基于奥马哈系统对脑卒中偏瘫患者良肢位摆放认知调查与分析宋娜，陈晓欢，邱莉，王攀君，付小青，陈翠兰DOI：10.16662/j.cnki.1674-0742.2019.35.163[摘要]目的應用奥马哈系统对脑卒中偏瘫患者或家属进行良肢位摆放的认知状况调查与分析，为将来对患者或家属进行针对性偏瘫康复健康指导，提高患者或家属的主动康复锻炼依从性，降低偏瘫患者致残率，改善患者生活质量提供依据。方法于2018年1—12月采取方便抽样方法抽取福州某三甲医院神经内科、康复科100例符合纳入标准脑卒中后偏瘫患者或家属以现场问卷调查形式进行现况调查。结果应用奥马哈系统脑卒中偏瘫患者家属良肢位摆放知识认知情况调查得分为（15.86±1.04）分，得分率为79.30%，其中良肢位的概念、良肢位开始时间、更换体位周期、良肢位摆放原则、仰卧位相关知识、健侧卧位相关知识、患侧卧位相关知识、对学习良肢位摆放的态度总分分别为（6.38±3.02）、（6.28±2.01）、（7.92±1.63）分，（7.96±1.98）分、（7.68±1.34）分、（8.29±2.51）分、（6.79±1.18）分、（9.31±0.93）分。结论应用奥马哈系统对脑卒中偏瘫患者或家属进行良肢位摆放调查与分析，脑卒中偏瘫患者或家属良肢位摆放知识认知程度不高，研究结果中对待学习良肢位摆放的态度得分最高，良肢位概念、各种良肢位摆放相关知识得分较低。影响脑卒中偏瘫患者家属良肢位摆放知识认知程度的因素中年龄、文化程度、患者住院次数对认知程度的影响较大，针对以上问题应采取针对性健康宣教措施，确保患者生存质量。应用奥马哈系统对脑卒中偏瘫患者或家属康复护理问题环境、心理、生理和健康相关行为4个领域还需深入研究。[关键词]奥马哈系统;脑卒中;偏瘫患者;良肢位摆放[]R473[]A[]1674-0742（2019）12（b）-0163-04InvestigationandAnalysisofCognitionofGoodLimbPositioninHemiplegicPatientswithStrokeBasedonOmahaSystemSONGNa，CHENXiao-huan，QIULi，WANGPan-jun，FUXiao-qing，CHENCui-lanDepartmentofNeurology，FujianProvincialHospital;ProvincialClinicalMedicalCollege，FujianMedicalUniversity，Fuzhou，FujianProvince，350001，China[Abstract]ObjectiveToinvestigateandanalyzethecognitivestatusofhemiplegiapatientsorfamilymembersincerebralapoplexybyusingOmahasystem，soastoimprovethecomplianceofpatientsandfamilymemberswithactiverehabilitationexercise.Thus，thedisabilityrateofhemiplegiapatientsisreducedandthequalityoflifeofpatientsisimproved.MethodsFromJanuarytoDecember2018，aconvenientsamplingmethodwasadoptedtoinvestigatethestatusof100casesincludingsomepatientswhoweresufferedwithhemiplegiaafterstrokeandmetthecriteriaforinclusionortheirfamiliesintheneurologydepartmentorrehabilitationdepartmentinaLevelIIIHospitalinFuzhou.ResultsTheknowledgeandcognitionoftheplacementoflimbsinpatientswithhemiplegicstrokewithOmahasystemwas（15.86±1.04）pointsandthescorewas79.30%.Amongthem，theconceptofgoodlimbposition，thestarttimeofgoodlimbposition，thecycleofchangingbodyposition，theprincipleofgoodlimbpositionplacement，theknowledgeofsupineposition，theknowledgeofhealthysideposition，theknowledgeofthesideposition，andthetotalscoreofattitudetowardlearninggoodlimbpositionis（6.38±3.02）points，（6.28±2.01）points，（7.92±1.63）points，（7.96±1.98）points，（7.68±1.34）points，（8.29±2.51）points，（6.79±1.18）pointsand（9.31±0.93）pointsrespectively.ConclusionOmahasystemwasusedtoinvestigateandanalyzethegoodlimbplacementofstrokehemiplegiapatientsorfamilymembers.Theknowledgeofthegoodlimbplacementofstrokehemiplegiapatientsorfamilymemberswasofmediumupperlevel，andthecognitivelevelwasnothigh.Amongthem，theconceptofgoodlimbpositionandtheattitudetowardslearninggoodlimbpositionhavehigherscores，andthestartingtimeofgood...