首页|基于CICARE沟通模式的情志干预配合穴位敷贴对脑梗死患者肠道功能及负面情绪的影响

基于CICARE沟通模式的情志干预配合穴位敷贴对脑梗死患者肠道功能及负面情绪的影响

扫码查看
目的:探讨基于CICARE沟通模式的情志干预配合穴位敷贴对脑梗死患者肠道功能及负面情绪的影响.方法:采用简单随机法将我院2022年1月~2022年12月神经内科收治的120例脑梗塞患者分为对照组(60例)和试验组(60例),对照组采用穴位贴敷治疗,试验组在对照组基础上采用基于CICARE沟通模式的情志干预护理模式.比较两组干预前、干预后的便秘症状评分,肠道不良反应,焦虑自评量表(SAS)、抑郁自评量表(SDS).结果:干预前,两组患者的便秘症状评分对比无差别(P>0.05),干预后两组患者的便秘症状评分均较干预前低(P<0.05),且试验组较对照组低(P<0.05);试验组患者的呕吐、腹胀、腹泻、便秘、拒食等肠道症状发生率低于对照组(P<0.05);干预前,两组患者的SAS、SDS评分对比无差异(P>0.05),干预后,两组患者的SAS、SDS评分均较干预前低(P<0.05),且试验组患者的SAS、SDS评分均较对照组低(P<0.05).结论:脑梗死肠道功能紊乱患者使用CICARE沟通模式的情志干预配合穴位敷贴干预,能够有效改善便秘症状,减轻肠道不良反应,缓解不良情绪,具有临床推广意义.
Effects of emotional intervention based on CICARE communication model combined with acupoint application on intestinal function and negative emotions in patients with cerebral infarction
Objective:To explore the effect of emotional intervention based on CICARE communication model combined with acupoint application on intestinal function and negative emotions in patients with cerebral infarction.Methods:120patients with cerebral infarction admitted to department of neurology of our hospital from January 2022to December 2022were divided into con-trol group(60cases)and experimental group(60cases)by simple randomization method.The control group was treated with acu-point application,and the experimental group was given emotional intervention nursing model based on CICARE communication model.The constipation symptoms scores,intestinal adverse reactions,Self-rating Anxiety Scale(SAS)and Self-rating Depres-sion Scale(SDS)were compared between the two groups before and after intervention.Results Before intervention,there were no differences in the scores of constipation symptoms between the two groups(P>0.05).After intervention,the constipation symp-toms scores in the two groups were declined compared with those before intervention(P<0.05),and the scores in experimental group were lower than those in control group(P<0.05).The incidence rates of intestinal symptoms such as vomiting,abdominal distension,diarrhea,constipation and food refusal in experimental group were lower than those in control group(P<0.05).Be-fore intervention,there were no differences in the scores of SAS and SDS between both groups(P>0.05).After intervention,the scores of SAS and SDS in the two groups were decreased compared with those before intervention(P<0.05),and the above scores in experimental group were lower than those in control group(P<0.05).Conclusion:In patients with cerebral infarction and intestinal dysfunction,emotional intervention based on CICARE communication model combined with acupoint application can effectively improve the constipation symptoms,alleviate the intestinal adverse reactions and relieve the adverse emotions,and it has clinical promotion significance.

CICARE communication modelAcupoint applicationPatients with cerebral infarctionIntestinal functionNegative emotions

刘琳、曹燕秋、龚歆

展开 >

太仓市中医医院脑病科,江苏太仓 225400

CICARE沟通模式 穴位敷贴 脑梗死患者 肠道功能 负面情绪

太仓市科技局科技项目

TC2020JCYL12

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(1)
  • 16