基于精准护理的穿脱衣训练在中青年卒中后偏瘫患者中的应用  

Application of dressing and undressing training based on precise nursing in young and middle-aged patients with hemiplegia after stroke

作　　者：刘向力[1] 肖海燕[1] 徐婷[1] 黄丽仁 辛友美 陈金 唐小凤[1] 官美红 LIU Xiangli;XIAO Haiyan;XU Ting;HUANG Liren;XIN Youmei;CHEN Jin;TANG Xiaofeng;GUAN Meihong(Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou,510000,China)

机构地区：[1]广东省第二中医院针灸康复科,广东省广州市510000

出　　处：《护理实践与研究》2023年第13期1906-1911,共6页Nursing Practice and Research

基　　金：广东省医学科研基金课题(编号:B2021356)。

摘　　要：目的探讨基于精准护理的穿脱衣训练在中青年卒中后偏瘫患者中的应用效果。方法选取2021年7月—2022年5月在广东省第二中医院住院治疗的100例中青年卒中后偏瘫的患者为研究对象,按组间基本特征具有可比性的原则分为观察组和对照组,各50例,对照组采用脑卒中常规护理,观察组在对照组基础上实施基于精准护理的穿脱衣训练,比较两组患者干预前后改良Barthel指数(MBI)评分、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分。结果双因素方差分析结果显示,两组患者干预前、干预2周后、干预3个月后的MBI、WHOQOL-BREF评分均呈逐渐升高的趋势,时间之间差异有统计学意义(P时间<0.05);但在干预2周后、干预3个月后MBI、WHOQOL-BREF评分均以观察组高于对照组,差异有统计学意义(P组间<0.05),并且随观察时间延长,组间差异逐渐增大,组间随时间变化的差异有统计学意义(P交互<0.05)。结论基于精准护理的穿脱衣训练,可有效改善中青年卒中后偏瘫患者的生活自理能力和生存质量。Objective To explore the application effect of dressing and undressing training based on precise nursing in young and middle-aged patients with hemiplegia after stroke.Methods From July 2021 to May 2022,100 young and middle-aged patients with hemiplegia after stroke who were hospitalized in the Second Hospital of Traditional Chinese Medicine in Guangdong Province were selected as the research objects.According to the principle of comparability of basic characteristics between groups,they were divided into observation group and control group,with 50 cases in each group.The control group was given routine nursing for stroke,and the observation group was given wearing and undressing training based on precise nursing.The modified Barthel index(MBI)score and World Health Organization Quality of Life-BREF(WHOQOL-BREF)score before and after intervention were compared between the two groups.Results The results of twoway analysis of variance showed that the MBI and WHOQOL-BREF scores of the two groups of patients before intervention,2 weeks after intervention and 3 months after intervention showed a gradual upward trend,and the difference between the time was statistically significant(P<0.05);however,after 2 weeks of intervention and 3 months of intervention,the MBI and WHOQOL-BREF scores of the observation group were higher than those of the control group,and the difference was statistically significant(P<0.05).With the prolongation of the observation time,the difference between the groups gradually increased,and the difference between the groups over time was statistically significant(P<0.05).Conclusion Dressing and undressing training based on precise nursing can effectively improve the self-care ability and quality of life of young and middle-aged patients with hemiplegia after stroke.

关 键 词：精准护理 穿脱衣训练 中青年 卒中 偏瘫 自理能力 生存质量 

分 类 号：R473.54[医药卫生—护理学]