精细化康复护理对脑卒中后肩手综合征Ⅰ期的效果观察

The effect observation of refined rehabilitation care on post-stroke shoulder-hand syndrome stage Ⅰ

目的 探讨精细化康复护理对脑卒中后肩手综合征Ⅰ期的干预效果。方法 选取符合纳入标准的患者共计42例,应用随机数字表法,随机分为观察组(精细化康复护理组)和对照组(常规康复护理组),每组21例。护理干预前后分别对两组采用视觉类比法评分(Visual Analogue Scale/Score,VAS)评定护理前后的疼痛程度,护理干预前后运用简化Fugl-Meyer运动功能评分量表(Fugl-Meyer motor assessment scale,FMA)对两组上肢运动功能力进行评分,并对两组临床疗效及护理满意度进行比较。结果 观察组临床疗效优于对照组,组间差异具有统计学意义(P<0.05)。两组VAS评分均低于护理干预前,FAM评分均高于护理干预前,差异具有统计学意义(均P<0.01),组间差异也具有统计学意义(均P<0.05),观察组护理措施优于对照组。结论 精细化康复护理对比常规康复常护理对卒中后肩手综合征的干预效果更显著,本精细化康复护理方案可作为实用有效的护理方案进行推广应用。

Objective To investigate the effect of refined rehabilitation care on the intervention of post-stroke shoulder-hand syndrome stage I.Methods Application of random number table,a total of 42 patients meeting the inclusion criteria were selected method and randomly divided into an observation group(refined rehabilitation care group)and a control group(conventional rehabilitation care group),and there are 21 patients in each group.Before and after nursing,the two groups were scored by Visual Analogue Scale/Score(VAS)to evaluate the degree of pain,at the same time,the motor function ability of upper limbs was scored by the simplified Fugl-Meyer motor assessment scale(FMA),and the satisfaction with the nursing care was compared.Results The satisfaction of the observation group is better than the control group,with a statistically significant difference between the groups(P<0.05).The VAS scores of both the observation group and the control group were lower than before the nursing intervention(pく0.01),and the FAM scores were higher than before the nursing intervention,with statistically significant differences between the groups(P<0.01),there was significant difference between the two groups(all P<0.05).The nursing measures of the observation group were better than those of the control group.Conclusion Refined rehabilitation care is more effective than conventional rehabilitation care in post-stroke shoulder-hand syndrome,and this refined rehabilitation care programme can be applied as a practical and effective care programme.