Research progress of transitional nursing model in rehabilitation nursing of stroke patients with limb dysfunction
NIU Shaoqian WANG Rui YANG Weidong FENG Ling▲
Department of Neurology, West China Hospital, Sichuan University West China School of Nursing, Sichuan University, Sichuan Province, Chengdu 610041, China
Abstract:Limb dysfunction is a complication of stroke, which can affect the quality of life. The early post-hospital rehabilitation nursing is an important part of the treatment of stroke complicated with limb dysfunction. However, rehabilitation is a long-term process, and most patients who survive the acute phase will leave sequelae, and the incidence of limb dysfunction is very high, reducing self-care ability and quality of life of patients. At present, our country has not realized the multi-linkage of hospitals, families, and patients, and the community service capacity is relatively insufficient, and the management of chronic diseases is limited. In recent years, transitional nursing model has been proposed, which is a nursing model adopted to ensure the coordination and continuity of nursing work during the transition period of patients at all levels of medical and health care institutions, and is widely used in continuous nursing from hospital to community. This paper reviews the application of this model in limb dysfunction of stroke patients, hoping to provide reference for rehabilitation nursing of patients with this disease.
牛绍迁 汪锐 杨魏东 冯灵▲. 过渡期护理模式在脑卒中肢体功能障碍患者康复护理中的研究进展[J]. 中国医药导报, 2023, 20(25): 70-72,76.
NIU Shaoqian WANG Rui YANG Weidong FENG Ling▲. Research progress of transitional nursing model in rehabilitation nursing of stroke patients with limb dysfunction. 中国医药导报, 2023, 20(25): 70-72,76.
[1] 武彤,赵霄霄,张云莎,等.非编码RNA与缺血性脑卒中相关神经炎症的研究进展[J].中华老年心脑血管病杂志,2022,24(3):332-334.
[2] 王少琴,赵海娟,李敏,等.以时效性激励为基础的延续护理对脑卒中遗留肢体功能障碍患者康复期日常生活能力的影响[J].中国医刊,2019,54(11):1241-1243.
[3] Sonalkar S,Chavez V,McClusky J,et al. Gynecologic Care for Women With Physical Disabilities:A Qualitative Study of Patients and Providers [J]. Womens Health Issues,2020,30(2):136-141.
[4] 凌韵.过渡期护理干预模式对神经内科介入患者心理弹性及健康生活方式的促进作用[J].中国实用护理杂志,2020,36(15):1144-1148.
[5] 曾玉,朱智虎,王伟,等.过渡期干预对前列腺切除术后患者排尿功能,生活质量和性生活的影响[J].中国性科学,2020,29(3):14-17.
[6] 杨丽丽,于淑军.过渡期护理干预对冠心病患者康复,自我管理能力及负性情绪的影响[J].中华现代护理杂志,2019,25(24):1361-1364.
[7] Nowak TJ. Implementation of a Health Literacy Universal Toolkit to Improve Postdischarge Care at an Urban Trauma Center [J]. J Trauma Nurs,2019,26(4):180-185.
[8] Morkisch N,Upegui-Arango LD,Cardona MI,et al. Components of the transitional care model(TCM)to reduce readmission in geriatric patients:a systematic review [J]. BMC Geriatr,2020,20(1):345.
[9] 杨静娟,朱彩霞,王璐,等.过渡期舒适护理对胰腺癌术后患者心理状况,疼痛程度及并发症影响分析[J].现代消化及介入诊疗,2019,43(A2):641-642.
[10] 刘亚妮,冯雪亮,史晶静,等.过渡期护理模式在先天性白内障术后患者远程护理干预的应用[J].中国药物与临床,2021,21(2):340-342.
[11] 刘其兰.以自我管理能力为核心的过渡期护理模式在COPD患者中的应用研究[D].遵义:遵义医科大学.
[12] 丁彦淳,吴华,彭艳艳,等.过渡期护理模式在慢性阻塞性肺疾病合并呼吸衰竭患者中的应用效果[J].护士进修杂志,2022,37(24):2254-2257.
