某康复医学中心患者抗痉挛体位执行率现状调查及原因探讨  

Investigation and reasons for antispasmodic position in one rehabilitation center

作　　者：倪碧玉[1] 屈云[1] 

机构地区：[1]四川大学华西医院康复医学中心,成都610041

出　　处：《中华现代护理杂志》2016年第3期343-345,共3页Chinese Journal of Modern Nursing

基　　金：十二五国家科技支撑计划课题（2011BAI08811）

摘　　要：目的 了解某康复医学中心脑卒中及脑外伤致肌张力障碍患者抗痉挛体位的执行率,并对其进行相关原因分析,从而为患者更好地康复提供依据.方法 自行设计问卷,采用方便抽样,对76例明确诊断为脑卒中或脑外伤且医生开具＂抗痉挛体位摆放＂医嘱患者进行调查,对收集的数据进行整理分析.结果 患者抗痉挛体位自行执行率为28.95%,护士指导监督后其执行率为59.21%,差异有统计学意义（χ2=14.12,P〈0.05）.不同疾病种类（脑卒中与脑外伤）、不同性别、照顾者与患者不同关系（亲属与非亲属）的患者,在护士指导后,执行率差异无统计学意义（P〉0.05）.女性照顾者和男女共同照顾的患者抗痉挛体位执行率高于男性照顾的患者,且差异有统计学意义（P〈0.05）.结论 患者抗痉挛体位自行执行率较低,需护士进行积极指导,且由女性照顾者参与体位摆放,有利于提高执行率.Objective To learn the execution rate of antispasmodic position to the patients with dystonia which caused by cerebral apoplexy and brain trauma in a rehabilitation center, and to provide evidence for the better rehabilitation through analyzing the relative reasons. Methods Convenience sampling was used to investigate 76 patients by self-design questionnaire. All the participants had been diagnosed as stroke or traumatic brain injuries and been ordered to keep antispasmodic position. Results The self-executing rate of antispasmodic position was 28. 95%, and it increased to 59. 21% under the guidance and supervision of nurses （χ2 =14.12,P 〈0. 05）. There was no significant difference in genders, diseases types and relationship between patients and caregivers （relatives or non-relatives） （P〉0. 05）. The execution rate of female caregivers and common caregivers were higher than male caregivers （P〈0. 05）. Conclusions The self-executing rate of antispasmodic position is low, thus guidance supervision from nurses are needed. The execution rate can be improved when female givers participate the position setting.

关 键 词：抗痉挛体位 执行率 原因 康复 

分 类 号：R473.74[医药卫生—护理学]