Abstract:

Objective　To explore and analyze the impact of the acute-medical rehabilitation-follow-up support stage nursing mode on the cognitive function, motor function, and quality of life of patients with stroke. Methods　This was a prospective study. A total of 136 patients with stroke who were hospitalized in Xi'an International Medical Center Hospital from January 2023 to January 2024 were selected as the research objects. They were divided into a control group and a study group by the random number table method, with 68 cases in each group. In the control group, there were 38 males and 30 females, with an age of (55.20 ± 6.88) years. In the study group, there were 37 males and 31 females, with an age of (55.32 ± 7.03) years. The control group adopted the conventional nursing mode; the study group adopted the acute-medical rehabilitation-follow-up support stage nursing mode. The scores of the Mini-Mental State Examination (MMSE), Fugl-Meyer Assessment (FMA), and EuroQol Five-Dimension Questionnaire (EQ-5D) of the two groups were compared and analyzed. t and χ² tests were used for the statistical analysis. Results　After the intervention, the scores of MMSE and upper and lower limbs of FMA in the study group were higher than those in the control group (24.02±1.90 vs. 22.45±1.88, 63.67±3.60 vs. 59.02±3.55, and  31.44±2.66 vs. 28.85±1.96), with statistical differences (all P<0.05). After the intervention, the scores of mobility (MO), anxiety and depression (AD), usual activities (UA), pain and discomfort (PD), and self-care (SC) of the EQ-5D health description system in the study group were lower than those in the control group (0.79±0.29 vs. 1.16±0.41, 0.78±0.29 vs. 1.30±0.40, 0.84±0.25 vs. 1.32±0.29, 0.85±0.21 vs. 1.41±0.40, and 0.76±0.24 vs. 1.31±0.32), with statistical differences (all P<0.05). Conclusion　Acute-medical rehabilitation-follow-up support stage nursing mode for patients with stroke can improve their cognitive function, motor function, and quality of life.

Key words:

Stroke, Acute-medical rehabilitation-follow-up support, Nursing, Cognitive function, Quality of life

摘要：

目的　分析急性-医学康复-后续支持阶段护理模式对脑卒中患者认知功能、运动功能及生活质量的影响。方法　本研究为前瞻性研究，选取2023年1月至2024年1月于西安国际医学中心医院住院治疗的脑卒中患者136例为研究对象，按随机数字表法分为对照组与研究组，各68例。对照组：男38例、女30例，年龄（55.20±6.88）岁。研究组：男37例、女31例，年龄（55.32±7.03）岁。对照组行常规护理模式，研究组行急性-医学康复-后续支持阶段护理模式。对比分析两组患者简易智能量表（MMSE）、Fugl-Meyer评估量表（FMA）、欧洲五维健康效用量表（EQ-5D）评分。统计学分析采用t、χ²检验。结果　干预后，研究组患者的MMSE［（24.02±1.90）分］与FMA量表中上肢［（63.67±3.60）分］、下肢［（31.44±2.66）分］评分均高于对照组［（22.45±1.88）分、（59.02±3.55）分、（28.85±1.96）分］，差异均有统计学意义（均P<0.05）。研究组脑卒中患者干预后的EQ-5D健康描述系统行动能力、焦虑、抑郁、日常活动、疼痛与不舒服、自我照顾维度各评分［（0.79±0.29）分、（0.78±0.29）分、（0.84±0.25）分、（0.85±0.21）分、（0.76±0.24）分］均低于对照组［（1.16±0.41）分、（1.30±0.40）分、（1.32±0.29）分、（1.41±0.40）分、（1.31±0.32）分］，差异均有统计学意义（均P<0.05）。结论　对脑卒中患者应用急性-医学康复-后续支持阶段护理模式进行干预可显著改善认知功能、运动功能，提高生活质量。

关键词:

脑卒中, 急性-医学康复-后续支持, 护理, 认知功能, 生活质量