纽曼模式下的微信延伸护理对脑卒中恢复期患者日常生活能力及生活质量的影响OA
The Effect of Newman Model-Based WeChat-Extended Care on Activities of Daily Living and Quality of Life in Stroke Patients During the Recovery Phase
目的:研究纽曼模式下的微信延伸护理对脑卒中恢复期患者日常生活能力及生活质量的影响.方法:回顾性选取 2024年 1-12 月广元市第一人民医院收治的 190 例脑卒中恢复期患者,根据不同护理方式将其分为常规组(常规延续护理干预,95 例)与纽曼组(基于纽曼模式的微信延伸护理干预,95 例);比较两组干预前后肢体功能[运动功能测评法(FMA)、Oswestry 功能障碍指数(ODI)]、心理健康[正性负性情绪量表(PANAS)]、日常生活能力(ADL)、自护能力(ESCA)、生活质量(SS-QOL)评分与干预后康复依从性、不良事件(下肢深静脉血栓、便秘、压力性损伤、感染)发生率.结果:较常规组,纽曼组干预后 FMA 评分、PANAS 正性情绪评分、ADL 评分、ESCA 评分、SS-QOL 评分更高,ODI 评分、PANAS 负性情绪评分更低;纽曼组干预后康复总依从率(96.84％)高于常规组(87.37％);纽曼组干预后不良事件发生率(2.11％)低于常规组(10.53％),差异均有统计学意义(P<0.05).结论:脑卒中恢复期患者护理中纽曼模式下的微信延伸护理干预效果明显,可进一步促进患者肢体功能恢复,改善心理健康,提升日常生活能力、自护能力、生活质量及康复依从性,减少不良事件.
Objective:To study the influence of wechat extended care under the Newman model on the daily living ability and quality of life of patients in the recovery period of stroke.Method:A retrospective selection was made of 190 patients in the recovery period of stroke admitted to the First People's Hospital of Guangyuan City from January to December 2024.They were divided into the conventional group(conventional continuous nursing intervention,95 cases)and the Newman group(wechat extended nursing intervention based on the Newman model,95 cases)according to different nursing methods.The scores of limb function[Motor Function Assessment(FMA),Oswestry Disability Index(ODI)],mental health[Positive and Negative Emotion Scale(PANAS)],activities of daily living(ADL),self-care ability(ESCA),quality of life(SS-QOL)before and after the intervention,as well as rehabilitation compliance and the incidence rates of adverse events(deep vein thrombosis of the lower extremities,constipation,pressure injury and infection)after the intervention were compared between the two groups.Result:Compared with the conventional group,the Newman group had higher FMA scores,PANAS positive emotion scores,ADL scores,ESCA scores,and SS-QOL scores after intervention,while the ODI scores and PANAS negative emotion scores were lower.The total compliance rate of rehabilitation in the Newman group after intervention(96.84％)was higher than that in the conventional group(87.37％).The incidence of adverse events in the Newman group after intervention(2.11％)was lower than that in the conventional group(10.53％),and the above differences were statistically significant(P<0.05).Conclusion:The wechat extended nursing intervention under the Newman model in the nursing of patients in the recovery period of stroke has a significant effect.It can further promote the recovery of limb function of patients,improve mental health,enhance daily living ability,self-care ability,quality of life and rehabilitation compliance,and reduce adverse events.
柳皓月;杨杰;何苗
广元市第一人民医院 四川 广元 628017广元市第一人民医院 四川 广元 628017广元市第一人民医院 四川 广元 628017
纽曼模式微信延伸护理恢复期脑卒中日常生活能力
Newman modelWeChat-based extended careRecovery periodStrokeActivities of daily living
《中外医学研究》 2026 (20)
107-111,5
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