摘要
目的:探讨临床-康复-护理全周期管理模式在脑卒中后肩手综合征(SHS)患者中的应用效果。方法:将140例脑卒中后SHS患者按随机数字表法分为对照组和干预组各70例,对照组实施规范化卒中治疗与常规康复护理,干预组在对照组基础上采用临床-康复-护理全周期管理模式,比较两组干预效果。结果:干预组患者住院时间、住院费用、再入院率均低于对照组(P<0.01);干预组视觉模拟评分法(VAS)、肢体痉挛评分、Barthel指数评分优于对照组(P<0.01,P<0.05);干预组肌力分级优于对照组(P<0.01)。结论:临床-康复-护理全周期管理模式可使患者疼痛、肢体痉挛程度、肌力下降等情况得到控制,改善SHS患者疾病预后效果,促使脑卒中并发症防治工作形成良性循环。
Objective:To explore the application effect of the clinical rehabilitation-nursing full cycle management model in patients with shoulder hand syndrome(SHS)after stroke.Methods:A totak of 140 patients with SHS after stroke according to the random number table method were divided into the control group and the intervention group with 70 cases iin each group,the control group implemented standardized treatment with conventional rehabilitation nursing,the intervention group on the basis of the control group adopted clinical rehabilitation-nursing full cycle management model,to compare between the two groups on intervention effect.Results:The length of hospital stay,hospital expenses,readmission rate were lower in the intervention group than those in the control group(P<0.01).The visual analogue scale(VAS),limb spasm scores,the Barthel index scores were better in the intervention group than those in the control group(P<0.01,P<0.05).The strength grade was better in the intervention group than that in the control group(P<0.01).Conclusion:The clinical rehabilitation-nursing full cycle management model can make the patients′pain,limb spasm degree,decreased muscle strength,and so on under control,improve the prognosis effect in patients with SHS,and promote the work of prevention and treatment of complications in stroke in a virtuous circle.
作者
何静
寇玉珠
于怡然
何怡琳
于燕燕
侯蕾蕾
He Jing;Kou Yuzhu;Yu Yiran(The First Affiliated Hospital of Shandong First Medical University,Jinan Shandong 250014,China)
出处
《齐鲁护理杂志》
2022年第14期7-10,共4页
Journal of Qilu Nursing
关键词
脑卒中
肩手综合征
临床-康复-护理全周期管理模式
多学科团队合作
Stroke
Shoulder hand syndrome
Clinical rehabilitation-nursing full cycle management model
Multidisciplinary team work
