基于计划外再入院风险模型的护理模式在急性脑梗死出院患者中的应用  

Application of a nursing model based on the risk model of unplanned readmission in discharged patients with acute cerebral infarction

作　　者：寇梦瑜 杨惠[1] Kou Mengyu;Yang Hui(The First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]成都医学院第一附属医院,成都610500

出　　处：《保健医学研究与实践》2023年第S02期196-198,共3页Health Medicine Research and Practice

摘　　要：目的探讨基于计划外再入院风险模型(LACE)的护理模式在急性脑梗死出院患者中的应用价值。方法选取2022年4月—2023年4月本院收治的113例急性脑梗死患者作为研究对象,采用随机数字表法分为对照组(56例)和观察组(57例)。对照组患者接受常规护理干预,观察组患者接受基于LACE的出院后护理干预。比较2组患者干预前后神经功能缺损程度、日常生活能力、心理状态和护理满意度。结果干预后,2组患者美国国立卫生研究院卒中量表(NIHSS)评分低于干预前且观察组低于对照组,巴氏指数(BI)评分高于干预前且观察组高于对照组,差异均有统计学意义(P<0.05);干预后,2组患者采用焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05);观察者患者护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于LACE的院外护理能够更好地促进急性脑梗死患者神经功能恢复,提升其日常生活能力和护理满意度,改善负面情绪状态。Objective To explore the application of a nursing model based on the LACE(Length of stay,Acuity of admission,Comorbidities,Emergency department visits)unplanned readmission risk model in patients discharged after acute cerebral infarction.Methods A total of 113 patients with acute cerebral infarction treated at our hospital from April 2022 to April 2023 were selected as research participants.They were randomly assigned to a control group(n=56)and an observation group(n=57).The control group received routine nursing interventions,while the observation group received post-discharge nursing interventions based on the LACE model.The degree of neurological deficit,activities of daily living,psychological state,and degree of satisfaction with nursing were compared between the two groups before and after intervention.Results After intervention,the National Institutes of Health Stroke Scale(NIHSS)scores of both groups were lower than before the intervention,and the observation group's scores were lower than those of the control group,with statistically significant differences(P<0.05).The Barthel Index(BI)scores were higher than before the intervention,and the observation group's scores were higher than those of the control group,with statistically significant differences(P<0.05).After intervention,the scores on the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)of both groups were lower than before the intervention,and the observation group's scores were lower than those of the control group,with statistically significant differences(P<0.05).The degree of satisfaction with nursing of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Post-discharge nursing based on the LACE model can better promote the recovery of neurological function in patients with acute cerebral infarction,increase their daily living abilities and degree of satisfaction with nursing,and promote their negative emotional states.

关 键 词：急性脑梗死 出院 计划外再入院 风险模型的护理模式 应用 

分 类 号：R473.74[医药卫生—护理学]