Title: Effect of Early Rehabilitation Nursing on Patients with Shoulder-hand Syndrome after Stroke ABSTRACT
Background The etiology of Shoulder-hand Syndrome after stroke is not clear now， more generally accepted mechanism is the acute cerebrovascular disease affecting the central movement in front of the vasomotor center，vasomotor paralysis. Lead to increased excitatory limb of the sympathetic response to peripheral blood flow and vascular spasm resulting increase in local tissue dystrophy. Thus give rise to edema, pain, pain stimulation further spread to the spinal cord after peripheral sensory nerve abnormalities caused excitement among the spinal cord stimulation caused by exercise-induced abnormal blood vessel vicious circle.. It is a common complication in patients with stroke, if not timely processing and control, may cause hand muscle atrophy, and even deformity. Light caused inconvenience to those serious cases, can cause life in patients unable to take care of themselves. Early detection and timely and effective treatment is essential. But sometimes, for various reasons, resulting in poor treatment. In theory, if before the occurrence of lines in the absence of early rehabilitation nursing intervention, early prevention can reduce the incidence of the disease and improve patient quality of life. In this regard, many scholars have done a lot of research, the author undergraduate room under the actual conditions of early rehabilitation care intervention, aims to explore the out of a more scientific, more simple, more convenient, faster, more practical, easy-care method to prevent and / or reduce the incidence of the disease. 0bjective To investigate the effect of Early Rehabilitation Nursing on patients with Shoulder-hand Syndrome after stroke. include the morbidity ,Motor function and the ability of daily life. ． Methods 200 hospitalized patients after August 2006 as the study group and 199 hospitalized patients before August 2006 as the control group. Compare the incidence of the two groups, the efficacy was evaluated by Fugl—Meyer upper extremity exercise score and modified Barthel scale score． Results The morbidity of the study group is 15.5%,that the control group is 20.1%. Observer Group FAM equally MBI score was significantly higher than that the control group. Conclusions Rehabilitation Nursing of stroke patients can significantly improve motor function and ability of daily life, to reduce the incidence of shoulder-hand syndrome after stroke.
KEY WORDS: stroke,early rehabilitation nursing, morbidity ,Shoulder-hand Syndrome TYPE OF THESIS: Research Report
