中医护理在促进中风偏瘫患者康复中的应用
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摘要
目的探讨中医护理在促进中风偏瘫患者康复中的应用效果。方法选择2017年1～12月在我院诊断治疗的中风患者100例为研究对象,随机分为干预组与对照组各50例。干预组采用中医护理,对照组采用常规护理。比较两组干预前后SAS、SDS、FMA、GQOIL评分。结果干预后两组SAS、SDS较干预前显著下降,差异有统计学意义(P<0.05);干预组干预后SAS、SDS评分较对照组显著下降,差异有统计学意义(P<0.05)。两组干预后FMA评分均显著高于干预前,差异有统计学意义(P<0.05);干预组干预后FMA较对照组显著升高,差异有统计学意义(P<0.05)。两组干预后GQOIL评分均显著高于干预前,差异有统计学意义(P<0.05);干预组干预后GQOIL显著高于对照组,差异有统计学意义(P<0.05)。结论中风偏瘫患者采用中医护理能够显著缓解患者焦虑抑郁情绪,提高运动功能及生活质量。
Objective To explore the application effect of traditional Chinese medicine nursing in the rehabilitation of patients with hemiplegia due to stroke.Methods A total of 100 patients with stroke diagnosed and treated in our hospital from January to December 2017 were randomly divided into intervention group and control group.The intervention group was given traditional Chinese medicine nursing and the control group was given routine care.The scores of SAS,SDS,FMA and GQOIL in the two groups were compared before and after intervention.Results After intervention,the SAS and SDS of the two groups were significantly lower than those before the intervention,the difference was statistically significant(P<0.05);the scores of SAS and SDS in the intervention group were significantly lower than those in the control group,the difference was statistically significant(P<0.05);the FMA scores of the two groups were significantly higher than those before the intervention,the difference was statistically significant(P<0.05);the FMA of the intervention group was significantly higher than that of the control group,the difference was statistically significant(P<0.05);the GQOIL scores of the two groups were significantly higher than those before the intervention,the difference was statistically significant(P<0.05);and the GQOIL of the intervention group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The use of traditional Chinese medicine nursing for stroke patients with hemiplegia can significantly alleviate anxiety and depression,and improve their motor function and quality of life.
Objective To explore the application effect of traditional Chinese medicine nursing in the rehabilitation of patients with hemiplegia due to stroke.Methods A total of 100 patients with stroke diagnosed and treated in our hospital from January to December 2017 were randomly divided into intervention group and control group.The intervention group was given traditional Chinese medicine nursing and the control group was given routine care.The scores of SAS,SDS,FMA and GQOIL in the two groups were compared before and after intervention.Results After intervention,the SAS and SDS of the two groups were significantly lower than those before the intervention,the difference was statistically significant(P<0.05);the scores of SAS and SDS in the intervention group were significantly lower than those in the control group,the difference was statistically significant(P<0.05);the FMA scores of the two groups were significantly higher than those before the intervention,the difference was statistically significant(P<0.05);the FMA of the intervention group was significantly higher than that of the control group,the difference was statistically significant(P<0.05);the GQOIL scores of the two groups were significantly higher than those before the intervention,the difference was statistically significant(P<0.05);and the GQOIL of the intervention group was significantly higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The use of traditional Chinese medicine nursing for stroke patients with hemiplegia can significantly alleviate anxiety and depression,and improve their motor function and quality of life.
引文
[1]江月贞,黄美珠,林增萍.中医护理120例老年失眠症患者[J].中国中医药现代远程教育,2018,16(2):129-130.
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[7] Duncan PW,Propst M,Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident[J]. Phys Ther,1983,63(10):1606-1610.
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[11]甘凤琴.中医护理干预对产后缺乳的影响[J].西部中医药,2016,(5):122-125.
[12]张艳媚,翟妍,李鑫楠.中医护理措施对2型糖尿病患者失眠的效果评价[J].中国医药科学,2016,6(5):132-135.
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[14]白芮,李文娟.中医护理在手术室护理工作中的应用研究[J].西部中医药,2016,(5):116-118.
[15]邹勃.中医护理干预在急性肾盂肾炎患者的应用研究[J].当代医学,2016,22(3):112-113.
[16]黄启莲,张来燕,罗颜.穴位帖敷中医护理干预对脑梗死恢复期患者的康复效果[J].中国医药科学,2016,6(10):108-111.
[17]孙晶.冠心病患者施行中医护理对预后的干预作用分析[J].当代医学,2016,22(7):124-125.
[18]沈冬妹.中医护理在痔疮手术后便秘患者中的应用价值分析[J].中外医学研究,2016,14(30):84-85.
[19]卢璇,苏柳平,曾国娣,等.中医护理临床路径护理在桡骨远端骨折患者中的应用效果研究[J].中国医学创新,2017,15(17):97-101.
