| Objective:To select a cases in the daily life of the old-age welfare home recuperate ability use of functional independence measure less than 54 points in long-term disuse syndrome patients through investigation and analysis of disuse syndrome generally,and through the dimension of western medicine combined with rehabilitation nursing intervention on long-term bed waste intervention in patients with syndrome of articular contracture,explore the muscle strength,muscle tone,movement function,joint mobility,standing stick to 30 seconds,daily life ability,the curative effect of quality of life.Method : Choose two long-term living in Urumqi welfare homes,old-age caused by various reasons in bed for a long time,low movement and muscle atrophy and joint contracture of ability of daily life use functional independence measure scores less than 54 points of patients with disuse syndrome as the research object,on the disuse syndrome generally,muscle strength,muscle tone,joint mobility,30 s standing time,motor function,ability of daily life activities and other baseline situation questionnaire survey and analysis.Will 80 patients with disuse syndrome according to random number method is divided into experimental group 40 cases and control group 40 cases,the experimental group in the control group on the basis of western medicine combined with rehabilitation nursing intervention,control group routine treatment and rehabilitation nursing care,and before the intervention,after intervention 4 weeks,follow-up period after the end of 8 weeks of indicators(muscle strength and muscle tone,joint mobility,30 s standing time,motor function,daily life activities ability,quality of life score)curative effect evaluation.Result : Baseline results:(1)The Disuse Syndrome in patients with baseline data: 80 patients with disuse syndrome 'average age was(69.25±7.80)years old,for 50 cases of men,women for 30 cases;the degree of self-care: completely unable 33 cases,47 part cannot provide for oneself.(2)The experimental group and control group in the comparison of the baseline data of the patients before the intervention,two groups of patients with gender,age,duration of Disuse Syndrome in general,after statistics processing,such as there was no statistically significant difference(P>0.05),comparable.2.The change of the experimental group and the control group before and after the intervention:(1)In the experimental group patients muscle,shoulder joint,elbow(bow),wrist,hip and knee joint(bend),range of joint motion and movement function,daily life ability,30 s standing time,the quality of life scores before intervention,after intervention4 weeks,follow-up period after the end of 8 weeks of comparison,the differences were statistically significant(P<0.05).before the intervention,after intervention 4 weeks,follow-up period after the end of 8 weeks after scoring comparison,intervention group muscle tension,there was no statistically significant difference(P>0.05).(2)In the control group patients muscle,shoulder joint,elbow(bow),wrist joint activity and motor function,such as daily life ability scores before intervention,after intervention 4 weeks,follow-up period after the end of 8 weeks of comparison,the difference was statistically significant(P< 0.05),and the rest had no statistical significance(P> 0.05).Patients have a different degrees of constipation symptoms in the intervention group and control group before the intervention.After the intervention of hand micro vibration,intervention group no symptoms of constipation,17(43.6%)cases has constipation symptoms in the control group.Compare the incidence of two groups of patients with constipation,difference was statistically significant(?2=20.775,P<0.05).3.The index of the experimental group and the control group patients are:(1)muscle strength and muscle tension score comparison:the experimental group and control group 4 weeks before the intervention,follow-up period after the end of 8 weeks,no statistical difference before intervention,intervention after 4 weeks,follow-up period after the end of 8 weeks strength comparison,the difference is statistically significant(P< 0.05),the improvement of the experimental group strength is superior to the control group.Experimental group and control group before the intervention,after intervention 4 weeks follow-up period after the end of 8 weeks after the comparison of scores of muscle tension,in addition to follow-up period after the end of 8weeks after,the left upper limb muscle tension and right lower limb muscle tension score comparison difference was statistically significant(P< 0.05),and the rest had no statistical significance(P > 0.05).The experimental group and the control group was no significant difference of change in the muscle tone.(2)the score of shoulder joint,elbow,wrist joint mobility: the experimental group and control group patients before intervention,intervention 4 weeks,follow-up period after 8 weeks of motion score comparison,in addition to follow-up period after the end of 8 weeks,the shoulder joint(flexion,outreach)of motion of the comparative difference was statistically significant(P< 0.05),and the rest had no statistical significance(P> 0.05).The experimental group and control group patients in the shoulder,elbow,wrist activity there was no significant difference.(3)of the hip,knee,ankle joint activity score comparison: the experimental group and control group patients before intervention,intervention 4 weeks,follow-up period after 8 weeks the comparison of motion,followed in addition to the intervention of the hip,knee,ankle joint mobility is no statistically significant difference(P>0.05),the experimental group and control group patients in the intervention,intervention 4 weeks,tracking period of 8 weeks after of hip(bending,stretching,outreach,adduction,and internal rotation,rotation),knee(bending,stretching)ankle dorsiflexion and plantar flexion,varus and valgus)of motion of the comparative differences are statistically significant(P<0.05).After the intervention,the hip,knee,ankle joint mobility,the experimental group patients of motion is better than the control group.(4)The ability of daily life and quality of life 30 s standing time,motor function score comparison: the experimental group and control group before intervention,intervention after 4 weeks,follow-up period after 8 weeks of movement function and ability of daily living,quality of life,30 s standing adhere to the time of comparison,intervention after 4 weeks of quality of life,30 s standing on time and follow-up period after the end of 8 weeks of movement function and ability of daily living,quality of life,30 s stand insisted on the comparison of time score difference was statistically significant(P<0.05),all the other has no statistical significance(P>0.05).Results show that the follow-up period after the end of 8 weeks,the experimental group in ability of daily living,motor function and quality of life,30 s standing insist on time on the improvement of their score score significantly higher than the control group.(4)before the intervention?intervention after 4 weeks?follow-up period after the end of 8 weeks,stool frequency comparison of the two groups,have a significant difference in the frequency of constipation(t=-1.537,15.275,18.458,P<0.05).As the intervention time prolonged,stool frequency increased.The effect of the intervention group ease constipation is better than the control group.Conclusion Approach of western medicinecombined with rehabilitation nursing intervention in patients with Disuse Syndrome muscle,range of motion and movement function,ability of daily living,quality of life,30 s standing stick to time index has obvious curative effect,such as daily life gradually incline to provide for oneself,to solve their most basic daily life activities.Muscle strengh,range of motion and quality of life improved obviously.remarkable effect on relieving constipation,and the treatment effect can be maintained for a long time,no recurrence occurred and adverse reactions,however,this method also economic,convenient,less time consuming and efficient.Approach of western medicine combined with rehabilitation nursing can make Disuse Syndrome patients to provide for oneself life,improve the patients' quality of life,is worth promoting to old-age nursing. |
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