中药烫熨联合康复护理对中风后肩痛的影响
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摘要
目的:探讨中药烫熨疗法联合康复护理干预对中风后肩部疼痛患者运动功能恢复的影响。方法:选取中风后肩痛患者136例,采用随机数字表法分为对照组和观察组,每组68例,对照组患者给予中风后常规护理,观察组患者在常规护理的基础上,给予中药烫熨联合康复护理干预,包括心理干预、宣传教育及功能锻炼,比较2组患者的运动功能、疼痛评分、患者及其家属满意度。结果:观察组患者运动功能总有效率和疼痛改善情况显著高于对照组(P<0.05),患者及家属满意程度与对照组相比未见明显差异(P>0.05)。结论:中风后肩痛患者给予中药烫熨联合康复护理干预,可显著提高运动功能的康复疗效,有效缓解患者肩部疼痛,具有一定的临床应用价值。
Objective: To discuss herbal ironing combined with rehabilitation nursing intervention on functional recovery of the patients with post-stroke shoulder pain. Methods: All 136 patients with post-stroke shoulder pain who needed rehabilitation nursing were selected and allocated to the control group and the observation group using random number table method, 68 cases each group, the control group accepted post-stroke conventional nursing, and the observation group herbal ironing combined with rehabilitation nursing intervention based on conventional nursing, which contained psychological intervention, publicity and education, functional training and others, to compare motor function, pain scores, the patients′ and family members′ satisfactory degree between both groups. Results:The observation group was higher than the control group in total effective rate of motor function and pain improvements(P<0.05). and no obvious difference could be found in the patients′ and family members′ satisfactory degree compared with the control group(P>0.05). Conclusion: Herbal ironing combined with rehabilitation nursing intervention for the patients with post-stroke shoulder pain could notably improve rehabilitation effects of motor function,effectively relieve shoulder pain and possess certain clinical application value.
Objective: To discuss herbal ironing combined with rehabilitation nursing intervention on functional recovery of the patients with post-stroke shoulder pain. Methods: All 136 patients with post-stroke shoulder pain who needed rehabilitation nursing were selected and allocated to the control group and the observation group using random number table method, 68 cases each group, the control group accepted post-stroke conventional nursing, and the observation group herbal ironing combined with rehabilitation nursing intervention based on conventional nursing, which contained psychological intervention, publicity and education, functional training and others, to compare motor function, pain scores, the patients′ and family members′ satisfactory degree between both groups. Results:The observation group was higher than the control group in total effective rate of motor function and pain improvements(P<0.05). and no obvious difference could be found in the patients′ and family members′ satisfactory degree compared with the control group(P>0.05). Conclusion: Herbal ironing combined with rehabilitation nursing intervention for the patients with post-stroke shoulder pain could notably improve rehabilitation effects of motor function,effectively relieve shoulder pain and possess certain clinical application value.
引文
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[12]钟群兴,孙金凤,钟碧群,等.加强护士培训对预防中风后病人肩痛的影响[J].护理实践与研究,2011,8(8):33-34.
[13]薛斐然,张维.不同时程温和灸对中风后肩痛患者腧穴热敏化的影响[J].中医杂志,2011,52(9):764-766.
[14]刘颖,韩雪梅.护理干预对中风后吞咽障碍患者康复的影响[J].中国现代医生,2012,50(1):113-115.
[15]聂文彬,刘志顺,赵宏.针灸治疗中风后肩痛系统评价[J].中国中医药信息杂志,2012,19(4):25-28.
[16]袁长深,梅其杰,段戡,等.中药烫熨加贴敷疗法治疗膝骨关节炎的疗效及安全性研究[J].时珍国医国药,2013,24(11):2698-2700.
[2]吴莉.诺顿评分在创伤骨科患者压疮预见性护理中的应用[J].齐鲁护理杂志,2010,16(20):72-74.
[3]吴佩霖,吴耀华.老年股骨颈骨折全髋关节置换术后早期康复护理研究[J].当代医学,2013,19(17):106-107.
[4]雷燕.舒适护理在全髋关节置换术术后护理中的应用[J].河北中医,2007,20(12):1135-1136.
[5]卒中相关性肺炎诊治中国专家组.卒中相关性肺炎诊治中国专家共识[J].中华内科杂志,2010,49(12):1075-1078.
[6]王特,孙新刚,许宏伟,等.急性脑卒中合并院内获得性肺炎患者影响预后的危险因素分析[J].神经损伤与功能重建,2012,7(1):35-37.
[7]林奕君,徐丽莺.针刺结合康复训练对中风后肩痛疗效观察[J].亚太传统医药,2014,10(7):64-65.
[8]郭忠英.护理干预对中风后吞咽障碍老年患者康复的影响探讨[J].环球中医药,2013,8(S1):8-9.
[9]江尚群.早期护理干预对中风患者康复的影响[J].当代医药论丛,2012,10(10):376-377.
[10]陈炳.脑卒中后肩痛治疗进展[J].现代实用医学,2013,25(7):839-840.
[11]柳慧.脑卒中肩痛患者的康复护理[J].中国药物经济学,2013,8(5):513-514.
[12]钟群兴,孙金凤,钟碧群,等.加强护士培训对预防中风后病人肩痛的影响[J].护理实践与研究,2011,8(8):33-34.
[13]薛斐然,张维.不同时程温和灸对中风后肩痛患者腧穴热敏化的影响[J].中医杂志,2011,52(9):764-766.
[14]刘颖,韩雪梅.护理干预对中风后吞咽障碍患者康复的影响[J].中国现代医生,2012,50(1):113-115.
[15]聂文彬,刘志顺,赵宏.针灸治疗中风后肩痛系统评价[J].中国中医药信息杂志,2012,19(4):25-28.
[16]袁长深,梅其杰,段戡,等.中药烫熨加贴敷疗法治疗膝骨关节炎的疗效及安全性研究[J].时珍国医国药,2013,24(11):2698-2700.