Effects of integrated health education model of medical care and treatment on the rehabilitation effect of inpatients with brain injury
10.3760/cma.j.cn115682-20200304-01349
- VernacularTitle:医护治一体化健康教育模式对住院脑外伤患者康复效果的影响
- Author:
Yanchun MA
1
;
Caiping GAO
;
Meng WEI
;
Fengxia WANG
;
Wen CHEN
;
Yunfeng WU
Author Information
1. 上海市养志康复医院（上海市阳光康复中心）神经康复四科 201619
- Keywords:
Rehabilitation;
Brain injury;
Integration of medical care and treatment;
Health education;
Motor function;
Self-care ability;
Nursing quality
- From:
Chinese Journal of Modern Nursing
2020;26(31):4383-4388
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical application effect of the integrated health education model of medical care and treatment in the rehabilitation of hospitalized patients with brain injury.Methods:A total of 90 patients with brain injury who were admitted to Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center) from May 2018 to October 2019 were selected as the research objects by the convenient sampling method. The patients were divided into the observation group ( n=46) and the control group ( n=44) by random number table method. The control group adopted traditional methods for health education, while the observation group adopted integrated health education model of medical care and treatment. Standardized assessments were performed before the intervention and the first, third and sixth weeks of the intervention. The responsible nurses used Fugl-Meyer Assessment Scale (FMA) , Self-care Ability Assessment Scale (Barthel index) and Exercise of Self-Care Agency scale (ESCA) to evaluate the motor function, daily life self-care ability and self-care ability of the observation group and the control group. And self-made questionnaire was used to assist patients to complete the nursing quality satisfaction score. Results:After 6 weeks, the score of limb motor function score of the observation group was (89.57±11.28) and score of the daily self-care ability was (89.46±11.75) . Those of the control group were respectively (69.82±10.04) and (56.70±10.67) . The differences were all statistically significant ( P<0.05) . After intervention, the scores of self-care ability of patients in the observation group were (23.26±2.87) , (34.17±4.23) , (17.57±2.52) and (48.40±6.03) , and the satisfaction rate of nursing quality was 87.0% (40/46) . The scores of self-care ability of patients in the control group were (16.50±1.86) , (24.21±3.01) , (12.66±1.78) and (34.18±3.96) and 63.6% (28/44) . The differences were all statistically significant ( P<0.01) . Conclusions:The integrated health education model of medical care and treatment can improve the limb motor function of patients with brain injury and the self-care ability of daily life, improve the self-care ability of patients in rehabilitation treatment, improve the satisfaction of nursing quality and improve the quality of medical service.
