目的: 观察知识-社会-心理一体化照护模式对老年脑梗死患者心理状态和生理功能恢复的影响。方法: 选取芜湖市中西医结合医院2022年1月—2023年6月84例老年脑梗死患者为研究对象,采用随机数表完全随机化分组法分为对照组（n=42）和观察组（n=42）。对照组实施常规照护模式,观察组实施知识-社会-心理一体化照护模式。比较干预前、干预1个月后两组患者心理状态[心理状态评估量表（MSSNS）]、生理功能恢复情况[功能独立性评测量表（FIM）]、自我管理能力（脑卒中患者自我管理能力调查量表）,比较干预后两组患者生活质量[脑卒中专用生活质量量表（SS-QOL）]。结果: 干预1个月后,两组患者MSSNS量表评分较干预前均有降低,且观察组低于对照组;两组患者FIM量表评分、脑卒中患者自我管理能力调查量表评分较干预前均有升高,且观察组FIM量表评分、脑卒中患者自我管理能力调查量表评分、SS-QOL量表评分高于对照组。结论: 知识-社会-心理一体化照护模式相较于常规照护模式,能有效改善老年脑梗死患者心理状态,促进患者生理功能恢复,同时还能提高患者自我管理能力和生活质量。
Abstract
Objective To observe the influence of knowledge-society-psychology integrated care model on the psychological status and physiological functional recovery in elderly patients with cerebral infarction. Methods 84 elderly patients with cerebral infarction in wuhu integrated traditional chinese and western medicine hospital were enrolled in the study from January 2022 to June 2023. They were divided into control group (n=42) and observation group (n=42) by complete randomization method of random number table method. The control group implemented routine care model, while the observation group carried out knowledge-society-psychology integrated care model. The psychological status [Mental Status Scale in Non-psychiatric Settings (MSSNS) ], physiological functional recovery status [Functional Independence Measure (FIM) ] and self-management ability (self-management ability scale of stroke patients) were compared before intervention and after 1 month of intervention. The quality of life [Stroke Specific Quality of Life Scale (SS-QOL) ] after intervention were compared between the two groups of patients. Results After 1 month of intervention, the scores of MSSNS scale in the two groups were reduced than those before intervention, and the scores in observation group were lower. The scores of FIM scale and self-management ability scale of stroke scale were enhanced in the two groups compared with those before intervention, and the observation group scores of FIM scale, self-management ability scale of stroke scale and SS-QOL scale had higher scores. Conclusion Compared with routine care model, knowledge-society-psychology integrated care model can effectively improve the psychological status, promote the physiological functional recovery, and enhance the self-management ability and quality of life in elderly patients with cerebral infarction.
关键词
知识 /
社会 /
心理 /
一体化照护 /
老年患者 /
脑梗死 /
心理状态 /
生理功能恢复
Key words
knowledge /
society /
psychology /
integrated care /
elderly patients /
cerebral infarction /
psychological status /
physiological functional recovery
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基金
安徽省高校自然科学研究项目“普罗布考在缺血性脑血管病二级预防中的疗效研究”（2023AH040246）
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