康复护理标识的制作及在偏瘫患者良肢位摆放中的应用

发布时间：2018-01-09 01:15

本文关键词：康复护理标识的制作及在偏瘫患者良肢位摆放中的应用　出处：《中华护理杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的自制康复护理标识并在偏瘫患者良肢位摆放中应用。方法选取我院2013年7月—2014年11月的49例脑卒中首次发病致偏瘫的患者为对照组,2015年1月—9月收治的52例脑卒中首次发病致偏瘫的患者为实验组;两组在常规治疗、康复护理的基础上,实验组应用自行设计的康复护理标识结合良肢位摆放的指导与示范,对照组给与常规良肢位摆放指导和示范。结果实验组良肢位摆放依从性为86.03%(4 026/4 680次),正确率为72.73%(2 928/4 026次);对照组良肢位摆放依从性为58.10%(2 562/4 410次),正确率为50.94%(1 305/2 562次)。实验组新发并发症0例,原有并发症加重0例,原有并发症程度减轻10例;对照组新发并发症2例,原有并发症加重2例,原有并发症程度减轻4例。实验组及其家属主观关注程度高于对照组,两组差异具有统计学意义(P0.05)。结论自制康复护理标识可以提高偏瘫患者良肢位摆放的依从性和正确率,提高患者及其家属在家居生活中对良肢位摆放的关注度。
[Abstract]:Objective to use the self-made rehabilitation nursing mark in the placement of good limbs in hemiplegic patients. Methods 49 patients with hemiplegia caused by stroke from July 2013 to November 2014 in our hospital were selected as the control group. From January 2015 to September, 52 patients with hemiplegia caused by stroke for the first time were treated as experimental group. On the basis of routine treatment and rehabilitation nursing, the experimental group used the self-designed rehabilitation nursing sign combined with the guidance and demonstration of good limb placement. The control group was given routine good limb placement guidance and demonstration. Results the compliance of good limb placement in the experimental group was 86.03 and 4 026/4 times). The accuracy rate was 72.733.The accuracy rate was 2 928/4 times. In the control group, the compliance of good limb position was 58.10% and the correct rate was 50.94% and 1 305/2 times, respectively. There were 0 cases of newly developed complications in the experimental group. The original complication was aggravated in 0 cases and the degree of the original complication was alleviated in 10 cases. In the control group, there were 2 cases of new complications, 2 cases of aggravation of the original complications and 4 cases of lightening the degree of the original complications. The difference between the two groups was statistically significant (P 0.05). Conclusion Self-made rehabilitation nursing marker can improve the compliance and accuracy of good limb placement in patients with hemiplegia. Improve the attention of patients and their families to good limb placement in home life.
【作者单位】：中国康复研究中心北京博爱医院神经康复二科;中国康复研究中心北京博爱医院护理部;
【基金】：中央级公益性科研院所基本科研业务费专项资金资助项目(2013CZ-49)
【分类号】：R473.74
【正文快照】： 良肢位摆放在预防脑卒中后偏瘫等并发症[1-3]、改善患者生活质量中具有重要的价值[4-5]。然而患者良肢位摆放的依从率和正确率不高,是目前临床护理中普遍存在的问题。护理标识作为一种行业标识,越来越多地应用于临床[6-8],可提示患者应该做什么、注意什么[9],是一种更人性、更

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