多学科协作干预在脑卒中合并痛风发作患者康复护理中的应用

目的 探讨多学科协作干预模式在脑卒中合并痛风发作患者中的应用效果。 方法 选取2017年5月-2018年5月在某三级甲等综合医院康复科就诊的35例脑卒中合并痛风发作的患者为对照组,给予常规护理干预,选择2018年6月-2019年6月的35例脑卒中合并痛风发作的患者为观察组,在常规护理的基础上接受多学科协作干预,并在干预前及干预后第3、5、7d比较2组日常生活自理能力、疼痛情况,在患者出院时比较2组患者住院天数、住院费用。 结果 2组自理能力和疼痛评分在时间、组间及交互效应上比较均有统计学差异(F_时间=7.612,P=0.025;F_组间=4.521,P=0.032;F_交互=11.443,P＜0.001;F_时间=9.221,P=0.009;F_组间=5.773,P=0.011;F_交互=10.824,P＜0.001);干预后,观察组住院天数、住院费用均低于对照组(t=-7.301,P＜0.001;t=-2.419,P=0.006)。 结论 多学科协作干预模式有利于改善脑卒中合并痛风发作患者痛风症状,促进患者肢体功能的恢复,减轻疼痛,达到让患者回归家庭、回归社会的康复目标。

Application of multidisciplinary intervention in stroke survivors with gout attack

Objective To explore the effect of multidisciplinary intervention on stroke survivors with gout attack. Methods Thirty-five stroke survivors with gout attack admitted to the rehabilitation department of a grade three class A hospital between May 2017 and 2018 were selected into a control group, while 35 counterparts treated between the following year were chosen into an observation group. Both groups were given routine nursing, while the observation group was additionally provided with multidisciplinary intervention. Before and 3, 5 and 7 days after the intervention, both groups were observed their self-care ability of daily living and pain score. The length of hospital stay and hospitalization cost were also compared. Results After the intervention, the self-care ability and the pain score of daily living of the observation group were significantly better than those of the control group (P＜0.05), while the length of hospital stay and hospitalization cost of the former were significantly lower than the latter (t=-7.301, P＜0.001; t=-2.419, P=0.006). Conclusion The application of multidisciplinary intervention can help to relieve the gout symptoms and pain, as well as promote the recovery of limb functions, achieving the rehabilitation goal of regaining normal family and social life.