创伤性脑损伤后认知功能障碍辨证施护的影响

Effect of Traditional Chinese Medical Dialectical Nursing on Traumatic Brain Injury Patients with Cognitive Deficits

目的观察辨证施护对创伤性脑损伤患者认知功能的影响。方法将65例患者按照随机数字表随机分为治疗组32例,对照组33例。两组患者均按本科协定诊疗方案进行常规治疗和护理。治疗组在此基础上由责任护士配合主管医师对患者进行的辨证分型,然后根据患者不同的病因采取辨证施护。认知功能评定采用RLA标准,分别于入院时及出院时各评定1次。结果治疗组认知功能改善的总有效率为87.50%,对照组为72.72%,两组比较差异有统计学意义(P<0.05)。结论辨证施护对创伤性脑损伤患者认知功能障碍改善改善优于常规护理方法。

Objective： To investigate the effect of traditional Chinese medical dialectical nursing on cognitive performance Of traumatic brain injury （TBI）. Methods： All the patients with cognitive impairment after TBI were randomly divided into experimental group and control group. In control group, patients were managed with conventional treatment and nursing, and the patients in experimental group were managed with TCM dialectical nursing. Cognitive performance of all the patients were evaluated by Rancho Los Amigos. Results： The total effective rate of experimental group and control group were 87.50% and 72.72% respectively. There was a statistical difference between two groups in this indicator. Conclusion： Compared with the conventional nursing,the TCMI dialectical nursing is better than routine nursing for TBI patients with cognitive deficit.