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
肖萃 1邵银进 1袁礼洪 1吴桂华 1陈喜旺1
作者信息
- 1. 江西省赣州市人民医院康复医学科,赣州 341000
- 折叠
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.
Abstract
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Key words
stroke/shoulder hand syndrome/high dependency unit/cluster care引用本文复制引用
基金项目
江西省卫生健康委员会科技计划项目(202311850)
出版年
2024
NETL
NSTL
万方数据