【摘要】 目的 探究医院-家庭一体式护理在脑卒中后认知障碍患者中的应用效果。方法 选择2023年1—6月本院收治的100例脑卒中后认知障碍患者及照顾者作为研究对象，采用随机数表法将患者分为干预组与对照组两组，每组各50例。对照组实施常规护理，干预组实施医院-家庭一体式护理。比较两组患者的蒙特利尔认知评估量表(MOCA)评分、简易精神状态评价量表(MMSE)评分、运动功能Fugl-Meyer评分、Barthel指数(BI)、世界卫生组织生存质量简表(WHOQOL-BREF,以下简称W-B),照顾者的Zarit照顾者负担量表(ZBI)评分、照顾者照顾能力测量表(FCTI)评分。结果 护理前，两组患者的认知功能MOCA评分、智力状态MMSE评分比较，差异均无统计学意义(P>0.05);护理后，干预组患者的MOCA、MMSE评分均高于对照组，差异具有统计学意义(P<0.05);护理前，两组患者的运动功能Fugl-Meyer、活动能力BI评分进行比较，差异均无统计学意义(P>0.05);护理后，干预组患者的Fugl-Meyer、BI评分均高于对照组，差异具有统计学意义(P<0.05);护理前，两组患者照顾者的负担程度ZBI及照顾能力FCTI评分进行比较，差异均无统计学意义(P>0.05);护理后，干预组照顾者的ZBI、FCTI评分均低于对照组，差异具有统计学意义(P<0.05);护理前，两组患者的生存质量W-B评分进行比较，差异均无统计学意义(P>0.05);护理后，干预组患者的心理、生理、环境、社会关系评分均高于对照组，差异具有统计学意义(P<0.05)。结论 脑卒中后认知障碍患者中实施医院-家庭一体式护理，能有效改善患者的认知功能，增强患者的运动功能、自主活动能力，减轻照顾者的照顾负担并提升其照顾能力，进而提升患者的生存质量。更多还原

【Abstract】 Objective To explore the application effect of the hospital-family integrated nursing in patients with cognitive impairment after stroke.Methods A total of 100 patients with cognitive impairment were admitted to the hospital from January to June 2023 and their caregiver were selected as study subjects.The patients were divide into two groups according to random number table method, namely the intervention group and the control group, with 50 cases in each group.Patients in the control group receiving routine nursing and the intervention group receiving hospital-family integrated nursing.The Montreal Cognitive Assessment(MOCA) score, the Mini Mental State Assessment Scale(MMSE) score, the Fugl-Meyer score of motor function, the Barthel Index(BI),the World Health Organization Quality of Life Short Form(WHOQOL-BREF,hereinafter referred to as W-B),the Zarit Caregiver Burden Scale(ZBI) score of caregivers, and the Caregiver Care Ability Measurement Table(FCTI) score of the two groups were compared.Results Before nursing, there was no significant difference in cognitive function MOCA score and intelligence state MMSE score between the two groups(P>0.05).After nursing, MOCA and MMSE scores in the intervention group were higher than those in the control group, and the difference was statistically significant(P<0.05).Before nursing, there was no statistical significance in Fugl-Meyer and BI scores of motor function between the two groups(P>0.05).After nursing, the Fugl-Meyer and BI scores in the intervention group were higher than those in the control group, and the difference was statistically significant(P<0.05).Before nursing, there was no statistical significance in ZBI and FCTI scores of caregivers between the two groups(P>0.05).After nursing, the ZBI and FCTI scores of the caregivers in the intervention group were lower than those in the control group, and the difference was statistically significant(P<0.05).Before nursing, there was no statistical significance in W-B scores of quality of life between the two groups(P>0.05).After nursing, the psychological, physiological, environmental and social relationship scores of patients in the intervention group were higher than those in the control group, and the differences were statistically significant(P<0.05).Conclusions Implementation of the hospital-family integrated nursing for patients withcognitive impairment after stroke can effectively improve their cognitive function,enhance their motor function andautonomous activity ability,reduce the caregiver’s care burden,enhance their care ability,and thereby improve thequality of life(QOL) of patients.更多还原