Wang Mengmeng, Liu Yingmin, Wang Congcong, Wang Xu
Department of Emergency Medicine, The Number Two Hospital of Baoding Baoding 071000, Hebei, China.
Department of Nursing, The Number Two Hospital of Baoding Baoding 071000, Hebei, China.
Am J Transl Res. 2023 Jul 15;15(7):4932-4941. eCollection 2023.
To explore the application value of a case management model based on Maslow's theory in stroke patients.
A total of 136 stroke patients admitted in the Number Two Hospital of Baoding from November 2019 to January 2023 were selected retrospectively. Based on the nursing measurements, 68 patients receiving conventional care were assigned to the control group, and 68 patients receiving case management nursing based on Maslow's theory were assigned to the observation group. The basic information of two groups of patients were compared; besides, the neurological function, daily living ability (ADL), quality of life (Stroke Impact Scale, SIS), self-care ability, functional outcomes (Modified Rankin Scale, mRS), complications, and nursing satisfaction of two groups of patients were also compared before and after nursing care.
After nursing, the observation group showed more significant improvements in neurological function, daily living ability, quality of life, self-care ability, and functional outcomes (all P<0.05), but lower incidence in complications (P<0.05) than the control group. In addition, the patient satisfaction rate was significantly higher in the observation group than that in the control group.
Case management guidance based on Maslow's theory for stroke patients can improve patient rehabilitation outcomes and satisfaction with care. The model achieves continuity of information, resources, and personnel for stroke patients after discharge, coordinates multidisciplinary management, and ensures the rational utilization of medical resources. It is an effective way of health care and worthy of clinical promotion.
探讨基于马斯洛理论的个案管理模式在脑卒中患者中的应用价值。
回顾性选取2019年11月至2023年1月在保定市第二医院收治的136例脑卒中患者。基于护理措施,将68例接受常规护理的患者分配至对照组,将68例接受基于马斯洛理论的个案管理护理的患者分配至观察组。比较两组患者的基本信息;此外,还比较了两组患者护理前后的神经功能、日常生活能力(ADL)、生活质量(卒中影响量表,SIS)、自我护理能力、功能结局(改良Rankin量表,mRS)、并发症及护理满意度。
护理后,观察组在神经功能、日常生活能力、生活质量、自我护理能力及功能结局方面的改善均较对照组更显著(均P<0.05),但并发症发生率低于对照组(P<0.05)。此外,观察组患者满意度显著高于对照组。
基于马斯洛理论对脑卒中患者进行个案管理指导可改善患者康复结局及护理满意度。该模式实现了脑卒中患者出院后信息、资源及人员的连续性,协调了多学科管理,确保了医疗资源的合理利用。是一种有效的医疗保健方式,值得临床推广。