首页|良肢位摆放管理对脑卒中偏瘫患者疼痛程度及肢体功能恢复的影响

良肢位摆放管理对脑卒中偏瘫患者疼痛程度及肢体功能恢复的影响

扫码查看
目的 探究脑卒中患者应用良肢位摆放护理的效果.方法 便利选取2021年7月—2023年12月黎平县中医医院接收的92例脑卒中偏瘫患者为研究对象,按随机序列分为对照组、观察组,各46例.对照组采取传统护理,观察组在传统护理的基础上实施良肢位摆放管理.比较两组疼痛缓解情况、肢体功能恢复情况、生活质量及不良事件发生情况.结果 观察组护理第7、14、21天的疼痛缓解情况均优于对照组,差异有统计学意义(P均<0.05).观察组上肢、下肢运动功能量表评分及姿势控制量表评分均高于对照组,差异有统计学意义(P均<0.05).观察组生活质量量表中生理健康(13.57±2.26)分、心理健康(12.37±2.42)分、独立能力(12.36±1.21)分均高于对照组,差异有统计学意义(t=4.826,4.234,11.150,P均<0.05).对照组不良事件总发生率高于观察组,差异有统计学意义(P<0.05).结论 在脑卒中偏瘫患者护理中,采用良肢位摆放管理模式,有助于缓解患者的疼痛程度,并提高肢体功能恢复效果,患者不良事件发生情况较少.
Effect of Good Limb Position Placement Management on Pain Level and Limb Function Recovery in Hemiplegic Patients with Stroke
Objective To investigate the effect of the application of good limb position placement nursing in stroke patients.Methods A total of 92 patients with stroke hemiplegia admitted to Liping County Hospital of Traditional Chi-nese Medicine from July 2021 to December 2023 were conveniently selected as the study objects and were divided into control group and observation group with 46 cases each using random sequence.The control group received tra-ditional nursing,and the observation group received good limb placement management on the basis of traditional nursing.Pain relief,limb function recovery,quality of life and adverse events were compared between the two groups.Results The pain relief of the observation group on day 7,day 14 and day 21 were better than those of the control group,and the differences were statistically significant(all P<0.05).The scores of upper limb and lower limb motor function scale and posture control scale in observation group were higher than those in control group,and the differ-ences were statistically significant(all P<0.05).The scores of physical health(13.57±2.26)points,mental health(12.37±2.42)points and independent ability(12.36±1.21)points in the observation group were higher than those in the control group,and the differences were statistically significant(t=4.826,4.234,11.150,all P<0.05).The total inci-dence of adverse events in control group was higher than that in observation group,and the difference was statistically significant(P<0.05).Conclusion In the nursing of stroke patients with hemiplegia,the use of good limb placement management mode can help alleviate the pain degree of patients,improve the effect of limb function recovery,and the incidence of adverse events in patients is less.

Good limb positionPlacement managementStroke hemiplegiaPain levelLimb functionQuality of lifeComplications

武权英、周宗艳、马瑞

展开 >

黎平县中医医院护理部,贵州黔东南州 557300

良肢位 摆放管理 脑卒中偏瘫 疼痛程度 肢体功能 生活质量 并发症

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(12)