首页|手指操联合中医情志护理对恢复期脑卒中患者康复效果评价

手指操联合中医情志护理对恢复期脑卒中患者康复效果评价

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目的 探讨手指操联合中医情志护理对恢复期脑卒中患者的康复效果,为临床护理实践提供理论指导.方法 选取宁晋县中西医结合医院2022年2月—2023年2月90例恢复期脑卒中患者为研究对象,按照组间基线资料均衡可比的原则将其分为对照组和观察组,各45例.对照组患者均给予常规基础护理、康复治疗与锻炼、预防并发症护理等,观察组在对照组基础上给予手指操训练联合中医情志护理.分别于干预前及干预后2周、4周、8周,采用改良Barthel指数量表、汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)与Fugl-Meyer运动功能评价量表评价两组患者日常生活活动能力、焦虑评分、抑郁评分及上下肢运动功能评分.采用满意度量表评价两组患者的护理满意程度.结果 干预后观察组患者焦虑、抑郁评分低于对照组,上、下肢运动功能评分及Barthel指数评分均高于对照组,两组患者HAMA评分、HAMD评分、Fugl-Meyer评分及Barthe l指数比较,组间、不同时间点、组间与不同时间点交互作用差异均有统计学意义(P<0.05).观察组患者护理满意程度高于对照组,差异具有统计学意义(P<0.05).结论 手指操联合中医情志护理可以有效改善脑卒中患者的焦虑、抑郁状态,提高其日常生活自理能力,促进患者上下肢功能恢复,有利于患者早日康复,从而提高患者的满意度.
Rehabilitation effect evaluation of finger exercises combined with traditional Chinese medicine emotional care on stroke patients in the recovery period
Objective To explore the rehabilitation effect of finger exercises combined with traditional Chinese medicine emotional care on stroke patients in the recovery period,and to provide theoretical guidance for clinical nursing practice.Methods A total of 90 convalescent stroke patients in Ningjin County Hospital of Integrated Traditional Chinese and Western Medicine from February 2022 to February 2023 were selected as the research subjects,according to the principle of balanced and comparable baseline data between groups,they were divided into a control group and an observation group,with 45 cases in each group.Patients in the control group were given routine basic care,rehabilitation treatment and exercise,and complication prevention care,while the observation group was given finger exercise training combined with traditional Chinese medicine emotional care on the basis of the control group.Before the intervention and 2 weeks,4 weeks,and 8 weeks after the intervention,the modified Barthel Index Scale,Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),and Fugl-Meyer Motor Assessment were used to evaluate the daily living activities,anxiety scores,depression scores,and upper and lower limb motor function scores.The satisfaction scale was used to evaluate the nursing satisfaction of the two groups of patients.Results After the intervention,the anxiety and depression scores of the patients in the observation group were lower than those in the control group,the upper and lower limb motor function scores and Barthel index scores of the patients were higher than those in the control group.Compared the HAMA scores,HAMD scores,Fugl-Meyer scores and Barthel index of the two groups of patients,and found that there were statistically significant differences between groups,at different time points,and in the interactions between groups and different time points.(P<0.05).The nursing satisfaction in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Finger exercises combined with traditional Chinese medicine emotional care can effectively improve the anxiety and depression of stroke patients,improve their self-care ability in daily life,promote the recovery of upper and lower limb functions,facilitate the early recovery of patients,and thereby improve patient satisfaction.

Traditional Chinese medicine emotional careFinger exercisesStrokeRehabilitation effectTraditional Chinese medicine nursing

谷力荣、郭晓贺、屈博涵、李贤、孙茜、申翠敏、张天池、张晓娜、秦亚楠、于秋杰

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宁晋县中西医结合医院(河北省邢台市,055550)

华北理工大学护理与康复学院(河北省唐山市,063210)

河北省人民医院(河北省石家庄市,050051)

中医情志护理 手指操 脑卒中 康复效果 中医护理

河北省卫生健康委医学科学研究课题

20230002

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(5)
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