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关节训练配合体位护理对急性期脑卒中患者预后观察
引用本文:黄斌英,麦凤娇,王丽娟,蒋文中,戴建武,曾莹,胡志兵.关节训练配合体位护理对急性期脑卒中患者预后观察[J].国际护理学杂志,2011,30(4).
作者姓名:黄斌英  麦凤娇  王丽娟  蒋文中  戴建武  曾莹  胡志兵
作者单位:广州市第十二人民医院内一科,510620
摘    要:目的 探讨关节训练及体位护理在急性脑卒中偏瘫患者中应用的疗效.方法 对60例偏瘫患者随机分组:实验组30例,入院后生命体征稳定后开始进行关节训练配合体位护理;对照组30例,神经内科常规护理.采用Barthel指数及FuglMeyer量表评价两组患者关节活动度和日常生活能力.结果 两组Barthel指数分别为:实验组75.43±4.71、对照组49.53±5.9(t=18.65,P<0.05);Fugl-Meyer运动功能评分分别为:74.83±1.683、56.67±2.354(t=34.38,P<0.05);病人满意度分别为9.62±1.38、8.69±1.48(t=32.51,P=0.00).结论 关节训练与体位护理能够改善急性脑卒中偏瘫患者肢体运动功能、提高日常生活能力和病人的满意度.
Abstract:
Objective To observe the prognosis of joint training combining nursing position in acute stroke patients with hemiplegic Methods Sixty patients were randomly divided into two groups, experimental group (n = 30) and control group ( n = 30) .Control group was applied conventional nursing.Experiment group was adopted joint training combining nursing position after patients vital signs stabilization.Results The Barthel index scores of the two groups were different with the experiment group of 75.43 4.71 and the control group of 49.53 5.9 (t =18.65, P<0.05) .And Fugl-Meyer motor function index scores was 74.83 1.683, 56.67 2.354 (t =34.38, P<0.05) respectively of the two groups; there was a higher, satisfaction score in experiment group with 9.62 1.38 than that of control group with8.69 1.48 (t=32.51, P=0.00) .Conclusions The joint training combining nursing position could improve bemiplegic stroke patients'motor function and elevate the patients'daily activity and the patients' satisfaction.

关 键 词:偏瘫  关节训练  体位护理  预后

The prognosis of joint training combining nursing position of cerebral apoplexy patients
HUANG Bin-ying,MAI Feng-jiao,WANG Li-juan,JIANG Wen-zhong,DAI Jian-wu,CAO Ying,HU Zhi-bing.The prognosis of joint training combining nursing position of cerebral apoplexy patients[J].international journal of nursing,2011,30(4).
Authors:HUANG Bin-ying  MAI Feng-jiao  WANG Li-juan  JIANG Wen-zhong  DAI Jian-wu  CAO Ying  HU Zhi-bing
Abstract:Objective To observe the prognosis of joint training combining nursing position in acute stroke patients with hemiplegic Methods Sixty patients were randomly divided into two groups, experimental group (n = 30) and control group ( n = 30) .Control group was applied conventional nursing.Experiment group was adopted joint training combining nursing position after patients vital signs stabilization.Results The Barthel index scores of the two groups were different with the experiment group of 75.43 4.71 and the control group of 49.53 5.9 (t =18.65, P<0.05) .And Fugl-Meyer motor function index scores was 74.83 1.683, 56.67 2.354 (t =34.38, P<0.05) respectively of the two groups; there was a higher, satisfaction score in experiment group with 9.62 1.38 than that of control group with8.69 1.48 (t=32.51, P=0.00) .Conclusions The joint training combining nursing position could improve bemiplegic stroke patients'motor function and elevate the patients'daily activity and the patients' satisfaction.
Keywords:Hamiplegic  Joint training combining Nursing position  Prognosis
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