基于FOCUS-PDCA的多学科协作式护理模式在老年急性缺血性脑卒中患者中的应用

Application of multidisciplinary collaborative nursing model based on FOCUS-PCDA in elderly patients with acute ischemic stroke

中文关键词: 老年  脑梗死  FOCUS-PDCA  多学科协作护理模式  感染  C-反应蛋白  早期康复护理

英文关键词: elderly  acute ischemic stroke  FOCUS-PDCA  multidisciplinary collaborative nursing model  infection  C-reactive protein  early rehabilitation care

中文摘要:

      目的 基于FOCUS-PDCA理论创建多学科协作式护理模式,探讨其在老年脑梗死患者中的应用效果.方法 选择2018年1月—2024年5月华山医院收治入院的老年脑梗死患者100例,分为观察组和对照组,每组50例.2组在相同治疗基础上,对照组采用常规模式专科护理,观察组在与对照组相同处理的基础上加用以FOCUS-PDCA程序下的多学科协助式护理模式.比较2组住院期间疾病严重情况、运动能力、生活自理能力和临床预后.结果 与对照组比较,观察组在院期间的感染率及气管插管率均降低,血清白蛋白水平升高,C-反应蛋白水平下降,出院时简式FuglMeyer评分升高,90 d后的改良Rankin评分降低,差异均有统计学意义(P＜0.05).结论 基于FOCUS-PDCA模式护理多学科协作式护理模式可有助于降低脑梗老年患者疾病严重程度,降低病死率,保证更好的营养状态,改善患者的远期预后.

英文摘要:

      Objective To establish a multidisciplinary collaborative nursing model based on the FOCUS-PDCA theory and explore its application effects in elderly patients with acute ischemic stroke(AIS).Methods 100 AIS elderly patients ad-mitted to Huashan Hospital between January 2018 and May 2024 were selected and divided into observation group and control group,with 50 patients in each group.Both groups received the same medical treatment.The control group received conven-tional specialized nursing care,while the observation group received the multidisciplinary collaborative nursing model based on the FOCUS-PDCA theory in addition to the same care as the control group.Disease severity during hospitalization,motor abili-ty,self-care ability,and clinical prognosis were compared between the two groups.Results Compared with the control group,the infection rate and tracheal intubation rate in the observation group decreased during hospitalization,serum albumin level increased,C-reactive protein level decreased,and the simplified Fugl-Meyer score increased at discharge.After 90 days,the modified Raskin Scale score decreased.All differences were statistically significant(P＜0.05).Conclusion The multi-disciplinary collaborative nursing model based on the FOCUS-PDCA theory can help reduce disease severity and mortality rates,ensure better nutritional status,and improve long-term prognosis of elderly AIS patients.