目的 评价基于可穿戴传感器与人工智能(artificial intelligence,AI)的监测与干预方案对脑外伤偏瘫患者良肢位摆放质量的影响,为智能化康复护理提供参考。方法 2023年8月至2024年8月采用便利抽样法选取某院脑外伤偏瘫患者120例为研究对象,采用随机数字表法将其分为观察组和对照组,每组60例。对照组实施常规良肢位摆放护理,观察组加用可穿戴传感器与AI的监测与干预。比较两组第1、7、14、28天良肢位摆放合格率及4周内并发症发生情况,以及护士主动体位核查频次。结果 两组患者良肢位摆放合格率在组别与时间交互效应上有统计学意义(F=15.83,P<0.01),且观察组第7、14、28天良肢位摆放合格率高于对照组(均P<0.01);肩关节半脱位、手部肿胀发生率及护士主动体位核查频次均低于对照组,差异均有统计学意义(均P<0.05)。结论 基于可穿戴传感器与AI的监测与干预方案可提高良肢位摆放达标率,减少相关并发症并降低护理重复核查工作量。

Objective To evaluate the effect of a monitoring and intervention program based on wearable sensors and artificial intelligence (AI) on the quality of good limb position placement in hemiplegic patients with traumatic brain injury, so as to provide a reference for intelligent rehabilitation nursing. Methods A total of 120 hemiplegic patients with traumatic brain injury admitted to a hospital from August 2023 to August 2024 were enrolled by the convenience sampling method and randomly divided into observation group and control group using a random number table method, with 60 cases in each group. The control group received routine nursing of good limb position placement, while the observation group was additionally given monitoring and intervention program based on wearable sensors and AI. The qualified rates of good limb position placement on days 1,7,14,and 28 and the incidence of complications within 4 weeks, as well as the frequency of nurses' active position verification were compared between the two groups. Results There was a significant interaction effect between group and time on the qualified rate of good limb position placement (F=15.83,P<0.01). The qualified rates in the observation group were significantly higher than those in the control group on days 7,14,and 28(all P<0.01).The incidences of shoulder subluxation and hand swelling, as well as the frequency of nurses' active position verification, were significantly lower in the observation group than in the control group (all P<0.05). Conclusions The monitoring and intervention program based on wearable sensors and AI can improve the compliance rate of good limb position placement, reduce related complications, and decrease the workload of repeated nursing verification.

R473.6

常州大学护理专项科研课题(CDHL202505)