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探讨护理人员参与多学科延续护理对脑卒中肢体功能障碍患者的应用价值。

To explore the application value of nursing staff involved multidisciplinary continuous nursing in stroke patients with limb dysfunction.

机构信息

Department of Nursing, Yueyang Vocational Technical College, Yueyang, China.

Medical Service Department, 923 Hospital of Joint Logistic Support Force of PLA, Nanning, China.

出版信息

BMC Health Serv Res. 2024 Sep 11;24(1):1051. doi: 10.1186/s12913-024-11511-0.

Abstract

BACKGROUND

Stroke patients often experience limb dysfunction, which can significantly impact their quality of life and daily living abilities. This study aimed to explore the effectiveness of nursing programs that incorporate multidisciplinary continuing care with the participation of nursing staff for patients with stroke and limb dysfunction.

METHODS

This was a randomized controlled trial (RCT) conducted from August 2021 to August 2023. Ninety stroke patients were randomly assigned to a control group (n = 45) and an observation group (n = 45). The control group received routine discharge care, while the observation group received multidisciplinary continuing care with the participation of nursing staff. Outcomes measured included Fugl-Meyer Assessment (FMA) scores for upper and lower limb function, quality of life, daily living ability (Barthel Index, MBI), and adverse reactions.

RESULTS

The FMA scores for upper and lower limbs were significantly higher in the observation group compared to the control group. The observation group also had significantly higher scores in all quality of life dimensions and MBI scores compared to the control group. There were 10 adverse reactions reported in the observation group and 22 in the control group.

CONCLUSIONS

Implementing multidisciplinary continuing care with the participation of nursing staff for stroke patients with limb dysfunction has a positive effect on improving limb function, quality of life, and daily living abilities, while also being relatively safe.

摘要

背景

脑卒中患者常伴有肢体功能障碍,严重影响其生活质量和日常生活能力。本研究旨在探讨护理人员参与的多学科延续护理方案对脑卒中合并肢体功能障碍患者的效果。

方法

这是一项 2021 年 8 月至 2023 年 8 月进行的随机对照试验(RCT)。90 例脑卒中患者被随机分为对照组(n=45)和观察组(n=45)。对照组接受常规出院护理,观察组接受护理人员参与的多学科延续护理。观察指标包括上肢和下肢 Fugl-Meyer 评估(FMA)评分、生活质量、日常生活能力(Barthel 指数、MBI)和不良反应。

结果

观察组上肢和下肢 FMA 评分明显高于对照组。观察组在所有生活质量维度和 MBI 评分上均显著高于对照组。观察组有 10 例不良反应,对照组有 22 例。

结论

对脑卒中合并肢体功能障碍患者实施护理人员参与的多学科延续护理方案对改善肢体功能、生活质量和日常生活能力有积极作用,且相对安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9ad/11391790/d8b02b6aa679/12913_2024_11511_Fig1_HTML.jpg

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