中医卒中护理方案综合防治老年脑梗死急性期及其对护理满意度的影响

TCM Stroke Care on Comprehensive Prevention and Treatment of the Acute Phase of Aged Cerebral Infarction and Its Effect on Nursing Satisfaction

目的观礼中医卒中护理方案综合防治老年脑梗死急性期及其对护理满意度的影响。方法将72例患者按随机数字表法分为两组,对照组应用常规西医治疗及护理,实验组则在此基础上应用中医护理方案,两组均治疗护理4周。护理结束后,比较两组患者临床疗效及症状积分变化情况,并利用调查问卷的形式,统计对比患者对护理工作的满意程度。结果实验组临床总有效率为91.67%,明显高于对照组的80.56%(P<0.05);护理结束后,患者半身不遂、口眼歪斜、头痛眩晕的临床症状积分指标均有下降(P<0.05),表明实验组治疗效果明显;实验组对护理工作的满意率为97.22%,高于对照组的83.33%。结论中医护理方案内容丰富,利用中医辨证论治思想为患者提供有效的护理方式,改善老年脑梗死患者体质,缓解急性病情,从多个角度纠正脑梗死的发病机制,对脑梗死患者有较好的防治效果。

Objective： To explore TCM stroke care on the comprehensive prevention and treatment of the acute phase of aged cerebral infarction and its effect on nursing satisfaction： Methods： 72 patients with the acute phase of aged cerebral infarction were selected and randomly divided into the control group and the experimental group. The control group took conventional western medicine therapy and nursing ,while the experimental group received extra traditional Chinese medicine nursing. The treatment course lasted for 4 weeks. After care, clinical curative effect and the change of the patient＇s symptom integral were compared,and the satisfaction degree of patients to nursing work was statistically analyzed in the form of questionnaire. Results： The total clinical effective rate was 91.67% in the experimental group,significantly higher than 80.56% in the control group （P 〈 0.05）. After the nursing,patients with,there is a decrease in clinical symptom scores,such as hemiplegia,mouth eye askew and headache dizziness ,and the experimental group decreased more significantly than the control group（P〈 0.05 ）,indicating that there was a more obvious effect in the experimental treatment. The satisfaction rate of the experimental group to the nursing was 97.22% ,higher than that of the control group 83.33% ,and the patients were more satisfied with TCM stroke care scheme. Conclusion： Chinese medicine nursing solution is rich in content,using the thought of treatment based on syndrome differentiation of traditional Chinese medicine to provide patients with effective nursing ways, improve the old patients with cerebral infarction physique, and alleviate the acute illness from various angles to correct in the pathogenesis of cerebral infarction in patients with cerebral infarction ,with a good control effect, worthy of clinical application.