首页> 中文期刊>中华现代护理杂志 >自制防足下垂固定器在下肢功能障碍患者中的应用效果

自制防足下垂固定器在下肢功能障碍患者中的应用效果

摘要

Objective To design a foot-drop-prevention holder for paralysis patients , to prevent patients from long-term foot-drop causing limbs disuse atrophy , effecting function recovery , and to discuss the rehabilitation effect of patients .Methods The foot-drop-prevention holder included a lower limb placing and T-shaped groove , and sponge covering the T-shaped groove .Fifty-five patients were selected from neurology department as the experimental group , placed foot-drop-prevention holder .Another fifty-three patients were not given foot-drop-prevention holder and selected as the control group .Maryland foot function score and short form Fugl-Meyer movement function score of lower limbs in the two groups were compared .Results Before the intervention, there was no significant difference between the two groups ( P >0.05).After one month of intervention, Maryland foot function scores were (90.85 ±3.02) of the experimental group and (83.50 ±2.43) of the control group.The difference was statistically significant (t=12.52, P<0.05).The short form Fugl-Meyer movement function scores were (30.90 ±2.14) of the experimental group and (22.13 ±2.26) of the control group.The difference was statistically significant (t=19.75, P<0.05).Conclusions The foot-drop-prevention holder is beneficial to rehabilitation of patients ’ lower limbs function , and can effectively replace nursing staff manual fixing .It is suitable for neurology patients .%目的:为肢体瘫痪患者设计防足下垂固定装置,以防止患者长期足下垂引起肢体废用性萎缩,并探讨其对患者的康复效果。方法防足下垂固定器由放置下肢及足部的T型凹槽及覆盖在上面的海绵两部分组成。将108例下肢瘫痪患者按照随机数字表法随机分为对照组53例和研究组55例,对照组患者按常规护理,研究组患者在常规护理基础上使用防足下垂固定器。1个月后比较两组患者的Maryland足部功能评分和下肢简式Fugl-Meyer运动功能评分(仰卧位)。结果治疗前,两组Maryland足部功能评分和Fugl-Meyer 运动功能评分差异均无统计学意义( P>0.05)。治疗1个月后,研究组Maryland足部功能评分为(90.85±3.02)分,对照组为(83.50±2.43)分,差异有统计学意义(t=12.52, P<0.05);研究组下肢简式Fugl-Meyer运动功能评分为(30.90±2.14)分,对照组为(22.13±2.26)分,差异有统计学意义(t=19.75,P<0.05)。结论防足下垂固定器有利于患者下肢功能康复,可有效替代护理人员手工固定,适合下肢瘫痪患者使用。

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