摘要
目的研究基于手机终端技术的脑卒中患者康复延伸护理作用效果。方法选取从2017年1-6月上海市健康医学院附属周浦医院神经内科收治的脑卒中患者74例为研究对象,通过随机数字表分配法将所有研究对象序贯入组,分成研究组与对照组。对照组予以常规护理干预以及康复指导,研究组则在对照组的基础上予以基于手机终端技术的康复延伸护理干预。分别比较两组干预前后日常生活自理能力、运动功能以及残疾程度变化情况,同时对比两组肩部并发症发生情况。结果干预后研究组与对照组日常生活自理能力评定量表(Barthel)评分高于干预前,且干预后研究组Barthel评分高于对照组(P<0.05)。干预后研究组与对照组简式运动功能评定量表(FMA)评分高于干预前,且干预后研究组FMA评分高于对照组(P<0.05)。干预后研究组与对照组致残量表(m RS)评分低于干预前,且干预后研究组mRS评分低于对照组(P<0.05)。研究组肩关节半脱位、肩手综合征和肩痛发生率均低于对照组(P<0.05)。结论基于手机终端技术的脑卒中患者康复延伸护理效果显著,有利于改善患者的日常生活自理能力、运动功能,并减轻其残疾程度,降低肩部并发症的发生风险,值得临床推广应用。
OBJECTIVE To study the effect of extended rehabilitation nursing for stroke patients based on mobile terminal technology.METHODS 74 cases of stroke patients admitted to the department of neurology of Zhoupu Hospital Affiliated to Shanghai University of Medicine & Health Sciences from January 2017 to December 2017 were selected as study subjects. All subjects were divided into study group and control group by random lottery. The control group was given routine nursing intervention and rehabilitation guidance,and the study group was given extended nursing intervention based on mobile phone terminal technology on the basis of the control group. The changes of daily self-care ability,motor function and disability degree before and after the intervention were compared between these two groups,and the incidence of shoulder complications was also compared between these two groups. RESULTS Barthel scores of the study group and the control group after intervention were higher than before intervention,and Barthel scores of the study group were higher than the control group after intervention(P<0.05). FMA scores of the study group and the control group after intervention were higher than those before intervention,and FMA scores of the study group after intervention were higher than the control group(P<0.05). MRS scores of the study group and the control group after the intervention were lower than those before the intervention,and mRS scores of the study group after the intervention were lower than the control group(P<0.05). The incidence of shoulder joint subluxation,shoulder and hand syndrome and shoulder pain in the study group was lower than the control group(P<0.05). CONCLUSION The extended nursing effect of rehabilitation for stroke patients based on mobile terminal technology was significant,which was conducive to improve the patients’ self-care ability and motor function in daily life,reducing the degree of disability and reducing the risk of shoulder complications,which was worthy of clinical application.
作者
朱文欣
刘薇群
汤培凤
ZHU Wen-xin;LIU Wei-qun;TANG Pei-feng(Zhoupu Hospital Affiliated to Shanghai University of Medicine&Health Sciences,Shanghai,201318,China)
出处
《中国初级卫生保健》
2019年第12期122-124,共3页
Chinese Primary Health Care
基金
2016年浦东新区卫计委青年科技项目（PW2016B-20）
关键词
脑卒中
手机终端技术
康复延伸护理
自理能力
运动功能
cerebral apoplexy
mobile terminal technology
rehabilitation extension nursing
self-care ability
motor function
