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中国临床研究:2024,37(4):648-652
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抗痉挛体位摆放结合品管圈管理在脑卒中偏瘫患者早期康复护理中的应用
(1. 吉林大学中日联谊医院神经内科,吉林 长春 130000;2. 吉林大学中日联谊医院内分泌代谢科,吉林 长春 130033)
Application of antispasmodic body positioning combined with quality control circle management in early rehabilitation nursing of patients with post-stroke hemiplegia
摘要
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投稿时间:2023-08-21   网络发布日期:2024-04-20
中文摘要: 目的 观察在脑卒中偏瘫患者早期康复护理中抗痉挛体位摆放结合品管圈(QCC)管理的应用效果。 方法 选取2023年1月至6月吉林大学中日联谊医院收治的98例脑卒中偏瘫患者,以随机数字表法分为研究组与对照组,各49例,给予对照组患者常规护理与抗痉挛体位摆放,研究组则在对照组基础上予以QCC管理。比较两组患者干预前后的抗痉挛体位摆放正确率、肢体运动功能(FMA)、Berg平衡功能量表(BBS)、改良的Ashworth量表(MAS)评估,并统计两组护理满意度。 结果 干预后两组患者抗痉挛体位摆放正确率(包括摆放位置正确、操作配合到位、辅助用具使用合理)较干预前增高(P<0.05),且研究组高于对照组(P<0.05)。干预后研究组患者上、下肢FMA评分、BBS评分高于对照组(P<0.05),MAS评估肌痉挛级别降低情况优于对照组(P<0.05)。研究组患者对于健康教育、护理态度、功能康复及技术水平的满意度均高于对照组(P<0.05)。 结论 脑卒中偏瘫患者早期康复护理中给予抗痉挛体位摆放结合QCC管理能提高抗痉挛体位摆放正确率,促进患者平衡与运动功能恢复,同时有助于改善患者肌痉挛程度,护理满意度高。
Abstract:Objective To observe the application and its effect of antispasmodic body positioning combined with quality control circle (QCC) management in early rehabilitation nursing of patients with post-stroke hemiplegia. Methods A total of 98 patients with post-stroke hemiplegia admitted to China-Japanese Union Hospital of Jilin University from January to June 2023 were selected, and randomly divided into the study group and the control group with 49 patients in each group. Routine care and antispasmodic body positioning were given to the control group patients, while QCC management were given to the study group patients on the basis of the control group. The correct rate of antispasmodic body positioning, limb motor function (FMA) score, Berg balance scale (BBS) score, and modified Ashworth scale (MAS) evaluation were compared between the two groups. Nursing satisfaction rates in the two groups were calculated. Results After intervention, the correct rate of antispasomodic body positing (including correct body positing, proper operation coordination, and reasonable use of assistive tools) in both groups of patients increased compared to before intervention, and the study group showed an increase compared to the control group (P<0.05). After intervention, the FMA scores of upper and lower limbs and BBS score in the study group were higher than those in the control group (P<0.05),and the MAS evaluation of muscle spasticity grade was better than that in the control group (P<0.05). Compared with the control group, patients in the study group had more satisfaction with health education, nursing attitude, functional rehabilitation, and technical level (P<0.05). Conclusion Applying antispasmodic body positing combined with QCC management in early rehabilitation nursing of patients with post-stroke hemiplegia can improve the correct rate of antispasmodic body positing, promote the recovery of balance function and motor function, and help relieve myospasm, with high satisfaction.
文章编号:     中图分类号:R493    文献标志码:B
基金项目:吉林省卫生科研人才专项项目(2020SCZ10)
引用文本:
赵媛媛,宫建美,贾影.抗痉挛体位摆放结合品管圈管理在脑卒中偏瘫患者早期康复护理中的应用[J].中国临床研究,2024,37(4):648-652.

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