协同护理模式对颅脑创伤恢复期患者自我护理能力的影响

洪秀英，肖碧玲，陈凌云，冼艺叶

（广东省湛江市第二人民医院外4区，广东 湛江 524003）

协同护理模式对颅脑创伤恢复期患者自我护理能力的影响

洪秀英，肖碧玲，陈凌云，冼艺叶

（广东省湛江市第二人民医院外4区，广东 湛江 524003）

目的：探讨协同护理模式在颅脑创伤恢复期患者自我护理能力中的应用效果。方法：将96例符合纳入、排除标准的颅脑创伤恢复期患者随机分为试验组和对照组，各48例。对照组予常规护理方法，试验组在对照组的基础上运用协同护理模式。采用自我护理能力测定量表（ESCA）对2组患者干预前后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差异无统计学意义（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：协同护理模式可最大限度发挥潜能，提高训练效果，达到提高自我护理能力水平的目的。

协同护理模式；颅脑创伤；恢复期；生活自理能力

［Abstract］Objective：To investigate application effect of collaborative care model on self-cre ablilioy in patients with craniocerebral trauma in recovery period.Methods：A total of 96 patients with craniocerebral trauma in recovery period were randomly divided into experimental group and control group（n=48）.Control group received the routine nursing methods.The experimental group received collaborative care model on the basis of routine nursing methods.Self care ability scale（ESCA）was used to evaluate self-care ability in two groups before and after the intervention.Results：There was no statistical significance in self-care ability before intervention in two groups（P＞0.05）.Self-care skills，personal responsibility，self concept and health knowledge levels in the experimental group after intervention were significantly higher than those in the control group（P＜0.01）.Conclusion：Collaborative care model used in patients with craniocerebral trauma in recovery period can solve a variety of health problems，improve the training effect，and improve the level of self-care ability.

［Key words］collaborative nursing mode；craniocerebral trauma；recovery；self-care ability

协同护理模式（Collaborative Care Model，CCM）是由Lott等根据Orem自理理论提出的一种新型护理模式，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］。颅脑创伤恢复期患者一般会遗留肢体、语言、认知等功能的不同程度的残疾，不仅影响患者的自我护理能力，也影响患者的生活质量。我科于2012年起尝试将CCM应用于颅脑创伤患者康复护理中，取得良好效果，现报道如下。

1　资料与方法

1.1一般资料 选择2012年9月至2015年6月在我院神经外科住院的颅脑创伤患者96例，采用随机数字表法分为试验组和对照组，各48例。……