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Volume 40 Issue 1
Jan.  2024
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Article Navigation >  CHINESE JOURNAL OF BURNS AND WOUNDS  > 2024  >  40(1): 78-86
Li N,Fu QQ,Luo Y,et al.Application effects of rehabilitation care decision-making scheme based on case management model in severe burn patients[J].Chin J Burns Wounds,2024,40(1):78-86.DOI: 10.3760/cma.j.cn501225-20230905-00078.
Citation: Li N,Fu QQ,Luo Y,et al.Application effects of rehabilitation care decision-making scheme based on case management model in severe burn patients[J].Chin J Burns Wounds,2024,40(1):78-86.DOI: 10.3760/cma.j.cn501225-20230905-00078.
shu

Application effects of rehabilitation care decision-making scheme based on case management model in severe burn patients

doi: 10.3760/cma.j.cn501225-20230905-00078
  • 1.

    Institute of Burn Research, State Key Laboratory of Trauma and Chemical Poisoning, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

  • 2.

    Nursing Department, the First Affiliated Hospital of Army Medical University (the Third Military Medical University), Chongqing 400038, China

Funds:

Military Nursing Innovation and Cultivation Special Program 2021HL008

More Information
  • Corresponding author: Liao Jianmei, Email: syd-ljm@163.com
  • Received Date: 2023-09-05
    Abstract
  •   Objective   To explore the application effects of application of rehabilitation care decision-making scheme based on case management model in severe burn patients.   Methods   The study was a non-randomized historical control study. Thirty patients who met the inclusion criteria and received routine rehabilitation nursing in the First Affiliated Hospital of Army Medical University (the Third Military Medical University, hereinafter referred to as the hospital) from April 2021 to March 2022 were included in routine rehabilitation nursing group (26 males and 4 females, aged 48.50 (31.75, 56.25) years), and 30 patients who met the inclusion criteria and received case management rehabilitation nursing in the hospital from April 2022 to March 2023 were included in case management rehabilitation nursing group (22 males and 8 females, aged 46.00 (36.75, 55.25) years). The length of intensive care unit (ICU) stay, total hospitalization day, and total hospitalization cost of the patients in two groups were recorded. At admission, convalescence, discharge, and 6 months after injury, the patients' life quality was evaluated by the concise burn specific health scale, the sleep quality was evaluated by the Pittsburgh sleep quality index, and the functional independence was evaluated by the functional independence rating scale. At convalescence, discharge, and 6 months after injury, the patients' scar status was evaluated by the Vancouver scar scale. At 6 months after injury, a third-party satisfaction questionnaire was used to investigate the efficacy satisfaction of patients.   Results   The length of ICU stay and total hospitalization day of patients in case management rehabilitation nursing group were both significantly shorter than those in routine rehabilitation nursing group (with Z values of -1.97 and -1.99, respectively, P<0.05), and the total hospitalization cost was less than that in routine rehabilitation nursing group ( Z=-1.99, P<0.05). At discharge and 6 months after injury, the life quality scores of patients in case management rehabilitation nursing group were significantly higher than those in routine rehabilitation nursing group (with t values of -3.19 and -4.43, respectively, P<0.05), while the sleep quality scores were significantly lower than those in routine rehabilitation nursing group (with Z values of -2.18 and -3.33, respectively, P<0.05). There were no statistically significant differences in cognitive function scores of functional independence of patients between the 2 groups at admission, convalescence, discharge, and 6 months after injury ( P>0.05). The exercise function scores and total scores of functional independence of patients in case management rehabilitation nursing group at convalescence, discharge, and 6 months after injury were significantly higher than those in routine rehabilitation nursing group (with Z values of -4.37, -2.73, -4.10, -4.37, -2.64, and -4.06, respectively, P<0.05). The scar pigmentation scores of patients in case management rehabilitation nursing group at 6 months after injury were significantly lower than those in routine rehabilitation nursing group ( Z=-2.05, P<0.05), and the scar vascularity scores of patients in case management rehabilitation nursing group at discharge and 6 months after injury in case management rehabilitation nursing group were significantly lower than those in routine rehabilitation nursing group (with Z values of -3.16 and -2.07, respectively, P<0.05). The scar pliability scores (with Z values of -3.16, -2.45, and -4.38, respectively, P<0.05), thickness scores (with Z values of -2.56, -2.35, and -4.70, respectively, P<0.05), and total scores (with Z values of -3.77, -3.04, and -3.13, respectively, P<0.05) of patients in case management rehabilitation nursing group at convalescence, discharge, and 6 months after injury were significantly lower than those in routine rehabilitation nursing group. At 6 months after injury, the efficacy satisfaction scores of patients in case management rehabilitation nursing group were 4.00 (3.00, 4.25), which were significantly higher than 3.00 (2.00, 4.00) in routine rehabilitation nursing group ( Z=-2.72, P<0.05).   Conclusions   The implementation of rehabilitation care decision-making scheme based on case management model can optimize the cost efficiency, improve the effectiveness of clinical treatment, and enhance the life quality and satisfaction of the curative effect of severe burn patients.

