中医特色延伸护理对脑卒中患者日常活动水平及躯体功能的影响

Influence of traditional Chinese medicine characteristic extended nursing on daily activity level and physical function of stroke patients

目的探讨中医特色延伸护理对脑卒中患者日常活动水平及躯体功能的影响。方法选择2018年8月—2019年10月辽宁中医药大学附属医院收治的脑卒中患者82例为研究对象,按照随机数字表法分为对照组和干预组,每组41例,对照组给予常规护理,干预组给予中医特色延伸护理,包括辨证施护、健康宣教、康复训练、穴位按摩、出院后随访等,两组疗程均为3个月。比较两组患者治疗前后中医症状积分、日常生活活动能力(Barthel)指数评分和脑卒中病损评估法(SIAS)评分;治疗结束后比较两组临床总有效率。结果治疗后两组中医症状积分低于治疗前(P<0.05),且干预组中医症状积分低于对照组(P<0.05);治疗后两组Barthel评分和SIAS评分较治疗前升高(P<0.05),且干预组Barthel评分和SIAS评分高于对照组(P<0.05);干预组临床总有效率高于对照组(P<0.05)。结论中医特色延伸护理可显著提高患者日常活动水平,恢复躯体功能,改善临床症状,临床上治疗脑卒中效果令人满意,值得推广。

Objective To investigate the influence of traditional Chinese medicine characteristic extended nursing on daily activity level and physical function of stroke patients.Methods A total of 82 stroke patients admitted to the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from August 2018 to October 2019 were selected as the study subjects,they were divided into control group and intervention group according to random number table method,with 41 cases in each group.The control group was given routine nursing,while the intervention group was given characteristic extended nursing of traditional Chinese medicine,including dialectical nursing,health education,rehabilitation training,acupoint massage,follow-up after discharge,etc.,and the course of treatment in both groups was three months.The scores of traditional Chinese medicine symptoms,daily life activity(Barthel)and stroke lesion assessment(SIAS)were compared between the two groups before and after treatment,the total clinical response rate was calculated after treatment.Results After treatment the scores of traditional Chinese medicine symptoms in the two groups were lower than before treatment(P<0.05),and the score of traditional Chinese medicine symptoms in the intervention group was lower than that in the control group(P<0.05).After treatment,Barthel score and SIAS score in the two groups were higher than those before treatment(P<0.05),and Barthel score and SIAS score in the intervention group were higher than those in the control group(P<0.05),the total clinical effective rate of the intervention group was higher than that of the control group(P<0.05).Conclusion Traditional Chinese medicine characteristic extension nursing can significantly improve the level of daily activities of patients,restore physical function,improve clinical symptoms,clinical treatment of stroke effect is satisfactory,worthy of promotion.