偏瘫患者的家庭护理

文献检索综合报告 课题名称（中文） 偏瘫痪者的家庭护理 课题名称（英文） _The Family Care of Hemiplegics 班级： 09 护理本（ 1）班 姓名： 廖锦钗 学号： 91211031 完成时间： 2011 年 6 月 9 日 井冈山大学护理学院 2011 年 3 月 一分析课题，确定检索词 课题分析是指在着手查找文献信息前对课题内容进行分析, 拟定出中英文 检索用词，以明确文献检索目的和需求的过程。 【摘要】偏瘫是中风的最常见的表现之一，能够引起中风的常见原因也就是引 起中风的常见原因也就是引起中风偏瘫的常见原因。中风偏瘫是最常见的中风 后遗症。它是指一侧肢体肌力减退、活动不利或完全不能活动。概括来说，它 的基本病因主要有两个方面：即血管病变基础与血管内流动着的血流动力学基 础。前者以动脉粥样硬化或(和)高血压性细小动脉硬化、动脉炎为多见；后者 主要为血液成分改变与包括血压因素在内的血流动力学改变中风偏瘫的其他危 险因素还有很多，与年龄、生活习惯等都有关系。偏瘫，不仅由于生活不能自 理给患者带来痛苦，也给家庭和社会带来更大负担，如何能使瘫痪肢体恢复功 能，是患者及家属最迫切的愿望。家庭的康复护理对患者后遗症的减轻有着重 要的作用。 【关键词】中风 偏瘫患者 家庭护理 高血压 二、检索过程 请根据课题内容，选择需要使用的数据库资源，并将自己的检索过程如实 记录下来，包括检索途径、检索式及限制条件等，尽量做到条理清晰。选择并 记录最相关的检索结果。（注：未用到的资源不用填写）。 （一）文摘信息检索 CBM 检索式： 检索年限： 检出篇数： 写出最为相关的文献题录： 1. 2. 3. PubMed 检索式： stroke% OR apoplex% AND “ hemiplegia “ OR “hemiparalysis“* “family care“ OR “Home Health Aide “ OR “residential care“ Limits Activated: English, Middle Aged + Aged: 45+ years, published in the last 10 years 检索年限： 20012011 检出篇数：563 写出最为相关的文献题录： 1. Falls in stroke patients: risk factors and risk management. Isr Med Assoc J. 2010 Apr;12(4):216-9. Tsur A, Segal Z. Source Department of Rehabilitation, Western Galilee Hospital, Nahariya, Israel. .il Abstract BACKGROUND: Falls are common events among hospital inpatients and constitute a major health problem in the rehabilitation setting. Many risk factors for falls ha- ve been identified for stroke patients, such as muscle weakness, medicati- on side effects, hypoglycemia, hypotension, etc. OBJECTIVES: To assess the risk factors for falls among patients hospitalized for rehabilitation following acute stroke. 2. Anosognosia for hemiplegia: a clinical-anatomical prospective study Brain. 2010 Dec;133(Pt 12):3578-97. Vocat R, Staub F, Stroppini T, Vuilleumier P. Source Laboratory for Behavioural Neurology and Imaging of Cognition, Department of Neuroscience and Clinic of Neurology, University of Gen- eva School of Medicine, 1211 Geneva, Switzerland. rolandvocatgmail. ch Abstract Anosognosia for hemiplegia is a common and striking disorder following stroke. Because it is typically transient and variable, it remains poorly un- derstood and has rarely been investigated at different times in a systemat- ic manner. Our study evaluated a prospective cohort of 58 patients with r- ight-hemisphere stroke and significant motor deficit of the left hemibody, who were examined using a comprehensive neuropsychological battery a- t 3 days (hyperacute), 1 week (subacute) and 6 months (chronic) after str- ke onset. Anosognosia for hemiplegia was frequent in the hyperacute ph- ase (32%), but reduced by almost half 1 week later (18%) and only rarely seen at 6 months (5%). Anosognosia for hemiplegia was correlated with the severity of several other deficits, most notably losses in proprioceptio- n, extrapersonal spatial neglect and disorientation. 