关键词:

脑卒中, 康复护理, 生活质量, SBAR理论

Abstract:

Objective　To explore the application effect of physician - nurse - rehabilitation therapist integrated management model based on SBAR (Situation, Background, Assessment, and Recommendation) in promoting early rehabilitation of stroke patients. Methods　Using a pre-post control study method with different cases, 30 stroke patients admitted to Jieyang People's Hospital from June 2020 to February 2021 were selected as a control group, including 11 males and 19 females, with an age of (63.77±13.26) years old, who received traditional physician - nurse - rehabilitation therapist integrated management model; 30 stroke patients admitted to Jieyang People's Hospital from March 2021 to December 2021 were as selected an observation group, including 21 males and 9 females, with an age of (59.20±17.20) years old, who received SBAR-based physician - nurse - rehabilitation therapist integrated management model. The modified Barthel index scores (activities of daily living) and simple three-level balance assessment results before and after intervention, and patient satisfaction with nursing services were compared between the two groups. t test and χ² test were used. Results　The modified Barthel index score of the observation group was significantly higher than that of the control group at discharge [(50.23±28.63) points vs. (31.63±23.31) points], with a statistically significant difference (P<0.01). The sitting and standing balance assessment results of the observation group were better than those of the control group at 2 weeks of hospitalization and discharge, with statistically significant differences (all P<0.05). There were 7 dimensions of patient nursing service satisfaction, among which the scores of perceived quality and patient complaint were (42.70±3.76) and (4.47±0.68) points in the control group, and (45.53±0.73) and (4.80±0.41) points in the observation group, respectively, with statistically significant differences (both P<0.05); the scores of hospital brand, disease pressure, patient satisfaction, and patient loyalty were (4.47±0.57), (4.63±0.56), (9.37±1.03), and (9.20±1.00) points in the control group, and (4.90±0.31), (4.93±0.25), (9.97±0.18), and (9.87±0.35) points in the observation group, respectively, with statistically significant differences (all P<0.01); the patient expectation score of the control group was (14.40±1.33) points, and that of the observation group was (14.87±0.35) points, with no statistically significant difference (P>0.05). Conclusion　The physician - nurse - rehabilitation therapist integrated management model based on SBAR can improve the activities of daily living of stroke patients, improve the limb function, and improve the satisfaction of nursing services, which has high clinical promotion value.

Key words:

Stroke, Rehabilitation nursing, Quality of life, SBAR theory