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体位转移及轮椅使用技术对脑卒中偏瘫患者中的应用观察

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目的 探究体位转移及轮椅使用技术在脑卒中偏瘫患者中的应用价值。方法 选取贵州医科大学附属医院康复医学科2021年1月-2023年1月的脑卒中患者70例,实施14~21 d的体位转移及轮椅使用技术训练。比较患者入院及出院时改良Barthel指数(MBI)评定、Fugl-Meyer平衡功能评估(FMA)及轮椅技能测试(WST)评分。结果 患者出院时的MBI、FMA及WST评分均较入院时有所提高(P<0。05)。结论 对脑卒中偏瘫患者实施体位转移及轮椅使用技术指导,有助于提升患者的轮椅技能、提高生活自理能力和平衡功能、减少并发症及继发性损害的发生,从而有效改善患者生活质量,值得临床进一步推广。
Application of posture transfer and wheelchair technology in stroke patients with hemiplegia
Objective To explore the application value of posture transfer and wheelchair technology in stroke pa-tients with hemiplegia.Methods A total of 70 stroke patients in the department of rehabilitation medicine of the Af-filiated Hospital of Guizhou Medical University from January 2021 to January 2023 were selected,and implemented the training of body position transfer and wheelchair use techniques for 14-21 d.The Modified Barthel Index(MBI)ratings,Fugl-Meyer Assessment Scale(FMA),and Wheelchair Skills Test(WST)score were compared for patients at admission and discharge.Results The scores of MBI,FMA,and WST were improved at the time of discharge(P<0.05).Conclusion Technical guidance on posture transfer and wheelchair use for stroke patients with hemiplegia can help improve their wheelchair skills,improve their ability to take care of themselves and balance functions,and reduce the occurrence of complications and secondary damage;Thereby effectively improving the overall quality of life of patients,which is worthy of further clinical promotion.

postural transferrehabilitation interventionwheelchair usecerebral apoplexyhemiplegic paralysis

吴国艳、李亚玲、李敏凤、龙燕、王丽、杨文晴

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贵州医科大学附属医院,贵州贵阳 550004

体位转移 康复干预 轮椅使用 脑卒中 偏瘫

贵州医科大学附属医院院内护理科研项目

GYHLB202109

2024

护士进修杂志
贵州省医药卫生学会办公室

护士进修杂志

CSTPCD
影响因子:2.59
ISSN:1002-6975
年,卷(期):2024.39(7)
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