Effect of the integrated management mode of "medical service-rehabilitation-nursing-elderly care" in the sequela period of stroke

ObjectiveTo explore the effects of integrated management mode of "medical service-rehabilitation-nursing-elderly care" in improving the life quality and living ability of patients with stroke sequela.

MethodsOne hundred and sixty-four patients with stroke sequelae in three pension agencies of Futian district of Shenzhen from the year 2015 to 2016 were randomly divided into the observation group and the control group(82 cases each group).The control group was nursed with the second level prevention and management, and the observation group was nursed with the integrated management mode of "medical service-rehabilitation-nursing-elderly care".The ability of daily living, quality of life and sport function between two groups before intervention and after 3 and 6 months were assessed and compared.

ResultsAfter intervention, the scores of daily life ability and quality of life index in observation group were significantly improved compared with before intervention, and control group after intervention(P < 0.01).There was not statistical significance in the scores of daily life ability and quality of life index in control group between before and after intervention(P>0.05).The scores of Fugl-Meyer in two groups after intervention were better than that before intervention, and the improvement of which in observation group was significantly higher than that in control group(P < 0.01).

ConclusionsThe integrated management mode of "medical service-rehabilitation-nursing-elderly care" can significantly improve the ability of daily living, quality of life and sport function of patients with stroke sequelae, which is helpful to the rehabilitation of patients, and worthy of further promotion.