Original Article
Current research in nursing interventions for shoulder-hand syndrome after stroke in Class Ⅲ Grade A hospitals
Luo Yongmei, Zhang Heli, Hou Shuxiao, Zhou Baohua, Li Jing, Li Baohua
Published 2018-09-06
Cite as Chin J Mod Nurs, 2018,24(25): 3003-3008. DOI: 10.3760/cma.j.issn.1674-2907.2018.25.007
Abstract
ObjectiveTo investigate current research in nursing interventions for shoulder-hand syndrome after stroke in ClassⅢ Grade A hospitals in China.
MethodsTotally 215 nurses from the departments of neurology and rehabilitation of 6 ClassⅢ Grade A hospitals from a municipality or provincial capital from 6 provinces, which scattered across the northern, northeastern, eastern, central and southern, southwestern and northwestern parts of China, were selected by convenient sampling between January and June 2016. The nurses were investigated with the self-designed Shoulder-hand Syndrome After Stroke Questionnaire. Totally 215 questionnaires were sent out, with 184 valid questionnaires collected. SPSS 21.0 software was used in data statistics.
ResultsThe 184 nurses' average scores in the dimension of attention to shoulder-hand syndrome after stroke was (4.38±0.59) ; and the score in reasonableness of nursing interventions for shoulder-hand syndrome after stroke was (3.98±0.88) . Their scores in nursing knowledge related to patients with shoulder-hand syndrome was (48.50±16.67) , and their scores in the dimensions in clinical manifestation, risk factors and interventions were (4.59±3.24) , (2.67±3.90) and (4.06±1.21) , respectively. The knowledge scores were sorted in descending order, and the top 3 scores were found in "nursing principles for shoulder-hand syndrome" "best period of rehabilitation training for shoulder-hand syndrome" and "observation points of affected extremities".
ConclusionsThe nurses' attention to and knowledge about shoulder-hand syndrome after stroke is not enough. There is a lack of standards or guidelines for shoulder-hand syndrome. The process of nursing interventions for shoulder-hand syndrome is not reasonable enough and the nursing processes are not fully implemented. Therefore, nursing processes need to be further standardized.
Key words:
Stroke; Shoulder-hand syndrome; Nursing interventions; Investigation
Contributor Information
Luo Yongmei
Department of Neurology, Peking University Third Hospital, Beijing 100191, China
Zhang Heli
School of Nursing, Peking University, Beijing 100871, China
Hou Shuxiao
School of Nursing, Peking University, Beijing 100871, China
Zhou Baohua
Department of Neurology, Peking University Third Hospital, Beijing 100191, China
Li Jing
Department of Neurology, Peking University Third Hospital, Beijing 100191, China
Li Baohua
Department of Neurology, Peking University Third Hospital, Beijing 100191, China