中风的中医辨证施护

Traditional Chinese medicine dialectical nursing of stroke

目的：探讨中医辨证施护对中风患者的作用。方法：将我院2009年1月～2011年2月收治的80例中风患者随机分为对照组与观察组，每组40例。对照组给予中风的一般护理措施，观察组在一般护理基础上给予中医辨证施护，两组患者在出院时和出院后进行生活自理能力量表（ADL）评分，评价两组的护理效果，调查患者家属对于护理的满意度，并进行统计分析。结果：出院时，观察组的ADL评分明显高于对照组（P〈0．05）；观察组出院时的显效率和总有效率均明显高于对照组（P〈0．05）；观察组患者家属对于护理的满意度明显高于对照组（P〈0．05）。结论：对中风患者进行中医辨证施护能够显著提高患者的自理能力，增强临床治疗效果，增加患者家属对于护理的满意度，值得在临床护理中推广应用。

Objective： To discuss the effect of the traditional Chinese medicine dialectical nursing of patients with stroke. Methods： 80 patients with stroke in our hospital from January 2011 to February 2009 were randomly divided into observation group and control group, each group had 40 cases. The control group was given the common nursing of stroke, the observation group was given traditional Chinese medicine dialectical nursing based on the common nursing. The activities of daily living （ADL） of patients in the two groups were given a mark when the patients left hospital and after leaving hospital, nursing effect of two groups were evaluated, the satisfaction on the nursing of patients＇ families were investigated. Results： ADL scores of observation group was higher than that in the control group when patients left hospital （P〈0.05）, the effectual rate and the total effective rate of observation group were more obvious than the in that control group （P〈0.05）, the satisfaction on the nursing of patients＇ families of observation group was higher than that in the control group （P〈0.05）. Conclusion： Giving traditional Chinese medicine dialectical nursing to patients with stroke can significantly improve the patients＇ care skill, enhance and increase the effectiveness of the clinical treatment to their satisfaction in nursing, it is worthy to use in the clinical treatment of the application.