医联体模式下全程一体化管理平台延续护理对脑卒中患者康复效果的影响
The Impact of Extended Nursing Care through a Full-Service Integrated Management Platform under the Medical Consortium Model on the Rehabilitation Outcomes of Stroke Patients
DOI: 10.12677/ns.2025.1412313, PDF,    科研立项经费支持
作者: 谭 瑶, 张 瑾, 靳雅鑫：湖北中医药大学护理学院，湖北 武汉；汪晓攀*, 杨大航：湖北省中西医结合医院护理部，湖北 武汉
关键词: 脑卒中；全程一体化管理；医联体；延续性护理；康复效果；Stroke； Integrated Management； Medical Consortium； Extended Nursing Care； Rehabilitation Outcomes
摘要: 目的：探讨医联体模式下全程一体化管理平台延续护理对脑卒中患者康复效果及复发率的影响，为优化脑卒中患者术后护理方案提供实证依据。方法：选取2024年1月1日至2024年12月31日于湖北省某三甲医院接受治疗的脑卒中患者62例，采用随机数字表法结合分配隐藏策略分为观察组(31例)与对照组(31例)。对照组采用标准化常规出院指导与随访护理，观察组采用医联体模式下全程一体化管理平台延续护理。比较两组患者干预1个月、3个月、6个月后的康复效果(采用Fugl-Meyer运动功能评定量表[FMA]、日常生活活动能力量表Barthel指数[BI])及6个月内复发率。结果：干预1、3、6个月后，观察组患者FMA评分、Barthel指数评分均高于对照组(P < 0.05)，6个月内复发率低于对照组(P < 0.05)。结论：医联体模式下全程一体化管理平台延续护理能够显著提升脑卒中患者的运动功能与日常生活活动能力，降低疾病复发率，为脑卒中患者延续护理提供新思路，值得在临床推广应用。
Abstract: Objective: To investigate the impact of extended nursing care through an integrated management platform under the medical consortium model on rehabilitation outcomes and recurrence rates in stroke patients, providing evidence-based support for optimizing postoperative care protocols for stroke patients. Methods: A total of 62 stroke patients treated at a tertiary hospital in Hubei Province between January 1, 2024 and December 31, 2024 were enrolled. Participants were randomly assigned using a combination of random number tables and concealed allocation strategies into an observation group (31 cases) and a control group (31 cases). The control group received standardized discharge guidance and follow-up care, while the observation group received extended nursing care through the integrated management platform under the medical consortium model. Rehabilitation outcomes (assessed using the Fugl-Meyer Motor Function Assessment Scale [FMA] and Barthel Index [BI]) and 6-month recurrence rates were compared between groups at 1, 3, and 6 months post-intervention. Results: At 1, 3, and 6 months post-intervention, the observation group demonstrated significantly higher FMA scores and Barthel Index scores compared to the control group (P < 0.05), with a lower 6-month recurrence rate (P < 0.05). Conclusion: Extended nursing care through the integrated management platform under the medical consortium model significantly improves motor function and daily living activities in stroke patients while reducing disease recurrence rates. This innovative approach provides new insights for extended nursing care in stroke patients and merits clinical promotion and application.
文章引用：谭瑶, 汪晓攀, 张瑾, 靳雅鑫, 杨大航. 医联体模式下全程一体化管理平台延续护理对脑卒中患者康复效果的影响[J]. 护理学, 2025, 14(12): 2367-2373. https://doi.org/10.12677/ns.2025.1412313

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