摘要
Abstract
Objective:To design and produce a type of medical restraint gloves with rehabilitation function for use in patients with post-stroke hemiplegia and catheterization,and evaluate its limb restraint protection effect and assisted rehabilitation ability.
Methods:70 stroke patients with hemiplegia and catheterization who were admitted to the department of neurology in the Second Affiliated Hospital of Fujian Medical University from April 1,2023 to January 12,2024 and met the inclusion and exclusion criteria were selected as the study subjects.They were randomly divided into an observation group and a control group,with 35 patients in each group.The observation group used medical restraint gloves with rehabilitation function for protective restraint,while the control group used traditional restraint belts.Both groups of patients underwent 14 days of early limb exercise and observation.The neurology physical restraint checklist and Brunnstrom recovery stage were used to evaluate the skin integrity,fingertip blood flow,paralyzed upper limb movement ability,and unplanned extubation of the patient's restraint site.
Results:There was no statistically significant difference in stroke type,age,gender,education level,marital status,medical insurance payment method,number of strokes,catheterization status,and paralyzed limb condition between the 2 groups of patients.During the 14 day intervention and observation period,the proportion of skin integrity at the constraint site in the observation group was higher than that in the control group(P=0.032),the proportion of patients with good fingertip blood flow at the constraint site in the observation group was higher than that in the control group(P=0.003),and the improvement of upper limb motor ability on the paralyzed side in the observation group was higher than that in the control group(P<0.001),with statistically significant differences.There was no statistically significant difference in the unplanned extubation rate between the observation group and the control group(P=0.112).
Conclusion:Medical restraint gloves with rehabilitation function can better protect and restrain patients with limb hemiplegia and catheterization after stroke,and have a certain improvement effect on the motor function of the paralyzed upper limb,promoting early limb rehabilitation of stroke patients.关键词
脑卒中/偏瘫/医用约束手套/康复/护理Key words
Stroke/Hemiplegia/Medical restraint gloves/Rehabilitation
