穴位按摩配合康复锻炼在脑卒中患者康复护理中的应用

Application of acupoint massage combined with rehabilitation training in rehabilitative nursing care of stroke patients

目的探讨穴位按摩配合康复锻炼在脑卒中患者康复护理中的应用效果。方法 96例脑卒中患者随机分为观察组和对照组,各48例。对照组常规护理,观察组在对照组基础上给予穴位按摩配合康复锻炼。分别采用Fugl-Meyer平衡量表和Barthel指数(BI)评价2组肢体运动功能和日常生活能力,并对比2组护理满意度。结果干预6个月后,2组Fugl-Meyer评定量表和BI评分较干预前显著上升(P<0.05),且观察组评分改善程度显著优于对照组(P<0.01)。护理满意度观察组为95.8%,显著高于对照组的72.9%(P<0.05)。结论穴位按摩配合康复锻炼能有效改善脑卒中患者肢体功能康复,提高日常生活能力,值得借鉴。

Objective To evaluate the acupoint massage combined with rehabilitation training in rehabilitative nursing care of stroke patients. Methods A total of 96 stroke patients were randomly divided into the observation group( n = 48) and the control group( n = 48),with conventional treatment and nursing care. The observation group was given additional acupoint massage combined with rehabilitation training. The motor function assessed by Fugl-Meyer motor assessment and activities of daily living assessed by Barthel index( BI),as well as nursing satisfaction rate,were compared between two groups. Results The score of Fugl-Meyer and BI were increased in both of two groups at 6months after treatment( P < 0. 05),and were significant higher in the observation group than those of the control group( P < 0. 01). The nursing satisfaction rate was 95. 8% in the observation group and was 72. 9% in the control group,with a significant difference( P < 0. 05). Conclusion The acupoint massage combined with rehabilitation training can effectively improve the motor function and activities of daily living in stroke patients.