     

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    • References(20)
  • [1]
    吴军, 王玉振. 中国烧伤康复医学历程[J].中华烧伤杂志,2019,35(2):81-85. DOI: 10.3760/cma.j.issn.1009-2587.2019.02.001.
    [2]
    HeydarikhayatN,AshktorabT,RohaniC, et al.Effect of post-hospital discharge follow-up on health status in patients with burn injuries:a randomized clinical trial[J].Int J Community Based Nurs Midwifery,2018,6(4):293-304.
    [3]
    童亚慧, 乔建歌, 杨青敏. 个案管理模式的国内外研究现状[J].护理学杂志,2014,29(13):95-96,后插1. DOI: 10.3870/hlxzz.2014.13.095.
    [4]
    刘晓青, 金爱萍, 董琼, 等. 以护士为主导的脑卒中出院患者个案管理实践与效果评价[J].中国护理管理,2019,19(3):423-427. DOI: 10.3969/j.issn.1672-1756.2019.03.020.
    [5]
    Case Management Society of America Standards of practice for case management, revised 2010 2023-09-05 https://www.cmsa.org/

    Case Management Society of America. Standards of practice for case management, revised 2010[EB/OL].[2023-09-05]. https://www.cmsa.org/.
    [6]
    KildalM,AnderssonG,Fugl-MeyerAR,et al.Development of a brief version of the Burn Specific Health Scale(BSHS-B)[J].J Trauma,2001,51(4):740-746.DOI: 10.1097/00005373-200110000-00020.
    [7]
    刘清梅, 李英豪, 梁霞, 等. 抑郁伴睡眠障碍患者术后PSQI评分变化及与认知功能损害的关系[J].国际精神病学杂志,2020,47(5):1057-1059,1078.
    [8]
    戴红,姜贵云.康复医学[M].3版.北京:北京大学医学出版社,2013.
    [9]
    杨少蝶, 叶庭路, 马刚. 点阵激光在瘢痕防治中的应用进展[J].国际皮肤性病学杂志,2016,42(1):40-42. DOI: 10.3760/cma.j.issn.1673-4173.2016.01.012.
    [10]
    LinHY, ChenSC, PengHL, et al. Effects of a case management program on patients with oral precancerous lesions: a randomized controlled trial[J]. Support Care Cancer, 2016,24(1):275-284. DOI: 10.1007/s00520-015-2787-5.
    [11]
    JooJY, LiuMF. Case management effectiveness in reducing hospital use: a systematic review[J]. Int Nurs Rev, 2017,64(2):296-308. DOI: 10.1111/inr.12335.
    [12]
    GouveiaWA, MassaroFJ. Critical pathway experience at New England Medical Center[J]. Am J Health Syst Pharm, 1995,52(10):1068-1070. DOI: 10.1093/ajhp/52.10.1063.
    [13]
    FordME, HavstadS, VernonSW, et al. Enhancing adherence among older African American men enrolled in a longitudinal cancer screening trial[J]. Gerontologist, 2006,46(4):545-550. DOI: 10.1093/geront/46.4.545.
    [14]
    WulffCN, VedstedP, SøndergaardJ. A randomized controlled trial of hospital-based case management in cancer care: a general practitioner perspective[J]. Fam Pract, 2013,30(1):5-13. DOI: 10.1093/fampra/cms050.
    [15]
    RümenapfG, GeigerS, SchneiderB, et al. Readmissions of patients with diabetes mellitus and foot ulcers after infra-popliteal bypass surgery - attacking the problem by an integrated case management model[J]. Vasa, 2013,42(1):56-67. DOI: 10.1024/0301-1526/a000235.
    [16]
    田播文, 孙业祥. 烧伤患者抑郁和焦虑障碍研究进展[J].中华烧伤杂志,2020,36(11):1078-1082. DOI: 10.3760/cma.j.cn501120-20190807-00339.
    [17]
    LiH,SunXZ,MillerE,et al. BMI,reproductive factors,and breast cancer molecular subtypes: a case-control study and meta-analysis[J].J Epidemiol,2017,27(4):143-151.DOI: 10.1016/j.je.2016.05.002.
    [18]
    付青青, 李茂君, 黄玲, 等. 序贯式护理在面颈部深度烧伤后新生皮肤管理中的临床应用效果[J].中华烧伤与创面修复杂志,2022,38(10):952-958. DOI: 10.3760/cma.j.cn501120-20210323-00101.
    [19]
    石雪芹, 周琴, 屈艳艳, 等. 随访方式对烧伤后严重瘢痕患者康复和遵医行为的影响[J].中华烧伤杂志,2019,35(7):537-539. DOI: 10.3760/cma.j.issn.1009-2587.2019.07.011.
    [20]
    BleichC, BüscherC, MelchiorH, et al. Effectiveness of case management as a cross-sectoral healthcare provision for women with breast cancer[J]. Psychooncology, 2017,26(3):354-360. DOI: 10.1002/pon.4139.
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