相互管理模式在家庭多成员烧伤患者康复中的应用

摘要

目的 探讨相互管理模式对家庭多成员烧伤患者康复的影响.方法 选取解放军第一八〇医院2010年2月—2014年10月出院的家庭多成员烧伤的患者138例为研究对象,2010年2月—2012年3月出院的患者为对照组68例,2012年4月—2014年10月出院的患者为观察组70例,两组患者住院期间采用相同康复治疗,对照组出院予常规指导康复知识,观察组采用相互管理模式对家庭多成员烧伤的患者进行管理,家庭受伤成员相互监督、帮助、鼓励,于出院后1个月、6个月、1年、3年分别进行随访,两组患者于出院1个月、6个月统计生活质量评分数据,分析采用相互管理对提高患者生活质量及重返岗位(工作和学习)的影响.结果 两组患者出院6个月生活质量差异有统计学意义(F=424.679,P<0.01),观察组生活质量评价的躯体功能、心理功能、社会功能、物质生活状态维度高于对照组(t值分别为5.115、4.088、4.314、4.760;P<0.01),重返岗位及学校的时间短于对照组(χ2=8.101,P<0.05).结论 采用相互管理模式能有效的利用资源,患者相互管理,相互关心照顾及鼓励,从而提高生活质量.%Objective To discuss the effects of mutual management model on the recovery of multi-burn family members. Methods The multi-burn family members who were hospitalized the 180th Hospital of PLA from February 2010 to October 2014 were chosen as study objects, and 68 patients who were discharged to the hospital from February 2010 to March 2012 were chosen as the control group, while 70 patients who were discharged to the hospital from April 2012 to October 2014 were chosen as the observation group. The two groups of patients were hospitalized for the same treatment, and the patients in control group received general guidance for rehabilitation, while the patients in observation group were administered with the application of mutual management model being discharged, and the members of the family monitored, helped and encouraged each other; they received follow-up survey at 1 month, 6 months, 1 year and 3 years after being discharged, and the effects of mutual management on improving the quality of life and returning to the job (work and study) were analyzed. Results The quality of life after 6 months discharged in two groups had statistical significance (F=424.679,P<0.01), the quality of life in observation group were higher than that of control group in body, psychology and social function, and status of material life (t=5.115、4.088、4.314、4.760;P<0.01). The length of returning to job or school was shorter than that of control group (χ2=8.101,P<0.05). Conclusions The mutual management model could effectively utilize the resources, and the patients managed with each other, took care each other and encourage each other, so as to improve the quality of life.