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中医护理在脑梗死恢复期患者中的应用效果

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目的:观察中医护理在脑梗死恢复期患者中的应用效果.方法:选取2020年5月至2021年5月该院收治的68例脑梗死恢复期患者进行前瞻性研究,按照随机数字表法将其分为观察组和对照组各34例.对照组实施常规护理,观察组在对照组基础上实施中医护理.比较两组护理前后心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]评分、健康行为[健康促进生活方式量表Ⅱ(HPLP Ⅱ)]评分、运动功能[简式Fugl-Meyer运动功能评定量表(FMA)]评分、神经功能缺损[美国国立卫生研究院卒中量表(NIHSS)]评分和生命质量[Barthel指数(BI)]评分.结果:护理后,两组CD-RISC评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);护理后,两组HPLP Ⅱ、FMAS评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组BI评分均高于护理前,且观察组高于对照组,两组NIHSS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05).结论:中医护理应用于脑梗死恢复期患者,可提高其心理弹性水平,促进形成健康生活方式,改善运动功能,减轻神经功能损伤,提高生命质量,效果优于单纯常规护理.
Application effects of TCM nursing in patients with cerebral infarction in convalescent period
Objective:To observe application effects of traditional Chinese medicine (TCM) nursing in patients with cerebral infarction in convalescent period. Methods:A prospective study was conducted on 68 patients with convalescent cerebral infarction admitted to the department of internal medicine of Zhengzhou hospital of the traditional Chinese medicine from May 2020 to May 2021. According to the random number table method,they were randomly divided into observation group and control group,34 cases in each group. The control group was given routine nursing,while the observation group was given the TCM nursing on the basis of that of the control group. The scores of psychological resilience[Connor-Davidson resilience scale (CD-RISC)],health behavior[health promoting lifestyle profile Ⅱ(HPLP Ⅱ)],motor function[Fugl-Meyer assessment scale (FMA)],neurological deficit[National Institutes of Health stroke scale (NIHSS)]and quality of life (Barthel index) were compared between the two groups before and after the nursing. Results:After the nursing,the CD-RISC scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant (P<0.05). After the nursing,the scores of HPLP Ⅱ and FMA in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant (P<0.05). Further,the BI scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the NIHSS scores of the two groups were lower than those before the nursing,and that in the observation group was lower than that in the control group;and the differences were statistically significant (P<0.05). Conclusions:The application of TCM nursing in the patients with convalescent cerebral infarction can improve their psychological resilience levels,promote the formation of a healthy lifestyle,improve the motor function,reduce the neurological damage,and improve the quality of life. Moreover,it is superior to simple routine nursing.

Cerebral infarctionConvalescent periodTCM nursingPsychological resilienceNeurological impairment

吕明远

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郑州市中医院内科,河南 郑州 450000

脑梗死 恢复期 中医护理 心理弹性 神经功能损伤

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(24)