CAJ | 학술논문

目的探讨关节训练及体位护理在急性脑卒中偏瘫患者中应用的疗效.方法对60例偏瘫患者随机分组:实验组30例,入院后生命体征稳定后开始进行关节训练配合体位护理;对照组30例,神经内科常规护理.采用Barthel指数及FuglMeyer量表评价两组患者关节活动度和日常生活能力.结果两组Barthel指数分别为:实验组75.43±4.71、对照组49.53±5.9(t=18.65,P＜0.05);Fugl-Meyer运动功能评分分别为:74.83±1.683、56.67±2.354(t=34.38,P＜0.05);病人满意度分别为9.62±1.38、8.69±1.48(t=32.51,P=0.00).结论关节训练与体位护理能够改善急性脑卒中偏瘫患者肢体运动功能、提高日常生活能力和病人的满意度.
목적 탐토관절훈련급체위호리재급성뇌졸중편탄환자중응용적료효.방법 대60례편탄환자수궤분조:실험조30례,입원후생명체정은정후개시진행관절훈련배합체위호리;대조조30례,신경내과상규호리.채용Barthel지수급FuglMeyer량표평개량조환자관절활동도화일상생활능력.결과 량조Barthel지수분별위:실험조75.43±4.71、대조조49.53±5.9(t=18.65,P＜0.05);Fugl-Meyer운동공능평분분별위:74.83±1.683、56.67±2.354(t=34.38,P＜0.05);병인만의도분별위9.62±1.38、8.69±1.48(t=32.51,P=0.00).결론 관절훈련여체위호리능구개선급성뇌졸중편탄환자지체운동공능、제고일상생활능력화병인적만의도.
Objective To observe the prognosis of joint training combining nursing position in acute stroke patients with hemiplegic Methods Sixty patients were randomly divided into two groups, experimental group (n = 30) and control group ( n = 30) .Control group was applied conventional nursing.Experiment group was adopted joint training combining nursing position after patients vital signs stabilization.Results The Barthel index scores of the two groups were different with the experiment group of 75.43 4.71 and the control group of 49.53 5.9 (t =18.65, P＜0.05) .And Fugl-Meyer motor function index scores was 74.83 1.683, 56.67 2.354 (t =34.38, P＜0.05) respectively of the two groups; there was a higher, satisfaction score in experiment group with 9.62 1.38 than that of control group with8.69 1.48 (t=32.51, P=0.00) .Conclusions The joint training combining nursing position could improve bemiplegic stroke patients'motor function and elevate the patients'daily activity and the patients' satisfaction.