Observation of the effect of applying rehabilitation nursing in clinical nursing of patients with shoulder pain after stroke
脑卒中后肩关节疼痛患者临床护理中应用康复护理的效果观察

摘要

目的 探讨脑卒中后肩关节疼痛患者临床护理中应用康复护理的效果。方法 选取本院收治的62例脑卒中后肩关节疼痛患者作为研究对象，使用随机数字表法分为两组（n=31），对照组实施常规康复护理，研究组实施临床路径康复护理，对比两组上肢运动功能、疼痛、ADL（日常生活能力）情况及恢复效果。结果 两组护理前的上肢运动功能评分比较无显著差异，两组护理后均有明显提高，且研究组上肢运动功能评分显著高于对照组（P<0.05）。两组护理前的疼痛评分比较无显著差异，两组护理后均有明显降低，且研究组疼痛评分显著低于对照组（P<0.05）。两组护理前的ADL评分比较无显著差异，两组护理后均有明显提高，且研究组ADL评分显著高于对照组（P<0.05）。对照组总恢复有效率为80.6%，研究组为96.8%，研究组显著高于对照组（P<0.05）。结论 脑卒中后肩关节疼痛患者临床护理中应用康复护理的效果显著，能有效改善患者上肢运动功能情况、疼痛情况及日常生活能力情况，提高恢复效果。

Abstract

Objective: To investigate the effect of rehabilitation nursing in the clinical nursing of patients with shoulder pain after stroke.
Methods: A total of 62 patients with shoulder pain after stroke were selected as the research subjects, and divided into two groups (n=31) using the random number table method, the control group implemented routine rehabilitation nursing, and the study group implemented clinical path rehabilitation nursing, and the upper limb motor function, pain, ADL (daily living ability) and recovery effect of the two groups were compared.
Results: There was no significant difference in the upper limb motor function scores between the two groups before nursing, and the upper limb motor function scores in the study group were significantly higher than those in the control group (P<0.05). There was no significant difference in the pre-nursing pain scores between the two groups, and there was a significant reduction in both groups after nursing, and the pain scores in the study group were significantly lower than those in the control group (P<0.05). There was no significant difference in ADL scores between the two groups before nursing, and there was a significant increase in both groups after nursing, and the ADL scores in the study group were significantly higher than those in the control group (P<0.05). The total recovery response rate was 80.6% in the control group and 96.8% in the study group, which was significantly higher than that in the control group (P<0.05).
Conclusion  : The application of rehabilitation nursing in the clinical nursing of patients with shoulder pain after stroke has a remarkable effect, which can effectively improve the motor function, pain and daily living ability of the upper limbs, and improve the recovery effect.