协同护理干预对脑卒中后卧床患者照顾者预防压疮自我效能和认知水平的研究.pdfVIP

《中国医学创新》第 12 卷 第 5 期（总第 323 期）2015 年 2月　　护理管理 Huliguanli 协同护理干预对脑卒中后卧床患者照顾者 预防压疮自我效能和认知水平的研究* ① ① ① 汤志萍 　王富云 　刘雪梅 【摘要】　目的： 　　 研究协同护理干预对脑卒中后卧床患者照顾者预防压疮自我效能和认知水平的影响。 方法：统计分析 2012 年 3 月 -2014 年 3 月本院收治的 80 例脑卒中患者照顾者的临床资料。依据随机数字表法 将这些患者照顾者分为两组，即研究组和对照组，每组各 40 例。给予对照组患者常规护理，给予研究组患者 结果： 常规护理基础上的协同护理干预。 研究组患者的压疮发生率 2.5%（1/40）显著低于对照组 45.0%（18/40）， 性格外向、情绪稳定、睡眠好、主动社交比例均显著高于对照组，照顾能力评分显著低于对照组，生活质量评 分显著高于对照组，两组比较差异均有统计学意义（P0.05）。结论：协同护理干预能够有效改善脑卒中后卧 床患者照顾者预防压疮的自我效能和认知水平。 【关键词】 　　 　协同护理干预；　脑卒中后卧床患者照顾者；　预防压疮；　自我效能；　认知水平 　　Self-efficacy Pressure Sores and Cognitive Levels Research of Collaborative Care Intervention after Stroke Prevention on Caregivers Bedridden Patients/TANG Zhi-ping，WANG Fu-yun，LIU Xue-mei.//Medical Innovation of China，2015，12（05）：069-071 　　【Abstract】　Objective：To study the impacts of collaborative care intervention on self-efficacy pressure sores and cognitive levels after stroke prevention on caregivers bedridden patients. Method： 80 cases of stroke caregivers patients were selected in our hospital from March 2012 to March 2014 ，randomly divided into observation group and control group，40 cases in each group.The control group was treated with routine nursing and the observation group was treated with collaborative care intervention based on the routine nursing.Result：The incidence of pressure sores of the study group 2.5%（1/40） was significantly lower than the control group 45.0% （18/40）；the proportions of outgoing personality， emotional stability，sleep good，and active social were significantly higher than the control group；the care ability score was significantly lower than the control group；the quality of life score was significantly higher than the control group，all the differences were statistically significant（P0.05）.Conclusion：Collaborative care intervention can improve the self-