康复护理标识的制作及在偏瘫患者良肢位摆放中的应用  

Making of rehabilitation nursing signs and their application in positioning of unaffected extremities among patients with hemiplegia

作　　者：王希悦[1] 谢家兴[2] 张红云[1] 王玉琴[1] 李葳[1] 李莹莹[1] 邓巧婧 

机构地区：[1]中国康复研究中心北京博爱医院神经康复二科,北京市100068 [2]中国康复研究中心北京博爱医院护理部,北京市100068

出　　处：《中华护理杂志》2017年第4期493-496,共4页Chinese Journal of Nursing

基　　金：中央级公益性科研院所基本科研业务费专项资金资助项目(2013CZ-49)

摘　　要：目的自制康复护理标识并在偏瘫患者良肢位摆放中应用。方法选取我院2013年7月—2014年11月的49例脑卒中首次发病致偏瘫的患者为对照组,2015年1月—9月收治的52例脑卒中首次发病致偏瘫的患者为实验组;两组在常规治疗、康复护理的基础上,实验组应用自行设计的康复护理标识结合良肢位摆放的指导与示范,对照组给与常规良肢位摆放指导和示范。结果实验组良肢位摆放依从性为86.03%(4 026/4 680次),正确率为72.73%(2 928/4 026次);对照组良肢位摆放依从性为58.10%(2 562/4 410次),正确率为50.94%(1 305/2 562次)。实验组新发并发症0例,原有并发症加重0例,原有并发症程度减轻10例;对照组新发并发症2例,原有并发症加重2例,原有并发症程度减轻4例。实验组及其家属主观关注程度高于对照组,两组差异具有统计学意义(P<0.05)。结论自制康复护理标识可以提高偏瘫患者良肢位摆放的依从性和正确率,提高患者及其家属在家居生活中对良肢位摆放的关注度。Objective To make rehabilitation nursing signs and apply them in positioning of unaffected extremities among patients with hemiplegia. Methods Totally 49 stroke patients with hemiplegia were recruited in the control group from July 2013 to November 2014,and 52 stroke patients with hemiplegia were recruited in the experimental group from January 2015 to September 2015. Same treatment and rehabilitation nursing were provided to patients in two groups. For the experimental group,rehabilitation nursing signs were applied together with regular guidance and demonstration of positioning of unaffected extremities. For the control group,only regular guidance and demonstration of positioning of unaffected extremities were provided. Results For the experimental group,the compliance was 86.03%（4 026 of 4 680 times）,the accuracy was 72.73%（2 928 of 4 026 times）;for the control group,the compliance and accuracy were 58.10% （2 562 of 4 410 times）and 50.94% （1 305 of 2 562 times）, respectively. In the experimental group,no new complication occurred,no existing complication deteriorated,10 eases of complications were alleviated. However,in the control group,two cases developed complications,two cases of existing complication deteriorated,and only four cases of complications were alleviated, Subjective attention from patients and their family members in the experimental group was higher than that in the control group,and the difference was statistieally significant. Conclusion For patients with hemiplegia,the rehabilitation nursing signs can significantly increase the compliance and accuracy of unaffected extremities positioning,and increase the attention from patients and their family members regarding unaffected extremities positioning in daily life.

关 键 词：偏瘫 体位 康复 

分 类 号：R473.74[医药卫生—护理学]