The effect of hospital-community-family transitional rehabilitation care model on rehabilitation among patients with brain trauma
10.3760/cma.j.cn211501-20210203-00374
- VernacularTitle:医院-社区-家庭延续康复护理模式对脑外伤患者康复的效果研究
- Author:
Caiping GAO
1
;
Juan SHI
;
Fengxia WANG
;
Meng WEI
;
Yunfeng WU
;
Wen CHEN
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，上海 201619
- Keywords:
Traumatic brain injury;
Rehabilitation;
Transitional care;
Medical consortium;
Hospital-community-family
- From:
Chinese Journal of Practical Nursing
2022;38(8):561-567
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of hospital-community-family transitional rehabilitation care model on patients with brain trauma and explore an economic, effective, all-sided rehabilitation approach.Methods:A total of 82 in-patients with brain trauma were recruited from January 2018 to June 2019 in Shanghai Yang Zhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center). The participants were allocated into 2 groups based on randomized digital tables. Forty patients in the observation group received the hospital-community-family transitional rehabilitation care, and forty-two patients in the control group received routine rehabilitation care. All the participants completed assessments with the Fugl-Meyer Assessment Scale (FMA), the Barthel Index for the Activities of Daily Living (BI) and the Hamilton Anxiety Scale (HAMA) before the intervention, at discharge, 1 month, 4 months, 6 months and 10 months after discharge, respectively.Results:Before the intervention, no statistical significance was identified in the total scores of FMA, BI and HAMA between the two groups ( P>0.05). Compared to the control group, the total scores of FMA, BI and HAMA in the observation group were significantly improved at the discharge, 1 month, 4 months, 6 months and 10 months after discharge, respectively ( t values were -13.82 - 10.28, all P<0.05). Significant differences were observed in the level of FMA, BI and HAMA between the two groups across 6 time points ( Ftime×group=20.34, 18.34, 19.55, Ftime=183.24, 184.30, 179.09, Fgroup=28.86, 32.19, 26.63, all P<0.05). Conclusions:The hospital-community-family transitional rehabilitation care model which is based on medical consortium effectively improved traumatic brain-injured patients′motor function, the level of activities of daily living, and patients′anxiety. In addition, the model also improved the quality of medical services.
