| 汪莉,刘子青,陈宇格,张斌,范会芹,汤金静,王勍,周敏华,施剑,段朝阳,陈梦韵,傅琳怡.高龄脑卒中患者轮椅康复操的临床应用[J].上海护理,2017,17(8): |
| 高龄脑卒中患者轮椅康复操的临床应用 |
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| DOI： |
| 中文关键词: 高龄脑卒中患者 轮椅康复操 全科病区 |
| 英文关键词:aged-stroke patients wheelchair rehabilitation exercises ward of general practice |
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| 中文摘要: |
| 总结全科医学科病区高龄脑卒中患者开展轮椅康复操的经验和体会。轮椅康复操由康复科、全科医生、全科护士的共同协作下编制，针对高龄脑卒中患者设计的轮椅位康复操。方法以我院2015年10月-2016年10月期间收治的70例脑卒中恢复期患者作为观察对象，采用随机抽样法将其分为对照组和观察组各35例，对照组给予常规康复护理，观察组开展脑卒中轮椅康复操的应用，临床应用后，采用满意度评价及患者离床时间的统计进行对比。结论：轮椅康复操临床应用后，观察组中，非常满意20例，较满意15例，患者满意度为100%；对照组中，非常满意16例，较满意12例，不满意为7例，患者满意度为85%；观察组中，每日每人离床时间均为6小时，对照组中，每日每人离床时间均为3.8小时；观察组明显高于对照组，具有统计学意义（P＜0.05）。轮椅康复操促进了医患双方共同参与疾病的管理，是针对高龄脑卒中患者健康教育和康复训练的一种重要形式，促进了医护患三方的沟通，增强了患者参与疾病管理的积极性，显著改善了疾病的临床结局，提高了患者的满意度。 |
| 英文摘要: |
| we summarize our clinical experience of wheelchair rehabilitation exercises ,which designed by general practitioners ,physical therapists and nurses, in aged-stroke patients. The Wheelchair rehabilitation exercises promote both the doctors and patients involved in disease management. At the same time it is a important form of health care of the aged-stroke patients . Methods in our hospital in October 2015-2015, October 70 cases admitted during the period of convalescence cerebral apoplexy patients as research object, using random sampling method will be divided into control group and observation group, 35 cases in the control group given conventional rehabilitation care, observation group to develop the application of the wheelchair stroke rehabilitation exercise, clinical application, the satisfaction evaluation and statistical comparison of patients from the bed time. Conclusion: after the clinical application of wheelchair rehabilitation, the observation group was satisfied with 20 cases, satisfied with 15 cases, and the patient's satisfaction was 100%. In the control group, we were satisfied with 16 cases, satisfied with 12 cases, dissatisfied with 7 cases, and patient satisfaction 85%. In the observation group, the daily average was 6 hours per person, and the control group was 3.8 hours per person per day. The observation group was significantly higher than the control group and statistically significant (P < 0.05). Wheelchair rehabilitation exercises promote the communication between doctors and patients, enhance the enthusiasm of patients involved in disease management, significantly improve the clinical outcome of the disease and patients’ satisfaction. |
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