细节护理对中风后痉挛性瘫痪患者认知功能的影响

Effects of Detailed Nursing on Cognitive Function of Patients with Spastic Paralysis after Stroke

目的:探究细节护理在黄芪桂枝五物汤治疗中风后痉挛性瘫痪中的应用及对患者认知功能的影响。方法:将中风患者110例随机进行分组,对照组采用常规护理,观察组采用细节护理,以患者认知功能及生活质量等作为指标进行护理效果的评估。结果:干预前,2组偏瘫等级比较,差异无统计学意义(P>0.05)。经不同护理干预后,2组偏瘫等级较前改善,但观察组患者改善效果更为明显,差异有统计学意义(P<0.05)。干预前2组生活能力评分比较,差异无统计学意义(P>0.05);经不同干预后,2组日常生活能力评分均较前改善,观察组平均日常生活能力评分高于对照组,差异有统计学意义(P<0.05)。干预前2组认知功能评分比较,差异无统计学意义(P>0.05);经不同干预后,观察组平均认知功能评分高于对照组,差异有统计学意义(P<0.05)。观察组满意度98.18%,对照组满意度85.45%,差异有统计学意义(P<0.05)。结论:在黄芩桂枝五物汤治疗中风后痉挛性瘫痪过程中,辅助给予适合的护理干预可提升整体治疗及康复效果,有助于凸显护理服务价值,包括改善患者认知功能、日常生活能力。

Objective:To discuss the application of detail nursing in treating patients with spastic paralysis after stroke with Huangqi Guizhi Wuwu tang and its effect on their cognitive function.Methods:A total of 110 patients after stroke were randomly divided into two groups.The control group was treated with routine nursing and the observation group was adopted detailed nursing.The nursing effect was evaluated through the indicators of cognitive function and quality of life.Results:Before intervention,there was no significant difference in the comparison of the grade of hemiplegia between the two groups(P>0.05).After different nursing interventions,the grade of hemiplegia in the two groups was improved when compared with that before intervention respectively,and the improvement in the observation group was more obvious,the difference being significant(P<0.05).There was no significant difference in the comparison of the score of living ability between the two groups before intervention(P>0.05).After different interventions,the scores of the ability of daily living were improved,and the average score in the observation group was higher than that in the control group,the difference being significant(P<0.05).There was no significant difference in the comparison of the score of cognitive function before intervention(P>0.05).After different interventions,the average score of cognitive function in the observation group was higher than that in the control group,the difference being significant(P<0.05).The degree of satisfaction was 98.18% in the observation group and85.45% in the control group,the difference being significant(P<0.05).Conclusion:In the treatment of spastic paralysis after stroke by Huangqi Guizhi Wuwu tang,the additional application of nursing intervention can help improve the overall treatment and rehabilitation effect,and help highlight the value of nursing services,including improving the cognitive function and ability of daily living of patients.