探讨穴位贴敷联合穴位按压在脑梗死偏瘫患者护理中的应用价值

Discussion on the Application Value of Acupoint Application Combined with Acupoint Pressing in the Nursing of Patients with Cerebral Infarction and Hemiplegia

目的分析脑梗死偏瘫患者接受穴位贴敷+穴位按压护理后的效果。方法随机选取2020年4月—2020年11月该院收治的100例脑梗死偏瘫患者进行研究,采用数字随机法将患者分为对比组(常规护理)与观察组(在对比组基础上接受穴位贴敷+穴位按压护理),各30例。观察对比患者接受护理后活动能力、护理效果、心理健康、肌力状况、运动功能、满意程度等多项数据。结果①对比组脑梗死偏瘫患者满意17例(56.66%),低于观察组26例(86.66%),差异有统计学意义(χ^(2)=6.648,P<0.05);②护理后,对比组脑梗死偏瘫患者肌力评估有改善15例(50.00%),低于观察组25例(83.33%),差异有统计学意义(χ^(2)=7.500,P<0.05);③护理后,对比组脑梗死偏瘫患者活动能力评分低于观察组,差异有统计学意义(t=13.419,P<0.05);④护理后,对比组脑梗死偏瘫患者运动功能上肢(≥4级)、手(≥4级)、下肢(≥4级)均小于观察组,差异有统计学意义(χ^(2)=6.238、4.800、5.454,P<0.05);⑤对比组脑梗死偏瘫患者护理总有效21例(70.00%),低于观察组29例(96.66%),差异有统计学意义(χ^(2)=7.680,P<0.05);⑥护理后,对比组脑梗死偏瘫患者心理健康(焦虑与抑郁)评分高于观察组,差异有统计学意义(t=276.967、185.242,P<0.05)。结论脑梗死偏瘫患者接受穴位贴敷+穴位按压护理后,患者的身体功能恢复效果明显,显著改善了脑梗死偏瘫患者肌力状况、运动功能,患者对于穴位贴敷+穴位按压护理更满意。

Objective To analyze the effect of acupoint application plus acupoint pressing on cerebral infarction patients with hemiplegia.Methods 100 patients with cerebral infarction hemiplegia treated in the hospital from April 2020 to November 2020 were conveniently selected for study.The patients were randomly divided into control group(routine nursing)and observation group(receiving acupoint application+acupoint pressing nursing on the basis of the control group),with 30 cases in each group.The activity ability,nursing effect,mental health,muscle strength,motor function,satisfaction and other data were observed and compared.Results 1.17 cases(56.66%)of patients with cerebral infarction and hemiplegia in the control group were satisfied,which was lower than the 26 cases(86.66%)in the study group,the difference was statistically significant(χ^(2)=6.648,P<0.05).2.After nursing,15 patients with cerebral infarction and hemiplegia in the control group had improved muscle strength assessment(50.00%),which was lower than that in the study group of 25 patients(83.33%),the difference was statistically significant(χ^(2)=7.500,P<0.05).3.After nursing,the activity score of patients with cerebral infarction and hemiplegia in the control group was lower than that in the study group,the difference was statistically significant(t=13.419,P<0.05).4.After nursing,the upper extremity(≥4 grade),hands(≥4 grade),and lower extremities(≥4 grade)of the patients with cerebral infarction and hemiplegia in the control group were lower than those in the study group,the difference was statistically significant(χ^(2)=6.238,4.800,5.454,P<0.05).5.The total effective nursing care for patients with cerebral infarction and hemiplegia in the control group was 21 cases(70.00%),which was lower than 29 cases(96.66%)in the study group,the difference was statistically significant(χ^(2)=7.680,P<0.05).6.After nursing,the mental health(anxiety and depression)scores of patients with cerebral infarction and hemiplegia in the contrast group were higher than those in the study group,the difference was statistically significant(t=276.967,185.242,P<0.05).Conclusion After patients with cerebral infarction hemiplegia received acupoint application+acupoint pressing care,the patient's body function recovery effect was obvious,and the muscle strength and motor function of patients with cerebral infarction hemiplegia were significantly improved.The patients were more satisfied with acupoint application+acupoint pressing care.