协同护理模式对脊髓损伤病人早期康复训练效果与生活质量的影响

摘要

Objective:To observe the effect of collaborative care model applied in rehabilitation training for pa-tients with spinal cord injury(SCI).Methods:A total of 84 patients with SCI were randomly divided into experi-mental group and the control group,42 cases in each.The patients in control group received conventional care and unscheduled follow up after discharge.The patients in experimental group received collaborative care mod-el including individualized knowledge instruction,rehabilitation training and follow up intervention besides routine nursing.After discharge,the followed up was carried out for 6 months based on plan,and then to com-pare the rehabilitation score,quality of life score and complications between both groups before and after the in-tervention.Results:The rehabilitation score and quality of life score in observation group were significantly bet-ter than those in control group,the incidence of complications in observation group was significantly lower than that in control group,and the differences were statistically significant (P<0.05).Conclusion:Collaborative care model could enhance the independent life ability,reduce the incidence of complications,and then to improve the quality of life of SCI patients.%[目的]观察将协同护理模式应用于脊髓损伤病人康复训练中的效果。[方法]将84例脊髓损伤的病人随机分为观察组和对照组，每组42例，对照组实施常规护理，出院后不定期随访，观察组在常规护理基础上采用协同护理模式，包括个体化健康指导、康复训练和随访干预，出院后按计划随访干预6个月，比较两组病人干预前后康复评分、生活质量评分和并发症情况。[结果]干预后观察组病人康复评分、生活质量评分均明显优于对照组，观察组病人并发症发生率明显低于对照组，经比较差异均有统计学意义(P<0.05)。[结论]协同护理模式可以提高脊髓损伤病人康复期的独立生活能力，减少并发症的发生，提高病人的生活质量。