Mauk Kristen L
Valparaiso Univeristy, Valparaiso, IN 46363, USA.
Rehabil Nurs. 2006 Nov-Dec;31(6):257-63; discussion 264. doi: 10.1002/j.2048-7940.2006.tb00022.x.
Stroke continues to be the third leading cause of death in the United States. According to the National Stroke Association (NSA, 2004) and the American Heart Association (AHA, 2004), there are over 750,000 new or recurrent strokes per year, with many resulting in residual disability. Stroke survivors often deal with the physical, psychosocial, and emotional consequences of stroke long after they have left the safety of professional rehabilitation. Patient instruction from nurses prior to discharge, while necessary, may be done at a point in the recovery process when the stroke survivor is not ready to learn how to deal with such consequences. Using the Mauk Model for Poststroke Recovery, nurses can identify which phase of recovery a survivor is in, and thus tailor care to his or her needs. The purpose of this article is to use the Mauk Model for Poststroke Recovery to present nursing interventions that are appropriate to each of the previously identified six phases of stroke recovery.
中风仍是美国第三大死因。根据美国国家中风协会(NSA,2004年)和美国心脏协会(AHA,2004年)的数据,每年有超过75万例新发或复发性中风,其中许多导致了残留残疾。中风幸存者在离开专业康复机构的安全环境很久之后,仍常常要应对中风带来的身体、心理社会和情感方面的后果。护士在出院前对患者进行指导虽然有必要,但可能是在中风幸存者尚未准备好学习如何应对这些后果的恢复阶段进行的。运用莫克中风恢复模型,护士可以确定幸存者处于恢复的哪个阶段,从而根据其需求提供个性化护理。本文旨在运用莫克中风恢复模型,介绍适合先前确定的中风恢复六个阶段中每个阶段的护理干预措施。