3. Vital and functional outcomes of the first-ever hemispheric stroke, epidemiological comparative study between Kunming (China) and Limoges (France). Ann Phys Rehabil Med. 2010 Nov;53(9):547-58. Epub 2010 Sep 29. Article in English, French Zhou Z, Daviet JC, Marin B, Macian F, Salle JY, Zhou N, Zhu Y. Source The Second Affiliated Hospital of Kunming Medical University, Neurol- ogy Department, Kunming, China Abstract BACKGROUND: Clinical outcomes and socioeconomic consequences after a stroke may d- iffer between regions. METHODS: One cohort was established prospectively in Kunming (China) to compa- re with a cohort of 156 stroke patients included in Limoges (France). D- uring 1 year, patients hospitalized within 48 hours for a first-ever hemis- pheric stroke were included. Demographic data and neurocardiovascual- ar risk factors were registered. Hemiplegia was evaluated. Functional o- utcome was assessed using the Barthel Index (BI) after 3 months （二）全文信息检索（请自选一种中文数据库及两种外文数据库检索与本课题 相关的文献，并对检索命中文献进行阅读分析。 ） 中文数据库 中国知网 检索式：（关键词） 中风 与 偏瘫 （在结果中搜索）护理（在 结果中搜索）家庭护理 检索年限： 2005 2011 检出篇数： 13 写出最为相关的文献题录： 1. 偏瘫患者的家庭护理 【作者】崔明伟 【作者单位】山西财经大学校医院; 【文献出处】人人健康, Every One is Well, 编辑部邮箱 2006 年 05 期 期刊荣誉：ASPT 来源刊 CJFD 收录刊 【摘要】 患脑血管意外后,经积极抢救治疗,大多数患者仍会 留有严重后遗症偏瘫,从而影响患者的正常生活 ,因此家庭护理 极为重要。一、心理护理:偏瘫后由于行动不便, 患者会出现烦燥、 沮丧、忧郁、悲观,产生轻生的念头,因此家人要从各方面关心体贴 病人,多与他们交谈、安慰、鼓励,帮助病人建立康复的信心。二、 生活护理:(1)每日要按时 (每 23 小时)帮助病人翻身,翻身时动作 要轻,避免拖、拉、推等动作,有压红的地方,可用手掌轻轻按摩;(2) 要定时拍背(每日 45 次),拍背时最好取坐位, 由下而上,用力适度。 【DOI】CNKI:SUN:RRJK.0.2006-05-012 2. 中风患者：家庭护理很重要 【作者中文名】黄定文; 【作者单位】武汉市第三医院; 【文献出处】家庭医学, Family Medicine, 编辑部邮箱 2010 年 11 期 期刊荣誉：ASPT 来源刊 CJFD 收录刊 【摘要】中风是人们对脑血栓、脑梗塞、脑出血等脑血管疾病 的俗称,它是一种常见的疾病。一般来说,老年人群的发病率较高,现 在也出现一些低龄患者。中风患者经住院治疗,待病情稳定后,可以 接回家中休养。良好的家庭护理有利于患者的康复,不到位的家庭护 理不利于患者的康复甚至加重患者的病情。因此家庭护理工作显得 格外重要。下面笔者就谈一谈家中护理中风患者的几个要点。 【DOI】CNKI:SUN:JTYI.0.2010-11-078 3. 中风病人家庭护理四要点 【作者中文名】严雪群; 【文献出处】心血管病防治知识, , 编辑部邮箱 2007 年 11 期 期刊荣誉：ASPT 来源刊 CJFD 收录刊 【摘要】 “中风“起病急,变化快,症状复杂,致残率很高。而中 风患者的家属,大多只懂得一般的护理常识,对该病关键的康复护理 未能认识和掌握,往往因此而延缓了患者康复的时间,甚至还会造成 永久的缺憾。下面介绍中风病人家庭康复护理中最为关键的四个要 点:1 要摆正脚。从患者发病一开始就要尽量使其脚保持在功能位, 即仰卧时使患者的患足背翘起与床面垂直成 90 度,患侧下肢保持正 直不向外侧倾斜。