医养护一体化健康教育路径对脑卒中照顾者准备度及生活质量影响的研究
The Effect of the Integrated Health Education Path of Medical Care for the Primary Caregivers of Ischemic Stroke Patients on the Readiness and QOL of Primary Care of Stroke Patients
DOI: 10.12677/NS.2021.105062, PDF,    科研立项经费支持
作者: 黄 玲, 谢蓝芝：重庆市秀山县人民医院护理部，重庆；伍学芬, 杨红燕：重庆市秀山县人民医院神经内科，重庆
关键词: 健康教育路径；缺血性脑血管病；照顾者准备度；生活质量； Health Education Path； Ischemic Cerebrovascular Disease； Caregiver Readiness； Quality of Life
摘要: 目的：探讨医养护一体化健康教育路径提高首发缺血性脑卒中患者主要照顾者准备度及生活质量的效果。方法：2020年3月~2021年2月采用便利抽样法，选取某市二级甲等医院国家级“综合防治卒中中心”住院的122例首发缺血性脑卒中患者的主要照顾者，实施医养护一体化健康教育路径，对比实施前后的照顾者准备度及生活质量，并随访路径干预30天后，患者的非计划再入院率。结果：干预后照顾者准备度总分(25.3 ± 4.554)显著高于干预前(18.66 ± 8.568)，差异有统计学意义(P < 0.05)。所有维度中应对紧急情况的准备得分最低(2.98 ± 0.738)。干预后主要照顾者的生活质量(45.65 ± 10.63)高于干预前(42.00 ± 11.36) (P < 0.05)，但心理维度无统计学差异。2例(1.6%)患者在干预后30天内的随访中再次入院。结论：医养护一体化健康教育路径能有效提高首发缺血性脑卒中患者主要照顾者准备度及生活质量，在促进患者疾病恢复及生活质量上起到积极作用，未来研究应注重和促进主要照顾者心理健康及提高其应急处理能力的临床实践。
Abstract: Objective: To examine the integrated health education path of medical care on the readiness and quality of life in the primary caregivers of patients with first-episode ischemic stroke. Methods: We employed convenience sampling to select primary caregivers of 122 caregivers of patients with first-episode ischemic stroke hospitalized in Stroke Center during March, 2020~February, 2021. After that, we implemented the integrated health education path of medical care. The caregivers’ readiness and the quality of QOL before and after the study were compared. Unplanned readmission rate of caregivers were followed up 30 days after the pathway intervention. Results: Before and after the intervention, the total scores of the primary caregivers’ readiness were (18.66 ± 8.568) and (25.3 ± 4.554), respectively, with a statistical difference (P < 0.05). Notably, the item with the lowest score was to deal with an emergency (2.98 ± 0.738). The quality of life of caregivers (45.65 ± 10.63) after the intervention was higher than that before intervention (42.00 ± 11.36) (P < 0.05). However, there was no statistical difference in the psychological dimension. The follow-up results showed that two patients (1.6%) were rehospitalized within 30 days. Conclusion: The integrated health education path of medical care can promote the preparedness and QOL of the primary caregivers in patients with first-episode ischemic stroke effectively. It does play a positive role in promoting stroke patients’ recovery and QOL. Future clinical practice should strengthen the research on promoting the primary caregivers’ mental health and improving emergency treatment.
文章引用：黄玲, 伍学芬, 谢蓝芝, 杨红燕. 医养护一体化健康教育路径对脑卒中照顾者准备度及生活质量影响的研究[J]. 护理学, 2021, 10(5): 381-390. https://doi.org/10.12677/NS.2021.105062

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