脑卒中后偏瘫肩痛的康复护理进展

Progress on rehabilitation nursing for hemiplegic shoulder pain after stroke

本文从脑卒中后偏瘫肩痛的概述、康复护理和发展趋势三方面进行综述，为今后制订有效的护理干预策略提供参考依据。计算机检索Cochrane图书馆、JBI循证护理数据库、PubMed、万方和CNKI数据库，检索时限均为2000年1月至2016年5月，以近5年文献为主，凡涉及以上三方面内容，并经过严格质量评鉴后共纳入39篇国内外研究。文献分析显示，脑卒中后偏瘫肩痛的康复护理措施主要包括体位护理、支持性装置使用、手法护理和心理支持；并提出综合康复护理已成为现今主要手段，中西医结合是我国的特色疗法，未来应重视制订基于证据的康复护理干预措施，以减轻患者偏瘫肩痛症状，提高其生命质量。

The article reviewed three aspects of hemiplegic shoulder pain after stroke-introduction, rehabilitation nursing and prospect, in order to provide references for developing effective nursing interventions in the future. We obtained literature from the Cochrane Library, JBI Evidence-based Nursing, PubMed, Wanfang and CNKI Databases between January 2000 and May 2016. According to the principle of three relevant aspects, priority to latest five years and critical appraisal, 39 studies were included. Literature analysis showed that rehabilitation nursing mainly consists of position nursing, supportive devices using, manipulative care and psychological support. Also, it put forward that comprehensive rehabilitation nursing measures have become major means, the combination of Chinese traditional and Western medicine is characteristic therapy in our nation, and nursing practice based on evidence should be set up early to relieve the symptom of hemiplegic shoulder pain and promote quality of life for stroke patients.