中医辨证康复护理对脑卒中恢复期偏瘫患者运动功能的影响

Influence of Featured Rehabilitation Nursing of Traditional Chinese Medicine on Motor Function in Patients with Stroke Hemiplegic

目的:探讨中医辨证康复护理对脑卒中恢复期偏瘫患者运动功能的影响。方法:选取76例脑卒中恢复期偏瘫患者,随机分为对照组和观察组各38例,对照组给予常规护理干预,观察组在对照组的基础上给予中医辨证康复护理干预。观察两组患者的Fugl-Meyer评定量表评分、Barthel指数定量评分及护理满意度。结果:两组上肢与下肢干预后Fugl-Meyer量表评分不同时间比较、组间比较,差异均有统计学意义(P<0.05);观察组Fugl-Meyer量表评分较对照组显著升高(P<0.05);两组Barthel指数量表评分时间比较、组间比较,差异有统计学意义(P<0.05);观察组干预后Barthel指数量表评分较对照组显著升高(P<0.05);观察组护理满意度为92.1%,较对照组的73.7%显著升高(P<0.05)。结论:中医辨证康复护理能够显著提高急性脑卒中偏瘫患者恢复期患者运动功能及日常生活能力,护理满意度高。

Objective： To explore the influence of featured rehabilitation nursing of traditional Chinese Medicine on motor function in patients with acute stroke hemiplegic. Methods： The 76 cases of recovery patients with acute stroke hemiplegic were selected and divided into control and study groups randomly, 38 cases in each. The control group was given routine nursing intervention, and the study group was given featured rehabilitation nursing of traditional Chinese Medicine intervention on the basis of the control group. Fugl-meyer rating scale score, Barthel index score and nursing satisfaction were observed in the two groups. Results： There were significant differences on Fugl-meyer scale scores of upper and lower limbs time between the two groups （P〈0.05）; The study group showed higher Fugl-meyer scale scores than the control group, after the treatment （P〈0.05）. There were significant differences on Barthel index scale scores time between the two groups （P〈0.05）; The study group showed higher Barthel index scale scores than the control group, after the treatment （P〈0.05）. The nursing satisfaction was 92.11% in the study group and 73.68% in the control group; The study group showed higher nursing satisfaction than the control group （P〈0.05）. Conclusion： Featured rehabilitation nursing of traditional Chinese Medicine can improve motor function and daily life ability of patients with acute stroke hemiplegia sig- nificantly, with high nursing satisfaction.