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4C延续性护理管理模式在脑卒中康复期患者中的应用效果

叶日春 刘文硕 莫苗苗 叶雪珍 林满秋

临床与病理杂志2017,Vol.37Issue(3):510-515,6.
临床与病理杂志2017,Vol.37Issue(3):510-515,6.DOI:10.3978/j.issn.2095-6959.2017.03.011

4C延续性护理管理模式在脑卒中康复期患者中的应用效果

Effect of 4C continuous nursing management model on recovering stroke patients

叶日春 1刘文硕 1莫苗苗 1叶雪珍 1林满秋1

作者信息

  • 1. 广东省中医院神经内科,广州 510120
  • 折叠

摘要

Abstract

Objective: To explore the nursing effect of 4C continuous nursing management model on stroke patients who are in the stage of rehabilitation. Methods: A total of 150 stroke patients who are in the stage of rehabilitation were randomly divided into an observation group and a control group by the random number table. The patients in the control group adopted conventional telephone follow-up management and outpatient subsequent visits, while the observation group implemented 4C continuous nursing management model based on the conventional follow-up management. Then, compared the patients of the two groups before they were discharged from the hospital and in the first month, the third month and the sixth month after they were discharged from the hospital in terms of their Barthel index (BI), Fugl Meyer Assessment (FMA) and Modified Rankin Scale (MRS). Results: The scores of BI in the first month, the third month and the sixth month after the patients were discharged were significantly higher than those before they were discharged, and the BI scores of the observation group were much higher than those of the control group, thus, the difference was statistically significant (P<0.05). The FMS scores of the two groups in the third month and the sixth month after the patients were discharged were significantly higher than those before they were discharged, and the FMA scores of the observation group were much higher than those of the control group, thus, the difference was statistically significant (P<0.05). The MRS scores of the two groups in the first month, the third month and the sixth month after the patients were discharged were obviously lower than those before they were discharged, and the MRS scores of the observation group were lower than those of the control group, thus, the difference was statistically significant (P<0.05). Conclusion: The 4C continuous nursing management model can greatly improve the ability of daily activities, limb movement function and neurological function of stroke patients who are in the stage of rehabilitation, so as to improve their rehabilitation level.

关键词

脑卒中/康复/4C延续性护理

Key words

stroke/rehabilitation/4C continuous nursing management model

引用本文复制引用

叶日春,刘文硕,莫苗苗,叶雪珍,林满秋..4C延续性护理管理模式在脑卒中康复期患者中的应用效果[J].临床与病理杂志,2017,37(3):510-515,6.

临床与病理杂志

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