吉林医学
吉林醫學
길림의학
JILIN MEDICAL JOURANL
2014年
20期
4543-4545
,共3页
防垂足枕%沙袋%脑卒中患者%丁字鞋
防垂足枕%沙袋%腦卒中患者%丁字鞋
방수족침%사대%뇌졸중환자%정자혜
Anti-foot drop pillow%Sandbags%Stroke patients%T-shoes
目的：观察和评价长圆枕辅助沙袋作为踝关节支具临床预防脑卒中长期卧床患者发生足下垂的效果。方法：选择GCS评分≤8分的120例脑卒中患者，分为常规康复（无支具）组、丁字鞋组、自制长圆枕辅助沙袋组进行观察，比较三种方法预防足下垂的效果、使用两种支具的不良反应、患者陪护及护士的满意度。结果：使用支具可减少足下垂的发生；两种支具对足下垂的预防效果差异无统计学意义（P＞0.05）；应用自制长圆枕辅助沙袋的患者压疮不良反应明显少于丁字鞋组，患者陪护接受程度及护士满意度高。结论：应用长圆枕辅助沙袋可有效减少脑卒中患者足下垂发生，使用过程中陪护和护士容易接受，是保障患者体位安全的辅助用具，且制作和使用简单，值得推广应用。
目的：觀察和評價長圓枕輔助沙袋作為踝關節支具臨床預防腦卒中長期臥床患者髮生足下垂的效果。方法：選擇GCS評分≤8分的120例腦卒中患者，分為常規康複（無支具）組、丁字鞋組、自製長圓枕輔助沙袋組進行觀察，比較三種方法預防足下垂的效果、使用兩種支具的不良反應、患者陪護及護士的滿意度。結果：使用支具可減少足下垂的髮生；兩種支具對足下垂的預防效果差異無統計學意義（P＞0.05）；應用自製長圓枕輔助沙袋的患者壓瘡不良反應明顯少于丁字鞋組，患者陪護接受程度及護士滿意度高。結論：應用長圓枕輔助沙袋可有效減少腦卒中患者足下垂髮生，使用過程中陪護和護士容易接受，是保障患者體位安全的輔助用具，且製作和使用簡單，值得推廣應用。
목적：관찰화평개장원침보조사대작위과관절지구림상예방뇌졸중장기와상환자발생족하수적효과。방법：선택GCS평분≤8분적120례뇌졸중환자，분위상규강복（무지구）조、정자혜조、자제장원침보조사대조진행관찰，비교삼충방법예방족하수적효과、사용량충지구적불량반응、환자배호급호사적만의도。결과：사용지구가감소족하수적발생；량충지구대족하수적예방효과차이무통계학의의（P＞0.05）；응용자제장원침보조사대적환자압창불량반응명현소우정자혜조，환자배호접수정도급호사만의도고。결론：응용장원침보조사대가유효감소뇌졸중환자족하수발생，사용과정중배호화호사용역접수，시보장환자체위안전적보조용구，차제작화사용간단，치득추엄응용。
Objective To observe and evaluate the long round pillow auxiliary sandbags as joint ankle brace in the prevention of foot drop in bedridden patients with stroke.Methods 120 stroke patients were recruited,whose GCS score≤ 8.They were divided into conventional rehabilitation(no brace) group,T-shoes and long round pillow auxiliary sandbags group,and comparing the difference between the three Methods in prevention of foot drop,adverse reactions as well as the satisfaction of nurse and attendants.Results Using the brace can reduce occurrence of foot drop,but there was no significant difference on the prevention of foot drop between the two brace.The incidence of bedsores was significantly lower in long round pillow auxiliary sandbags group than T- shoes group.On the contrary,the satisfaction of nurse and attendants was higher in long round pillow auxiliary sandbags group than T-shoes group.Conclusion The long round pillow auxiliary sandbags can effectively reduce the occurrence of foot drop in bedridden patients with stroke,and simple to make and use,as well as easily accepted by nursing staff.So,it should be widely applied to Maintain the safety of patients who being bedridden.
