标题：基于CICARE沟通模式的激励性护理对神经内科患者下床活动依从性及跌倒恐惧心理的影响

      作者：方梅 1，阴玥 2，郭婷婷 1    安康市中心医院神经内科二病区 1、卒中中心 2，陕西 安康 725000

      卷次： 2023年34卷7期

      【摘要】 目的 探讨基于CICARE沟通模式的激励性护理对神经内科患者下床活动依从性及跌倒恐惧心理的影响。方法 选取2021年 10月至2022年3月期间安康市中心医院收治的86例神经内科住院患者作为研究对象，按随机数表法分为对照组和观察组各43例，对照组患者采用常规护理，观察组患者采用基于CICARE沟通模式的激励性护理，两组患者均护理2周。比较护理前后两组患者的Barthel指数、Fugl-Meyer运动功能评分法(FMA)和中文修订版跌倒效能量表(MFES)评分，以及护理后下床活动依从性、满意度调查问卷[健康教育、医疗环境、心理护理、服务态度、操作性护理]评分。结果 护理后，观察组患者的Barthel指数、FMA评分和MFES评分分别为(56.75±4.24)分、(57.27±6.83)分、(7.55±1.63)分，明显高于对照组的(51.26±4.39)分、(43.67±5.32)分、(5.27±1.34)分，差异均具有统计学意义(P<0.05)；护理后，观察组患者完全依从14例、部分依从26例、不依从 3例，分别优于对照组的7例、19例、17例，差异有统计学意义(P<0.05)；观察组患者健康教育、医疗环境、心理护理、服务态度、操作性护理评分分别为(3.15±0.32)分、(3.12±0.58)分、(2.84±0.75)分、(3.35±0.57)分、(3.46±0.25)分，明显高于对照组的(1.30±0.27)分、(1.24±0.26)分、(1.08±0.32)分、(1.14±0.45)分、(1.32±0.23)分，差异均有统计学意义(P<0.05)。结论 基于CICARE沟通模式的激励性护理应用于神经内科患者有利于改善其生活能力和运动能力，缓解跌倒恐惧心理，提高下床活动依从性和满意度。
      【关键词】 CICARE沟通模式；激励性护理；神经内科；下床活动依从性；跌倒恐惧心理
      【中图分类号】 R473.5 【文献标识码】 A 【文章编号】 1003—6350（2023）07—1024—04

Effects of incentive nursing based on CICARE communication mode on off-bed activity compliance and fallingfear of patients in Department of Neurology.
FANG Mei 1, YIN Yue 2, GUO Ting-ting 1. Ward Ⅱ, Department ofNeurology 1, Stroke Center 2, Ankang Central Hospital, Ankang 725000, Shaanxi, CHINA
【Abstract】 Objective To explore the effects of incentive nursing based on CICARE communication mode onoff-bed activity compliance and falling fear of patients in Department of Neurology. Methods A total of 86 patients ad-mitted to Department of Neurology, Ankang Central Hospital between October 2021 and March 2022 were enrolled asthe research objects. According to random number table method, they were divided into a control group (routine nursing)and an observation group (incentive nursing based on CICARE communication mode), with 43 patients in each group.The patients were nursed for 2 weeks. The scores of Barthel index, Fugl-Meyer Assessment (FMA), and Modified FallsEfficacy Scale (MFES) before and after nursing, and scores of off-bed activity compliance, and satisfaction question-naire (health education, medical environment, psychological nursing, service attitude, operational nursing) after nursingwere compared between the two groups. Results After nursing, scores of Barthel index, FMA, and MFES in the obser-vation group were (56.75±4.24) points, (57.27±6.83) points, and (7.55±1.63) points, significantly higher than (51.26±4.39) points, (43.67±5.32) points, (5.27±1.34) points in the control group (P<0.05). After nursing, there were 14 caseswith complete compliance, 26 cases with partial compliance, and 3 cases without compliance in the observation group,better than 7, 19, 17 in the control group (P<0.05). The scores of health education, medical environment, psychologicalnursing, service attitude, and operational nursing in the observation group were (3.15±0.32) points, (3.12±0.58) points,(2.84±0.75) points, (3.35±0.57) points, and (3.46±0.25) points, significantly higher than (1.30±0.27) points, (1.24±0.26) points, (1.08±0.32) points, (1.14±0.45) points, (1.32±0.23) points in the control group (P<0.05). Conclusion Theapplication of incentive nursing based on CICARE communication mode is beneficial to improve activities of daily livingand motor ability, relieve falling fear, improve off-bed activity compliance and satisfaction in Department of Neurology.
      【Key words】 CICARE communication mode; Incentive nursing; Department of Neurology; Off-bed activity com-pliance; Falling fear