基于赋权-参与-合作理念的康复护理用于老年脑梗死患者的价值

Value of rehabilitation nursing based on empowerment-participation-cooperation concept in treatment of elderly patients with cerebral infarction

中文关键词: 老年  赋权-参与-合作理念  康复护理  脑梗死

英文关键词: elderly  empowerment-participation-cooperation concept  rehabilitation nursing  cerebral infarction

中文摘要:

      目的 研究基于赋权-参与-合作理念的康复护理用于老年脑梗死住院患者治疗中的价值,为治疗该病症提供方法.方法 研究对象为2022年5月—2023年5月在四川大学华西医院治疗的320例老年脑梗死患者,以随机盲法分为观察组(n=160)和对照组(n=160).对照组患者采用常规护理干预,观察组患者在对照组基础上加用基于赋权-参与-合作理念的康复护理,2组均干预2周.比较2组的预防跌倒行为、跌倒效能[采用修订版跌倒效能量表(MFES)评估]、日常生活能力[采用日常生活活动量表(ADL)评估]及康复信心[采用脑卒中后康复信心测量问卷中文版(CaSM)评估].结果 干预后,2组患者预防跌倒行为量表评分均高于同组干预前(P＜0.05),而观察组患者预防跌倒行为量表评分高于对照组(P＜0.05);2组患者跌倒效能量表中有充足的信心占比均高于同组干预前(P＜0.05),而跌倒效能低下占比低于同组干预前(P＜0.05),观察组有充足的信心占比高于对照组(P＜0.05),观察组跌倒效能低下占比低于对照组(P＜0.05);2组正常日常生活能力占比均高于同组干预前(P＜0.05),且观察组正常日常生活能力占比高于对照组(P＜0.05);2组患者CaSM评分均高于同组干预前(P＜0.05),且观察组CaSM评分高于对照组(P＜0.05).结论 采用基于赋权-参与-合作理念的康复护理可能改善老年脑梗死住院患者的预防跌倒行为,提高其跌倒效能、日常生活能力及康复信心,具有一定的临床应用价值.

英文摘要:

      Objective To study the value of rehabilitation nursing based on empowerment-participation-cooperation concept in the treatment of elderly inpatients with cerebral infarction,and provide a method for treatment of the disease.Methods The study subjects were 320 elderly patients with cerebral infarction who received treatment in West China Hospital,Sichuan University from May 2022 to May 2023.They were divided into observation group(n=160)and control group(n=160)by randomized blind method.The patients in the control group received routine nursing intervention,while the patients in the observation group received rehabilitation nursing based on empowerment-participation-cooperation concept in addition to the routine nursing intervention as the control group.Both groups were intervened for 2 weeks.The fall prevention behavior,fall efficacy[assessed by the Modified Fall Efficacy Scale(MFES)],daily living ability[assessed by the Activities of Daily Liv-ing Scale(ADL)]and rehabilitation confidence[assessed by the Chinese Version of Confidence after Stroke Measure(CaSM)]were compared between the two groups.Results After intervention,the scores of fall prevention behavior scale of both groups were higher than those of the same group before intervention(P＜0.05),and the scores of the observation group were higher than those of the control group(P＜0.05).The proportion of patients with sufficient confidence in the fall efficacy scale in both groups was higher than that in the same group before intervention(P＜0.05),and the proportion of patients with low fall efficacy was lower than that in the same group before intervention(P＜0.05);while the proportion of patients with suffi-cient confidence in the observation group was higher than that in the control group,and the proportion of patients with low fall ef-ficacy was lower than that in the control group(P＜0.05).The proportion of patients with normal daily living ability in both groups was higher than that in the same group before intervention(P＜0.05),and the observation group was higher than the con-trol group(P＜0.05).The CaSM scores of both groups were higher than those of the same group before intervention(P＜0.05),and the observation group were higher than the control group(P＜0.05).Conclusion Rehabilitation nursing based on empowerment-participation-cooperation concept may improve the fall prevention behavior of elderly inpatients with cerebral in-farction,and enhance their fall efficacy,daily life ability and rehabilitation confidence.It has certain clinical application value.