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肢体按摩装置联合SMART原则安全护理在脑卒中患者中的应用效果

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目的:分析肢体按摩装置联合SMART原则安全护理在脑卒中患者中的应用效果。方法:选取 2021 年 1 月—2022 年 12 月厦门大学附属中山医院收治的 90 例脑卒中患者作为观察对象。根据随机数表法将其分为观察组与对照组,各45 例。对照组给予SMART原则安全护理,观察组在对照组基础上给予肢体按摩装置。比较两组护理后护理满意度,护理前后肢体功能、恢复情况、日常生活活动能力、认知功能、负性情绪。结果:观察组总满意度明显高于对照组,差异有统计学意义(P<0。05)。护理后,观察组上肢及下肢评分均高于对照组,差异有统计学意义(P<0。05)。护理后,观察组脑卒中影响量表(SIS)评分、改良巴氏指数(MBI)评分、蒙特利尔认知评估量表(MoCA)评分均高于对照组,差异有统计学意义(P<0。05)。护理后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均明显低于对照组,差异有统计学意义(P<0。05)。结论:肢体按摩装置联合SMART原则安全护理可有效提高脑卒中患者肢体功能,有助于改善其情绪状态与认知功能,提高护理满意度。
Application Effect of Limb Massage Device Combined with SMART Principle Safety Nursing in Stroke Patients
Objective:To analyze the application effect of limb massage device combined with SMART principle safety nursing in stroke patients.Method:A total of 90 stroke patients admitted to Zhongshan Hospital Xiamen University from January 2021 to December 2022 were selected as the observation objects.They were divided into observation group and control group according to random number table method,45 cases in each group.The control group was given the SMART principle safety nursing,and the observation group was given the limb massage device on the basis of the control group.Nursing satisfaction after nursing,limb function,recovery condition,activity ability of daily living,cognitive function and negative emotion before and after nursing were compared between the two groups.Result:The total satisfaction of the observation group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).After nursing,the scores of upper and lower limbs in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of stroke impact scale(SIS),modified babbitt index(MBI)and Montreal cognitive assessment scale(MoCA)in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Limb massage device combined with SMART principle safety nursing can effectively improve the limb function of stroke patients,help to improve their emotional state and cognitive function,and improve nursing satisfaction.

Safety nursingMassage deviceStroke

简玉华、郑玉琴、翁小娥

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厦门大学附属中山医院 福建 厦门 361004

安全护理 按摩装置 脑卒中

厦门市自然科学基金

3502Z20227270

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(9)
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