摘 要：
脑卒中患者的生活质量直接影响其康复进程及重返社会的能力，探索有效的护理模式成为医学与护理领域的重要任务。本研究以脑卒中患者为核心，关注其身体、心理、社会等多维度需求，提出并研究精准护理模式的实施机制及效果。研究采用随机对照实验的方式，将符合条件的脑卒中患者分为两组：传统护理模式组及精准护理模式组。精准护理模式结合患者的个体特征，通过个性化健康评估、心理支持干预和日常生活能力训练等维度对患者实施综合护理，并采用健康生活质量量表、心理状态评估表、及护理满意度问卷对护理效果进行评价。结果显示，相较于传统护理模式，精准护理模式显著改善了患者的身体功能恢复状况（如步态稳定性和运动能力评分）、心理状态（如焦虑和抑郁评分）、及社会适应能力，同时护理满意度显著提升。研究表明，精准护理模式能有效提升脑卒中患者的生存质量和康复效率，为其重返家庭和社会的能力提供实质性支持。上述结果可为脑卒中的临床护理策略优化及多维度护理理论构建提供重要参考。
关键词：脑卒中患者；生活质量；精准护理；多维度需求
Abstract:
The quality of life of stroke patients directly impacts their rehabilitation progress and ability to reintegrate into society, making the exploration of effective nursing models a crucial task in the medical and nursing fields. This study focuses on stroke patients, addressing their multidimensional needs encompassing physical, psychological, and social aspects, and proposes and investigates the implementation mechanism and effects of a precision nursing model. Employing a randomized controlled trial design, eligible stroke patients were divided into two groups: a traditional nursing model group and a precision nursing model group. The precision nursing model, tailored to the individual characteristics of patients, provided comprehensive care through personalized health assessments, psychological support interventions, and training in daily living abilities. The nursing effects were evaluated using health-related quality of life scales, psychological state assessment forms, and nursing satisfaction questionnaires. The results indicated that, compared to the traditional nursing model, the precision nursing model significantly improved patients' physical functional recovery (such as gait stability and motor ability scores), psychological states (such as anxiety and depression scores), and social adaptability, while also substantially enhancing nursing satisfaction. The study demonstrates that the precision nursing model effectively enhances the quality of life and rehabilitation efficiency of stroke patients, providing substantial support for their ability to return to family and society. These findings offer important references for optimizing clinical nursing strategies for stroke and constructing multidimensional nursing theories.
Keywords: Stroke Patients; Quality of Life; Precision Nursing; Multidimensional Needs
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