was conducted to select 80 patients with traumatic brain injury who were admitted to the Third People’s Hospital of Huizhou City from January to December 2021.The control group received the traditional rehabilitation guidance and health education,and the experimental group received the rehabilitation nursing program of Pender health promotion model based on the control group.Daily activity ability,quality of life,health-promoting lifestyle and postoperative rehabilitation knowledge were compared between the two groups before intervention and 15,45,90 and 180 days after intervention.Meanwhile,the average length of hospital stay and the readmission rate within 6 months after intervention were compared between the two groups.Result:The scores of national institutes of health stroke scale(NIHSS),Barthel index(BI),Hamilton anxiety scale(HAMA)and rehabilitation knowledge questionnaire after intervention 15,45,90 and 180 days in experimental group were better than those in control group(P<0.05).The Glasgow outcome scale(GOS)scores of experimental group were higher than those of control group after 90 and 180 days of intervention(P<0.05).The mean postoperative hospital stay of experimental group(16.08±4.96)d was lower than that of control group(25.38±3.93)d(P<0.05).The readmission rate within 6 months of intervention in experimental group was 12.5%lower than 32.5%in control group(P<0.05).Conclusion:Pender health promotion model is helpful for the recovery of daily living ability,improvement of life quality and mastery of rehabilitation knowledge of patients with traumatic brain injury after surgery,and has important application value in clinical promotion.

关 键 词：Pender健康促进模式 创伤性脑损伤 术后康复 

分 类 号：R493[医药卫生—康复医学] R651.15[医药卫生—临床医学]