Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (12) ; 10.12208/j.jmnm.20250656 .
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庆阳市宁县第二人民医院 甘肃庆阳
*通讯作者: 郝芳娟,单位:庆阳市宁县第二人民医院 甘肃庆阳;
目的 在老年脑卒中患者治疗期间引入多学科联合诊疗护理模式下前馈控制方案,探究该方案对肺部感染的预防效果。方法 该研究总共纳入80例研究对象,均是2024年1月至2024年12月到医院诊治的老年脑卒中患者,以随机数字表法当作分组原则,划分为对照组(入选该组的对象进行常规护理,n=40)、试验组(归类到该组的对象进行多学科联合诊疗护理模式下前馈控制方案干预,n=40)。对比两组的肺部感染发生率、神经功能、运动功能、心理状态及生活质量。结果 在肺部感染发生率上,试验组低于对照组(P<0.05)。在NIHSS评分、FMA评分上,试验组优于对照组(P<0.05)。在CD-RISC评分与SF-36评分上,试验组高于对照组(P<0.05)。结论 在老年脑卒中患者治疗时开展多学科联合诊疗护理模式下前馈控制方案干预,可有效降低肺部感染发生风险,改善心理状态与神经功能。
Objective To explore the preventive effect of a feedforward control program under a multidisciplinary integrated treatment and nursing model on pulmonary infection in elderly stroke patients. Methods A total of 80 elderly stroke patients treated at the hospital from January 2024 to December 2024 were included in this study. They were randomly divided into a control group (n=40) and an experimental group (n=40) receiving routine nursing care under the multidisciplinary integrated treatment and nursing model. The incidence of pulmonary infection, neurological function, motor function, psychological state, and quality of life were compared between the two groups. Results The incidence of pulmonary infection was lower in the experimental group than in the control group (P<0.05). The experimental group showed better NIHSS and FMA scores than the control group (P<0.05). The experimental group showed significantly higher CD-RISC and SF-36 scores than the control group (P < 0.05). Conclusion Implementing a feedforward control intervention under a multidisciplinary collaborative treatment and nursing model in the treatment of elderly stroke patients can effectively reduce the risk of pulmonary infection and improve psychological state and neurological function.
[1] 俞晓玲,古君庆.急诊多学科团队护理模式对老年脑卒中患者救治效率与预后的影响[J].岭南急诊医学杂志,2025, 30(1):72-74.
[2] 方江燕.基于前馈控制的护理干预对急性脑梗死患者功能恢复的影响[J].西部中医药,2022,35(8):132-134.
[3] 曾红,章小霞,饶海霞.知信行模式健康教育与多学科合作连续康复护理联用对脑卒中偏瘫患者康复的影响[J].中西医结合护理(中英文),2024,10(4):180-182.
[4] 李莉,田楠,王凡,等.预见性护理+早期肺康复锻炼预防脑卒中患者肺部感染的效果价值分析[J].中国防痨杂志, 2024, 46(S2):496-498.
[5] 刘珊珊,彭阳,时昕,等.基于前馈控制理念的护理模式在急性缺血性脑卒中患者中的应用效果[J].护理实践与研究,2025,22(4):577-582.
[6] 林涵真.多学科团队护理模式对急诊脑卒中患者救治结局及并发症的影响[J].黔南民族医专学报,2022,35(3): 209-211.
[7] 姚媛媛.前馈控制模式康复护理在脑卒中患者中的应用效果[J].医药前沿,2024,14(32):118-120.
[8] 李佳钰,钱新洪,余晓英,等.基于多学科联合诊疗护理模式下前馈控制方案对老年脑卒中肺部感染风险的预防效果[J].全科护理,2025,23(5):880-882.
[9] 赖雪媛,商艳萍,陈芳,等.多学科协作护理模式对脑卒中患者心肺功能、运动功能及生活质量的影响[J].临床医学研究与实践,2022,7(11):149-152.
[10] 欧阳月琴,孙月,吴安琪,等.预见性护理联合早期肺康复锻炼在脑卒中患者肺部感染预防中的应用[J].齐鲁护理杂志,2024,30(19):140-142.