Application of the cooperation model between nurses and medical social workers in health education for patients with primary stroke
- VernacularTitle:护士医务社工合作模式在初发脑卒中患者健康教育中的应用
- Author:
Ying YANG
1
;
Li-Ke ZHAO
;
Ying-Hua CAO
Author Information
1. 上海市浦东新区人民医院
- Keywords:
stroke;
health education;
medical social worker
- From:
Chinese Journal of Clinical Medicine
2016;23(3):362-364
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the application effect of the cooperation model between nurses and medical social workers in health education for patients with primary stroke .Methods:Comparative the changes of introduce medical social workers before and after the two groups patient`s nerve function defect degree score and depression table score , stroke knowledge score ,medical care satisfaction score .From January to December ,2011 (before the introduction of medical social workers) ,convenience sampling method was adopted to select 72 cases of primary stroke patients hospitalized in the Department of Neurology of a hospital as the control group .From January to December ,2013 (after the introduction of medical social workers) ,the same method was adopted to select 98 cases as the observation group .The health education of the two groups was based on the nursing measures for stroke patients and the clinical pathway of health education .Health education in the control group was implemented by nurses ,while that in the observation group was implemented by nurses and medical social workers .The neurological function and depression status were assessed in two groups of patients when they were admitted to hospital and discharged from hospital by the clinical neropathy score (CNS) recommended by Chinese Medical Association and the Hamilton Depression Scale .Health education of patients was assessed by a self-designed health education questionnaire for primary stroke patients when they were discharged from hospital .Results:At admission ,there was no significant difference between the two groups in CNS scores and depression scale scores .When discharged ,the CNS scores and depression scale scores of two groups were both lower than at admission ,the scores of observation group were lower than those of the control group ,and the differences were statistically significant (P< 0 .05) .When discharged ,the stroke knowledge score difference between the two groups of patients was statistically significant (P< 0 .05);the medical satisfaction score difference between the two groups of patients was not statistically significant .Conclusions: The cooperative work model between nurses and medical social workers can improve the quality of health education in patients .
