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Dynamic interaction nursing intervention on functional rehabilitation and self-care ability of patients after aneurysm surgery

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World Journal of Clinical Cases 2022年第15期10卷 4827-4835页

作者： Yan-E Xie Wei-Cheng Huang Yu-Ping Li Jia-Huan Deng Jian-Ting Huang The First Neurological Department Central People’s Hospital of Huizhou CityHuizhou 516001Guangdong ProvinceChina

BACKGROUND Nursing practices based on the dynamic interaction model have been shown to be superior to generic nursing ***,whether this model is effective in patients recovering from intracranial aneurysm surgery is not well *** To investigate the effect of nursing based on a dynamic interaction model on functional rehabilitation of patients after aneurysm *** A total of 86 cases in our hospital with intracranial aneurysm from April 2019 to April 2021,were selected and divided into the study group and the control group,with 43 patients in each *** control group received routine nursing,and the research group received nursing intervention based on a dynamic interaction *** daily living ability(activities of daily living,ADL),cognitive function(Simple Intelligent Mental State Scale,MMSE),quality of life(Generic Quality of Life Inventory-74,GQOL-74),self-care ability(Exercise of Self-Care Agency scale),incidence of complications,and nursing satisfaction were recorded before and after *** Before intervention,ADL(52.09±6.44),MMSE(18.03±4.11),and GQOL-74(53.68±4.34)scores in the study group were not significantly different from those in the control group(ADL:50.97±7.32,MMSE:17.59±3.82,GQOL-74:55.06±3.98)(P>0.05).After intervention,ADL(86.12±5.07),MMSE(26.64±2.66),and GQOL-74(83.13±5.67)scores in the study group were higher than those in the control group(ADL:79.81±6.35,MMSE:24.51±3.00,and GQOL-74:77.96±6.27)(P0.05).After the intervention,self-concept(26.01±3.18),self-care skills(37.68±6.05),self-care knowledge(45.56±5.83),and self-care responsibility(22.01±3.77)scores in

关键词： Aneurysm Dynamic interaction model functional rehabilitation Self-care ability

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Obstetric Brachial Plexus Palsy of Newborns and Infants: functional Outcomes after rehabilitation by Their Own Parents

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Open Journal of Orthopedics 2022年第4期12卷 212-224页

作者： Ngo Yamben Marie-Ange Manga Alexandre Muluem Kennedy Mvondo Obama Serge Arnaud Nseme Etouckey Eric Nana Chunteng Theophile Tsiagadigui Tsiagadigui Jean-Gustave Mosoh Franklin Muluh Mbassi Awa Ibrahima Farikou Faculty of Medicine and Biomedical Sciences University of Yaoundé I Yaounde Cameroon National Centre for the rehabilitation of Persons with Disabilities in Yaoundé Yaounde Cameroon Yaoundé General Hospital Yaounde Cameroon Faculty of Health Sciences University of Buea Cameroon Mother-Children Center of the Chantal Biya Foundation of Yaoundé Yaounde Cameroon

Introduction: Obstetric palsy of the brachial plexus (OPBP) is a paralytic lesion common to obstetric trauma, whose clinical presentation varies according to the severity and extent of the root lesions at birth. Early and appropriate rehabilitation is necessary in order to improve the functional prognosis of the injured limb. Under special conditions, parents could carry out this physiotherapy themselves. Objective: The aim of this work was to assess limb functional recovery in newborns and infants with OPBP after rehabilitation by their parents. Patients and Methods: We conducted a prospective study at the NCRDP in Yaoundé over a period of 18 months. We included all patients aged 0 to 2 years with OPBP, isolated or associated with other lesions and followed at least two (02) years at the NCRDP. Results: We recruited 69 cases. The hospital frequency of OPBP was estimated at 1.02%. The age at first consultation was [0 - 28 d] in 50.8% of cases. The sex ratio was 0.68. The right side was reached in 54.4% of cases. The Erb’s palsy predominated in 79.7% of cases. The risk factors for OPBP were vaginal delivery, cephalic presentation, shoulder dystocia and macrosomia. Physiotherapy was performed as prescribed in 94.9% of cases allowing excellent and good functional recovery in 76.81% of cases. Conclusion: In the care of their children’s OPBP rehabilitation by sensitized, actively involved and supervised parents would be a good alternative to professional physiotherapy in all situations where the latter would not be possible.

关键词： Obstetric Palsy Brachial Plexus functional rehabilitation Macrosomia Childbirth Dystocia

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Results of Chronic Neck Pain rehabilitation at Cotonou

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Open Journal of Therapy and rehabilitation 2021年第4期9卷 154-161页

作者： H. Etienne Alagnide Wilfried Dahoueto D. Didier Niama Natta Herman Azanmasso Yves Anani Djimingaye Natoyallah G. Toussaint Kpadonou University Clinic of Physical Medicine and rehabilitation National University Hospital Center (CNHU-HKM) Cotonou Benin

Background: Neck pain is a real public health problem. Its treatment uses different techniques, such as functional rehabilitation, whose results are not widely popularized, from developing countries in Black Africa. Objective: To assess the result of rehabilitation of chronic common neck pain (CCNP) at the CNHU-HKM in Cotonou. Methods: Cross-sectional, retrospective, descriptive and analytical study. It was carried out from May to September 2020, based on the files of former patients followed in functional rehabilitation department at CNHU-HKM in Cotonou, from 2015 to 2019, for CCNP. The result of rehabilitation was assessed based on the progress, between the start and the end of the rehabilitation sessions, of pain intensity, mobility of the cervical spine, muscle strength and functional capacity of the patient. Anova and chi-square tests were used for the analysis of factors associated with the result of rehabilitation. Results: The sample consisted to 73 patients. They were predominantly female (58.90%), with a mean age of 53.60 ± 14.08 years. The neck pain, at least of moderate intensity (97.26%), was present since 12.54 ± 8.54 months, on average. Patients have done 10 to 20 functional rehabilitation sessions, the result of which was satisfactory in 67.12%. This result was mainly associated with patient’s age, sports practice and the seniority of pain progression. Discussion-Conclusion: Rehabilitation results in the management of CCNP are interesting. They prove the need to sensitize patients and prescribers on the importance of early treatment of CCNP.

关键词： Chronic Neck Pain functional rehabilitation Results Cotonou

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