[20]王会芳,刘晓春,尹艳君,等.中风(脑梗死急性期)后便秘患者实施中医护理方案临床效果评价研究[J].四川中医,2016,34(8):218-220.
[21]温敏.中医护理方案应用中风(脑出血急性期)病人的效果观察[J].中医临床研究,2015,7(28):136-137.
[22]龚礼敏,张雅丽,蔡珏.中医护理方案在中风(脑梗死康复期)病人护理中的应用[J].全科护理,2015,13(7):601-602.
[23]李秀.中医护理方案在中风病(脑梗死恢复期)中的应用总结分析[J].中医临床研究,2017,9(5):82-84.
[24]卢春玲,刘蕾,梁艳,等.中风(脑梗塞恢复期)中医护理方案的临床应用[J].云南中医中药杂志,2017,38(12):95-96.
[25]牛瑞林.急性中风患者肢体偏瘫康复的优质中医护理体会[J].内蒙古医学杂志,2017,49(4):507-509.
[2]张传美.中医护理干预在心肌梗死患者中的应用价值[J].中国中医药现代远程教育,2018,16(4):137-138.
[3]景洋.合并睡眠障碍的稳定期慢性心衰患者中医护理的疗效分析[J].中国中医药现代远程教育,2018,16(4):139-140.
[4]宋灵敏.浅谈脑卒中患者的中医护理[J].检验医学与临床,2017,14(A2):234-235.
[5] Zung WWK. A rating instrument for anxiety disorders[J].Psychosomatics,1971,12(6):371-379.
[6] Zung WW. A self-rating depression scale[J]. Archives of General Psychiatry,1965,12:63-70.
[7] Duncan PW,Propst M,Nelson SG. Reliability of the Fugl-Meyer assessment of sensorimotor recovery following cerebrovascular accident[J]. Phys Ther,1983,63(10):1606-1610.
[8] Varni JW,Seid M,Kurtin PS. PedsQL 4.0:reliability and validity of the Pediatric Quality of Life Inventory version4.0 genericcore scales in healthy and patient populations[J].Med Care,2001,39(8):800-812.
[9]贺荣.中风中医护理方案在临床中的应用效果观察[J].云南中医中药杂志,2016,37(2):85-86.
[10]张敏.中风(脑梗死恢复期)中医护理方案的实用性研究[J].中国保健营养,2016,26(12):212-213.
[11]甘凤琴.中医护理干预对产后缺乳的影响[J].西部中医药,2016,(5):122-125.
[12]张艳媚,翟妍,李鑫楠.中医护理措施对2型糖尿病患者失眠的效果评价[J].中国医药科学,2016,6(5):132-135.
[13]陈秀萍.糖尿病周围神经病变的中医护理干预研究[J].西部中医药,2017,(5):124-125.
[14]白芮,李文娟.中医护理在手术室护理工作中的应用研究[J].西部中医药,2016,(5):116-118.
[15]邹勃.中医护理干预在急性肾盂肾炎患者的应用研究[J].当代医学,2016,22(3):112-113.
[16]黄启莲,张来燕,罗颜.穴位帖敷中医护理干预对脑梗死恢复期患者的康复效果[J].中国医药科学,2016,6(10):108-111.
[17]孙晶.冠心病患者施行中医护理对预后的干预作用分析[J].当代医学,2016,22(7):124-125.
[18]沈冬妹.中医护理在痔疮手术后便秘患者中的应用价值分析[J].中外医学研究,2016,14(30):84-85.
[19]卢璇,苏柳平,曾国娣,等.中医护理临床路径护理在桡骨远端骨折患者中的应用效果研究[J].中国医学创新,2017,15(17):97-101.
[20]王会芳,刘晓春,尹艳君,等.中风(脑梗死急性期)后便秘患者实施中医护理方案临床效果评价研究[J].四川中医,2016,34(8):218-220.
[21]温敏.中医护理方案应用中风(脑出血急性期)病人的效果观察[J].中医临床研究,2015,7(28):136-137.
[22]龚礼敏,张雅丽,蔡珏.中医护理方案在中风(脑梗死康复期)病人护理中的应用[J].全科护理,2015,13(7):601-602.
[23]李秀.中医护理方案在中风病(脑梗死恢复期)中的应用总结分析[J].中医临床研究,2017,9(5):82-84.
[24]卢春玲,刘蕾,梁艳,等.中风(脑梗塞恢复期)中医护理方案的临床应用[J].云南中医中药杂志,2017,38(12):95-96.
[25]牛瑞林.急性中风患者肢体偏瘫康复的优质中医护理体会[J].内蒙古医学杂志,2017,49(4):507-509.