李华清，陈晓君，利春玲，岑晓婷（广东省湛江中心人民医院神经内一科，广东　湛江524037）

协同护理模式对脑卒中患者自我护理能力的影响

李华清，陈晓君，利春玲，岑晓婷
（广东省湛江中心人民医院神经内一科，广东湛江524037）

目的：探讨协同护理模式对提高脑卒中患者自我护理能力的应用效果。方法：将2015年1月1日至2015年8月30日在我科住院的脑卒中患者96例随机分为试验组和对照组，各48例。对照组予常规治疗和护理。试验组在对照组的基础上应用协同护理模式。干预前后采用自我护理能力测定量表（ESCA）对2组患者的自我护理能力进行调查评价。结果：干预前2组患者自我护理能力评定比较无统计学意义（P＞0.05）；干预后试验组患者的自我护理技能、自我责任感、自我概念及健康知识水平均显著高于对照组（P＜0.01）。结论：协同护理模式作为一种综合护理服务干预模式，能促进脑卒中患者及家属共同参与护理，共同解决各种健康问题，最大限度发挥潜能，提高患者自我护理能力，改善健康结局。

协同护理模式；脑卒中；康复护理；生活自理能力

doi：10.16753/j.cnki.1008-2344.2016.04.016

［Abstract］Objective：To investigate the application of collaborative care model on self-care ability of patients with cerebral apoplexy.Methods：A total of 96 patients with cerebral apoplexy from Jan 1，2015 to Aug 30，2015 were randomly divided into experimental group and control group（48 patients in each）.Control group received the conventional treatment and care.On the basis of the control group，the experimental group received collaborative nursing mode.ESCA was used before and after the intervention in 2 groups to evaluate self-care ability.Results：There was no significance in self-care ability before intervention（P＞0.05）.Self-care skills，personal responsibility，self concept and health knowledge levels in the experimental group after intervention were significantly higher than that in the control group（P＜0.01）.Conclusion：Collaborative care model as a kind of comprehensive nursing care intervention model used in patients with cerebral apoplexy，can promote the patient and family to jointly participate in nursing，to solve all kinds of health problems，improve patients'self-care ability，improve health outcomes.

［Key words］collaborative nursing mode；cerebral apoplexy；rehabilitation nursing；life self-care ability

协同护理模式（Collaborative Care Model，CCM）由Lott等根据Orem自理理论提出，是一种新型护理模式，该模式强调护士作为临床教育者、支持者、协调者，重视患者参与护理工作的重要性［1-2］。据报道我国大约50％～70％的脑卒中存活者遗留瘫痪、失语等严重残疾［3］，严重影响患者的自我护理能力和生活质量。我科于2015年1月起尝试将CCM应用于脑卒中患者康复护理过程中，取得良好效果，现报道如下。……