脑卒中偏瘫患者独立轮椅转移技术训练
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女,硕士,护师

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江西省重点研发项目——应用研究培育计划(20181BBG78030)


Training of independent wheelchair transfer technique among stroke patients with hemiplegia
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    目的 探讨独立轮椅转移技术在脑卒中偏瘫患者康复中的应用效果。 方法 对72例脑卒中偏瘫患者实施轮椅转移的康复训练,66例完成8周训练。其中对照组31例实施常规训练方法;观察组35例实施独立轮椅转移技术干预。于干预前,干预4周、8周后分别采用Barthel指数、脑卒中自我效能感量表及徒手肌力评定法评价患者的训练效果。 结果 两组Barthel指数、脑卒中自我效能感评分及肌力等级比较、时间效应及交互效应差异有统计学意义(均P<0.05)。 结论 独立轮椅转移技术训练,能有效提高脑卒中偏瘫患者日常生活能力和自我效能感,改善肌力,促进患者康复。

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    Objective To investigate the effect of applying independent wheelchair transfer technique to stroke patients with hemiplegia. Methods A total of 72 stroke patients with hemiplegia were subjected to wheelchair transfer training, and 66 of them (31 in the control group, and 35 in the intervention group) completed 8-week training.The control group received conventional wheelchair transfer training, while the intervention group received independent wheelchair transfer training.The Barthel Index, Stroke Self-efficacy Questionnaire (SSEQ) and unarmed muscle strength test (MMT) were used to measure the patients before the intervention, 4 and 8 weeks into the intervention. Results At 8 weeks into the intervention, the Barthel Index scores, stroke self-efficacy scores and muscle strength scores and gradings presented significant group effect, time effect, and group by time effect between the 2 groups (P<0.05 for all). Conclusion Independent wheelchair transfer training, could effectively improve the activity of daily living level, self-efficacy level and muscle strength of stroke patients with hemiplegia, which was helpful to speed up rehabilitation of patients.

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杜耀婷,管细红,何青松,董永海,曾博文.脑卒中偏瘫患者独立轮椅转移技术训练[J].护理学杂志,2021,36(23):82-84+101

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  • 收稿日期:2021-07-05
  • 最后修改日期:2021-09-10
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  • 在线发布日期: 2022-12-12