[13] Naylor M. Comprehensive discharge planning for the hoepitalized elderly [J]. Res Nurs Health,1990,13(5):327-347.
[14] Graf AC,Jacob E,Twigg D,et al. Contemporary nursing gra- duates’transition to practice:A critical review of transition models [J]. J Clin Nurs,2020,29(15/16):3097-3107.
[15] Van Spall HGC,Lee SF,Xie F,et al. Effect of Patient-Cen- tered Transitional Care Services on Clinical Outcomes in Patients Hospitalized for Heart Failure:The PACT-HF Ran- domized Clinical Trial [J]. JAMA,2019,26(8):753-761.
[16] Kennedy-Hendricks A,Bandara S,Daumit GL,et al. Behavioral health home impact on transitional care and readmissions among adults with serious mental illness [J]. Health Serv Res,2021,56(3):432-439.
[17] Karapinar-■ark?覦t F,van der Knaap R,Bouhannouch F,et al. Cost-effectiveness of a Transitional Pharmaceutical Care Program for Patients Discharged from the Hospital [J]. PLoS One,2017,12(4):e0174513.
[18] Jo HS,Jeong S,Kim WJ,et al. Development of a Transitional Care Model Program for Patients with Pneumonia,Asthma,and Chronic Obstructive Pulmonary Disease:In-depth Interviews with Readmitted Patients [J]. J Korean Med Sci,2020,35(42):e352.
[19] 寇琳,汪淼芹,段柯旭,等.脑卒中患者对延续护理的认知及需求研究[J].四川医学,2019,40(1):90-94.
[20] Zhao AM,Qiu WR,Mao LJ,et al. The efficacy and safety of Jiedu Tongluo granules for treating post-stroke depression with qi deficiency and blood stasis syndrome:study protocol for a randomized controlled trial [J]. Trials,2018,19(1):275.
[21] 胡薇华,韩宇花.过渡期护理干预模式对急性脑卒中偏瘫患者康复训练效果的影响[J].国际护理学杂志,2018, 37(10):1358-1361.
[22] 尚倩倩,董湘平,李媛,等.基于微信的延续性管理体系对脑卒中病人治疗依从性,Bathel指数及生活质量的影响[J].中西医结合心脑血管病杂志,2019,17(21):3398-3402.
[23] Bozdemir H,Aygin D. Effect of structured training progra- mme on arm dysfunction,lymphoedema and quality of life after breast cancer surgery [J]. J Pak Med Assoc,2021,71(5):1413-1419.
[24] Stewart JC,Lewthwaite R,Rocktashel J,et al. Self-efficacy and Reach Performance in Individuals With Mild Motor Impairment Due to Stroke [J]. Neurorehabil Neural Repair,2019,33(4):319-328.
[25] 杨玲玲.早期舒适护理干预对急性脑卒中患者肢体功能障碍及神经功能的影响[J].解放军医院管理杂志,2018, 25(7):688-691.
[26] 谢花,高莉梅.过渡期护理对PCI术后患者自我管理能力和生活质量的影响[J].贵州医药,2019,43(4):641- 642.
[27] 王婷,程洁,毛燕君,等.过渡期护理模式在中重度慢性阻塞性肺疾病患者中的应用效果[J].实用心脑肺血管病杂志,2018,26(5):117-120.
[28] 印正,陈萍,周依琳,等.过渡期护理模式对重度颅脑损伤患者干预效果观察[J].湖南中医药大学学报,2019, 39(11):1403-1406.
[29] 李茹捧,李金蕊,张梅,等.过渡期护理计划模式在COPD患者中的临床应用效果研究[J].中华现代护理杂志,2020,26(7):900-903.
[30] 龚娟,周洋,王君,等.以服务清单为指导的过渡期护理在ICU转出心脏手术迁移应激家属中的应用研究[J].中国实用护理杂志,2021,37(23):1811-1816.
[31] 刘洋,高占华.多学科团队合作的ICU过渡期护理模式在重症肺炎患者中的应用研究[J].中国病案,2020,21(11):96-100.