可通过穿止“丁“字鞋,或用枕头、沙发等物支撑足 底和患肢的外侧来实 【DOI】CNKI:SUN:XXGF.0.2007-11-009 外文数据库 BMJ 检索式： Searching all content for strokor OR apoplexy AND hemiplegia (all words anywhere in article) Jan 2001 through Jun 2011 检索年限： 20012011 检出篇数： 38556 写出最为相关的文献题录： 1. Analytic Review: Pituitary Tumor Apoplexy: A Review J Intensive Care Med, March 2008; 23: 75 - 90. Analytic Review: Pituitary Tumor Apoplexy: A Review Rita N. Nawar.manifestations of pituitary tumor apoplexy can be divided into any combination.the episodes of lethargy and hemiplegia observed in some patients.symptom of pituitary tumor apoplexy is sudden, severe, retro-orbital 2. Diabetic and endocrine emergencies Postgrad. Med. J., Feb 2007; 83: 79 - 86. phaeochromocytoma hypertensive crisis and pituitary apoplexy in the adult population. ACTH, adrenocorticotropic.behaviour Confusion PITUITARY APOPLEXY Acute hypopituitarism is rare and is.anorexia and failure to lactate. Pituitary apoplexy results from haemorrhage into pituitary 3. Historical study of coma: looking back through medical and neurological texts Brain, March 2008; 131: 877 - 889. and somnolence. Chapters on apoplexy were reviewed for descriptio- ns.Jelliffe White 1919 Coma Apoplexy, alcohol, uremia diabetes, react- tion to painful stimuli In apoplexy: Dilated pupils,irregula.non-reactive pupils, and areflexia. Hemiplegia if survival. Four stages of 外文数据库 Annals of internal medicine 检索式： Searching journal content for stroke hemiplegia (all words) in full text, from Jan 2000 through Dec 2011. 检索年限： 20002011 检出篇数： 9 写出最为相关的文献题录： 1. Review: Systematic Review: Comparative Effectiveness of Treatments to Prevent Fractures in Men and Women with Low Bone Density or Osteoporosis Catherine MacLean, Sydne Newberry, Ann Intern Med February 5, 2008 148:197-213 .These included patients with stroke and hemiplegia (55, 60, 112), Alzheimer disease.postmenopausal women with hemiplegia due to stroke (54). For vitamin D analogues.postmenopausal women with hemiplegia suggests that vitamin D might. 2Clinical Guidelines: Pharmacologic Treatment of Low Bone Density or Osteoporosis to Prevent Fractures: A Clinical Practice Guideline from the American College of Physicians Amir Qaseem, Vincenza Snow, Ann Intern Med September 16, 2008 149:404-415 .studied included patients with stroke and hemiplegia, Alzheimer disea- se, a recent hip.hip fracture in patients with stroke (RR, 0.22 CI,0.05 t- o 0.88.hip fracture in patients with stroke and hemiparesis (RR,0.12 CI. 3Review: Narrative Review: Reversible Cerebral Vasoconstriction Syndromes Leonard H. Calabrese, David W. Dodick, Ann Intern Med January 2, 2007 146:34-44 .different specialists, including stroke neurologists, headache specialist- s.rheumatology, headache, and stroke, will outline the cause and.or permanent visual defects, hemiplegia, dysarthria, aphasia, numbness.M ajor ischemic or hemorrhagic stroke, progressive brain edema, and. （三）其他（如 EBM Resources、网络资源等，请注明你使用的资源） 资源名称 万方数据库 检索式： 中风 家庭护理 title:中风 keyword:护理 检索年限： 20002001 检出篇数： 11 检出文献题录： 1. 中风恢复期的家庭护理 【摘要】