集束化护理在高依赖病房脑卒中后肩手综合征患者康复中的作用  

Role of cluster nursing in the rehabilitation of patients with shoulder hand syndrome after stroke in high dependency unit

作　　者：肖萃[1] 邵银进[1] 袁礼洪 吴桂华[1] 陈喜旺 XIAO Cui;SHAO Yinjin;YUAN Lihong;WU Guihua;CHEN Xiwang(Rehabilitation Medicine Department of Ganzhou People’s Hospital,Ganzhou,Jiangxi 341000,China)

机构地区：[1]江西省赣州市人民医院康复医学科,赣州341000

出　　处：《上海医药》2024年第8期33-36,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：江西省卫生健康委员会科技计划项目(202311850)。

摘　　要：目的:探讨集束化护理在高依赖病房(high dependency unit,HDUs)脑卒中后肩手综合征(SHSAS)患者康复中的作用。方法:收集2021年8月至2023年1月收治的SHSAS患者50例,采用随机数字表法分为对照组和观察组各25例。对照组采取常规康复护理,观察组实施集束化HDUs康复护理,两组均干预4周。比较两组肩部疼痛、手部肿胀、临床干预效果、上肢功能和日常生活能力。结果:两组干预前肩部疼痛、手部肿胀、上肢功能和日常生活能力比较差异无统计学意义(P>0.05)。观察组干预后视觉模拟评分低于对照组,患手肿胀体积小于对照组(P<0.05)。观察组治疗有效率为96%(24/25),高于对照组的76%(19/25,P<0.05)。观察组干预后上肢简化运动功能量表评分高于对照组,日常生活能力量表评分低于对照组(P<0.05)。结论:集束化HDUs康复护理可促进患者上肢功能恢复,提升患者日常生活能力。Objective:To explore the role of cluster nursing in the rehabilitation of patients with shoulder hand syndrome after stroke(SHSAS)in highly dependent unit(HDU).Methods:Fifty patients with SHSAS admitted to the hospital from August 2021 to January 2023 were collected and divided into a control group and an observation group with 25 cases each by the random number table method.The control group received routine rehabilitation care,and the observation group received cluster HDU rehabilitation care.Both groups were intervened for 4 weeks.Shoulder pain,hand swelling,clinical intervention effectiveness,upper limb function,and daily living ability were compared between two groups.Results:There were no statistically significant differences in shoulder pain,hand swelling,upper limb function,and daily living ability between the two groups before intervention(P>0.05);after intervention,the visual analogue scale(VAS)score in the observation group was lower than that in the control group,and the swelling volume of the affected hand in the observation group was smaller than that in the control group(P<0.05);the effective rate of treatment in the observation group was 96%(24/25),which was higher than that in the control group 76%(19/25,P<0.05);after intervention,the score of the simplified upper limb motor function scale in the observation group was higher than that in the control group and the score of the ability of daily living scale was lower than that in the control group(P<0.05).Conclusion:Clustered HDU rehabilitation nursing can promote the recovery of upper limb function and enhance patients’daily living ability.

关 键 词：脑卒中 肩手综合征 高依赖病房 集束化护理 

分 类 号：R473[医药卫生—护理学]