Application of micro course in health education for prevention shoulder-hand syndrome in patients with stoke

Abstract

Objective To explore the clinic effect of micro course in health education for prevention shoulder-hand syndrome in patients with stoke. Method The 42 stoke patients treated in our sector from October 2013 to September 2014 were observed (observation group) under health education by micro course, taking the 45 stoke patients treated in our sector from October 2012 to September 2013 as control group under traditional health education. Health education evaluation, occurrence rate of shoulder-hand syndrome, shoulder joint passive range of motion (ROM) and simple test for evaluating hand function (STEF) of the two groups of patients were compared after one and three months, respectively. Results Compared to the control group, the observation group made higher evaluation of health education method, showed lower occurrence rate of shoulder-hand syndrome, better shoulder joint passive ROM and upper limb movement function. In the time point of 1 and 3 months after the intervention, the incidence rate of shoulder-hand syndrome in the observation group was 2.5%(1/40) and 7.5%(3/40) respectively, which was significant lower than that of in the control group (19.05%, 8/42 and 47.63%, 20/40 respectively), the χ2 value was 4.173 and 16.340 respectively,P<0.05. In the time point of 1 and 3 months after the intervention, the passive ROM in the observation group was (172.80±15.18)° and (174.76±7.45)°, which was significant higher than that of in the control group, (143.81±22.76)° and (132.12±16.67)° respectively, the t value was 6.816 and 15.074 respectively,P<0.01. Conclusion Micro course used in health education of stroke patients could stimulate their study interests and activity, which played an important role in shoulder-hand syndrome occurrence prevention,shoulder injury reduction and upper limb function restoration acceleration. Key words: Reflex sympathetic dystrophy; Stroke; Health education; Micro course