早期护理干预在亚急性期脑卒中后肩关节半脱位患者中的应用效果分析  

Application effect analysis of early nursing intervention in patients with subacute stage shoulder subluxation after stroke

作　　者：谢静茹 鲍婷 廖琼[1] XIE Jingru;BAO Ting;LIAO Qiong(Department of Public Health,Pingxiang People's Hospital,Jiangxi Province,Pingxiang 337000,China)

机构地区：[1]江西省萍乡市人民医院公共卫生科,江西萍乡337000

出　　处：《中国当代医药》2023年第17期173-176,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(SKJP220218253)。

摘　　要：目的探讨早期护理干预在亚急性期脑卒中后肩关节半脱位患者中的应用效果。方法选取2021年9月至2022年8月萍乡市人民医院收治的60例亚急性期脑卒中后肩关节半脱位患者作为研究对象,采用随机数字表法将其分为对照组与观察组,各30例。两组患者均采取常规康复治疗和对侧控制型功能性电刺激治疗,对照组患者采用常规护理,观察组患者给予早期护理干预。比较两组患者的心理状态、肩关节活动度、肩关节功能、肩部疼痛评分及护理满意度。结果观察组患者护理后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、肩部疼痛评分低于对照组,护理后的肩关节外展活动度、外旋活动度、Fugl-Meyer评分及护理满意度高于对照组,差异有统计学意义(P<0.05)。结论对亚急性期脑卒中后肩关节半脱位患者采取早期护理干预可有效改善患者心理状态,缓解肩部疼痛,促进肩关节活动度与肩关节功能恢复,提升护理满意度,适宜在临床推广应用。Objective To explore the effect of early nursing intervention in patients with subacute stage shoulder subluxation after stroke.Methods A total of 60 patients with subacute stage shoulder subluxation after stroke admitted to Pingxiang People's Hospital from September 2021 to August 2022 were selected as research objects.They were divided into control group and observation group according to random number table method,with 30 cases in each group.The patients in both groups were treated with conventional rehabilitation therapy and contralateral controlled functional electrical stimulation therapy.The patients in the control group received conventional nursing,and the patients in the observation group received early nursing intervention.The psychology,the shoulder joint range of motion,the shoulder joint function,the shoulder pain score and nursing satisfaction were compared between the two groups.Results The self-rating anxiety scale(SAS),self-rating depression scale(SDS)and the score of shoulder pain in the observation group after intervention were lower than those in the control group,the shoulder abduction activity,the external rotation activity,the Fugl Meyer score and the nursing satisfaction of patients in the observation group after intervention were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Early nursing intervention for patients with subacute stage shoulder subluxation after stroke can effectively improve their psychological state,relieve shoulder pain,promote the recovery of shoulder joint range of motion and shoulder joint function,and improve nursing satisfaction,which is suitable for clinical application.

关 键 词：早期护理干预 对侧控制型功能性电刺激 亚急性期 脑卒中后肩关节半脱位 肩关节活动度 护理满意度 

分 类 号：R473.74[医药卫生—护理学]