全程良肢位管理联合体位标识在脑卒中偏瘫患者中的应用  

Application of Whole Good Limb Position Management Joint Position Identification in Stroke Patients with Hemiplegia

作　　者：刘荣 赵慧杰[2] LIU Rong;ZHAO Huijie(Nursing Department,Kaifeng People’s Hospital,Kaifeng 475000,China;Institute of Chronic Disease Risks Assessment,Henan University,Kaifeng 475000,China)

机构地区：[1]开封市人民医院护理部,河南开封475000 [2]河南大学慢性病风险评价研究所,河南开封475000

出　　处：《河南医学研究》2023年第14期2677-2681,共5页Henan Medical Research

基　　金：开封市科技发展项目计划(2003065)。

摘　　要：目的探讨全程良肢位管理联合体位标识在脑卒中偏瘫患者中的应用效果。方法选取2020年10月至2022年10月在开封市人民医院神经内科2个病区住院的脑卒中后偏瘫患者88例为研究对象,随机选取一个病区收治的44例脑卒中后偏瘫患者为观察组,实施全程良肢位管理联合体位标识的干预方法,另一个病区收治的44例脑卒中后偏瘫患者为对照组,实施传统良肢位管理的干预方法,干预时间4周。比较两组患者干预后良肢位摆放依从性和正确率,干预前和干预后患者的简式运动功能评分(FMS)、功能独立性评分(FIM)、姿势控制评分(PASS)、自理能力评分(ADL)和世界卫生组织生活质量(WHOQOL-100)评分,及住院期间患者并发症发生情况。结果干预后,与对照组相比,观察组脑卒中后偏瘫患者良肢位摆放依从性和正确率均高于对照组(P<0.05)。干预1个月后,观察组FMS、FIM、PASS、ADL、WHOQOL-100评分均高于对照组(P<0.05)。观察组与对照组脑卒中后偏瘫患者并发症发生率分别为4.55%和9.09%,差异无统计学差异(P>0.05)。结论全程良肢位管理联合体位标识干预有利于提高脑卒中偏瘫患者良肢位摆放依从性和正确率,改善患者肢体运动功能,提高患者自理能力和生活质量。Objective To explore the effect of the whole limb management in stroke hemiplegia patients.Methods From October 2020 to October 2022,88 patients with hemiplegia after stroke who were hospitalized in two wards of neurology department of Kaifeng People’s Hospital were selected,randomly selected a ward treated 44 cases of hemiplegia patients after stroke for observation group,the implementation of the whole good limb management consortium identified intervention method,another ward treated 44 cases after stroke hemiplegia patients for the control group,the implementation of traditional good limb management intervention method,intervention time 4 weeks.The compliance and accuracy of the two groups were compared after intervention,Fugl-Meyer sensory scale(FMS),functional independence measure(FIM),postural assessment scale for stroke patients(PASS),activities of daily living(ADL)and World Health Organization quality of life scale(WHOQOL-100)before and after intervention,and the occurrence of complications during hospitalization.Results After the intervention,compared with the control group,the compliance and accuracy of the observation group were higher than that of the control group(P<0.05).After one month of intervention,the FMS,FIM,PASS,ADL and WHOQOL-100 scores in the observation group were higher than those in control group(P<0.05).The complication rate between observation and control hemiplegia patients were 4.55%and 9.09%,respectively,with no statistical difference(P>0.05).Conclusion The intervention of whole-process good limb placement management for stroke hemiplegia patients is beneficial to improving the compliance and correct rate of good limb placement,improving the limb movement function of patients,and improving the self-care ability and quality of life.

关 键 词：全程良肢位管理 体位标识 脑卒中 肢体功能 

分 类 号：R473.5[医药卫生—护理学]