The impact of integration of doctors-nurses-therapists continuous nursing management on rehabilitation of patients with spinal cord injury_West China Medical Journal

Authors：

YANG Jie ^1,2 , ZHANG Jianmei ^1,2 , JIANG Hongying ^1,2 , QU Yun ^1,2 ,  NING Ning ³

1. Department of Rehabilitation Medicine, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Key Laboratory of Rehabilitation Medicine in Sichuan Province, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gknningning@126.com

Keywords：

Integration of doctors-nurses-therapists; Continuous nursing; Spinal cord injury; Activity of daily living; Quality of life

DOI：

10.7507/1002-0179.201911267

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Objective To explore the application and effect of integration of doctors-nurses-therapists continuous nursing management in patients with spinal cord injury.Methods The patients with spinal cord injury from June to December 2018 in the Department of Rehabilitation Medicine of West China Hospital of Sichuan University were selected. A set of numbers was generated by a computer. And the patients were randomly divided into the trial group and the control group. Patients in the control group were given routine discharge continuous nursing management, and patients in the trial group adopted the integration of doctors-nurses-therapists continuous nursing management to implement post-discharge guidance. The activity of daily living (ADL), quality of life or psychological status of the two groups were compared at discharge and 3 months after discharge. The compliance, satisfaction and readmission rates between the two groups were also compared 3 months after discharge.Results A total of 60 patients were included, with 30 cases in each group. There was no significant difference in the scores of ADL, quality of life or Huaxi Xinqing index between the two groups (P>0.05). Three months after discharge, the score of ADL (71.65±1.87 vs. 62.70±2.29), quality of life (302.90±2.71 vs. 292.95±3.39), compliance rate of medication on time (86.67% vs. 63.33%), compliance rate of exercise on time (86.67% vs. 60.00%), compliance rate of follow-up visit on time (90.00% vs. 63.33%), compliance rate of reasonable diet (83.33% vs. 60.00%), and satisfaction (90.45±1.82 vs. 79.55±1.39) of patients in the trial group were higher than those in the control group (P<0.05). There was significant difference in Huaxi Xinqing index between the trial group and the control group (14.57±1.36 vs. 21.60±1.88, P<0.001). The readmission rate of the trial group was lower than that of the control group (6.67% vs. 26.67%), but the difference was not statistically significant (P>0.05). Three months after discharge, the ADL and quality of life in both groups were significantly different from those at discharge (P<0.001); the score of Huaxi Xinqing index in the control group was higher than that at discharge (t=-17.971, P<0.001), which in the trial group was also higher than that at discharge, but the difference was not statistically significant (t=-1.352, P=0.187).Conclusion The integration of doctors-nurses-therapists continuous nursing management can effectively improve the ADL, quality of life and compliance of discharged patients with spinal cord injury, improve the mental state of patients, and improve patient satisfaction, which is helpful for the rehabilitation of patients with spinal cord injury outside the hospital.

Citation： YANG Jie, ZHANG Jianmei, JIANG Hongying, QU Yun, NING Ning. The impact of integration of doctors-nurses-therapists continuous nursing management on rehabilitation of patients with spinal cord injury. West China Medical Journal, 2021, 36(5): 656-660. doi: 10.7507/1002-0179.201911267 Copy

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13.	赖海静, 李津, 肖厚安, 等. 同伴教育对重度烧伤患者康复效果的影响. 中国美容医学, 2021, 30(1): 153-156.
14.	朱小华. 电话随访联合以患者为中心的护理模式在慢性乙型肝炎患者护理中的应用价值. 河南医学研究, 2021, 30(1): 177-179.
15.	吴肖梅, 韦英成, 黄珍, 等. 医护一体化管理模式对神经根型颈椎病患者依从性和疗效的影响. 中西医结合护理(中英文), 2016, 2(4): 24-27.
16.	朱英娥, 俞静娴, 裔馨颖, 等. 肝癌介入治疗术后延续性护理的实施效果. 国际护理学杂志, 2021, 40(3): 549-553.
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18.	张扬, 李国宏, 刘敏. 我国外科出院患者延续护理实施现状及建议. 中华护理杂志, 2016, 51(4): 409-412.

1. 杨云, 许光旭. 脊髓损伤的临床康复进展. 华西医学, 2018, 33(10): 1303-1310.
2. 陈红娟, 王丽芳, 方良妹. 对脊髓损伤患者实施心理康复护理的临床效果观察. 健康研究, 2014, 34(4): 414-415, 418.
3. 孙学明, 刘冰, 姬栋岩. 国内外延续性护理研究进展. 世界最新医学信息文摘, 2017, 17(34): 36-37.
4. 美国脊柱损伤协会, 国际脊髓学会. 脊髓损伤神经学分类国际标准(第6版, 2006). 李建军, 周红俊, 孙迎春, 等, 译. 中国康复理论与实践, 2008, 14(7): 693-698.
5. 李萍, 钱微琳. 延续性护理干预对新生儿ICU极低出生体质量儿母亲心理状态和照护能力的影响. 中国实用护理杂志, 2020, 36(3): 225-229.
6. 王晓平, 邹红. 延续性护理管理干预对老年骨质疏松患者遵医行为及生活质量的影响. 川北医学院学报, 2021, 36(3): 390-393.
7. Oveisgharan S, Shirani S, Ghorbani A, et al. Barthel index in a Middle-East country: translation, validity and reliability. Cerebrovasc Dis, 2006, 22(5-6): 350-354.
8. 方积乾, 郝元涛, 李彩霞. 世界卫生组织生活质量量表中文版的信度与效度. 中国心理卫生杂志, 1999, 13(4): 203-205.
9. 刘珊珊, 郑儒君, 李俊英, 等. 华西心晴指数在肿瘤科护士心理状况测定中的应用. 四川医学, 2017, 38(11): 1330-1335.
10. 王巍, 牛素英, 董慈, 等. 老年脑卒中住院患者心理健康状况及与社会支持和治疗的依从性. 中国老年学杂志, 2013, 33(7): 1528-1529.
11. 南登昆, 缪鸿石. 康复医学. 北京: 人民卫生出版社, 2001: 54-55.
12. 薛春丽, 叶菁, 王燕. 个体化康复训练联合视频教育对老年骨质疏松性股骨粗隆间骨折患者术后恢复的影响. 临床心身疾病杂志, 2021, 27(1): 140-142.
13. 赖海静, 李津, 肖厚安, 等. 同伴教育对重度烧伤患者康复效果的影响. 中国美容医学, 2021, 30(1): 153-156.
14. 朱小华. 电话随访联合以患者为中心的护理模式在慢性乙型肝炎患者护理中的应用价值. 河南医学研究, 2021, 30(1): 177-179.
15. 吴肖梅, 韦英成, 黄珍, 等. 医护一体化管理模式对神经根型颈椎病患者依从性和疗效的影响. 中西医结合护理(中英文), 2016, 2(4): 24-27.
16. 朱英娥, 俞静娴, 裔馨颖, 等. 肝癌介入治疗术后延续性护理的实施效果. 国际护理学杂志, 2021, 40(3): 549-553.
17. Aase K, Laugaland KA, Dyrstad DN, et al. Quality and safety in transitional care of the elderly: the study protocol of a case study research design (phase 1). BMJ Open, 2013, 3(8): e003506.
18. 张扬, 李国宏, 刘敏. 我国外科出院患者延续护理实施现状及建议. 中华护理杂志, 2016, 51(4): 409-412.

West China Medical Journal

The impact of integration of doctors-nurses-therapists continuous nursing management on rehabilitation of patients with spinal cord injury

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