中西医结合康复护理在高血压脑出血患者术后护理中的应用

Application of integrated traditional Chinese and Western medicine rehabilitation nursing in postoperative nursing care of patients with hypertensive cerebral hemorrhage

目的探讨中西医结合康复护理在高血压脑出血患者术后护理中的应用效果。方法选取2018年6月至2019年9月在安康市中医医院住院治疗的高血压脑出血患者72例进行研究。按照随机数表法分为观察组和对照组,每组36例。对照组患者实施常规康复护理干预,观察组患者实施中西医结合康复护理干预。干预1个月后比较两组患者的治疗效果,采用Fugl-Neyer运动量表和生活质量量表(SF-36)评价患者干预前及干预1个月后的运动功能、生活质量,记录两组患者干预1个月后的生活能力分级情况及并发症发生率。结果干预1个月后,观察组患者的治疗总有效率为97.22%,明显高于对照组的77.78%,差异有统计学意义(P<0.05);干预前,两组患者的运动功能及生活质量评分比较差异均无统计学意义(P>0.05);干预1个月后,观察组患者的上肢及下肢运动功能评分分别为(41.35±4.04)分、(21.68±2.92)分,明显高于对照组的(37.29±4.02)分、(17.84±2.93)分,差异均有统计学意义(P<0.05);干预1个月后,观察组患者的心理卫生、躯体功能、健康程度、情绪角色评分分别为(76.25±7.53)分、(73.48±6.23)分、(82.97±5.10)分、(77.31±6.37)分,明显高于对照组的(65.38±7.51)分、(65.79±6.22)分、(75.55±5.09)分、(70.16±6.34)分,差异均有统计学意义(P<0.05);干预1个月后,观察组和对照组患者的生活能力1级(55.56%vs 13.88%),2级(33.33%vs 38.89%),3级(8.33%vs 27.78%),4级(2.78%vs 16.67%)比较,观察组明显优于对照组,差异均有统计学意义(P<0.05);干预1个月后,观察组患者的并发症总发生率2.78%,明显低于对照组的19.44%,差异有统计学意义(P<0.05)。结论中西医结合康复护理应用于高血压脑出血术后患者能明显改善患者的运动功能,提高其生活质量及生活能力,减少并发症的发生,值得临床推广使用。

Objective To explore the application of integrated traditional Chinese and Western medicine rehabilitation nursing in postoperative nursing of patients with hypertensive cerebral hemorrhage.Methods Seventy-two patients with hypertensive intracerebral hemorrhage who were hospitalized in Ankang Hospital of Traditional Chinese Medicine from June 2018 to September 2019 were selected for the study.According to random number table method,the patients were divided into an observation group and a control group,with 36 patients in each group.The patients in the control group received routine rehabilitation nursing,and those in the observation group were treated with integrated traditional Chinese and western medicine rehabilitation nursing.After 1 month of intervention,the treatment effect of the two groups was compared.The Fugl-Neyer Exercise Scale and Quality of Life Scale(SF-36)were used to evaluate the patient’s motor function and quality of life before intervention and one month after intervention.The living ability classification and the incidence of complications of the two groups after 1 month of intervention were recorded.Results After 1 month of intervention,the total effective rate of treatment in the observation group was 97.22%,which was significantly higher than 77.78%in the control group(P<0.05).Before the intervention,there was no statistically significant difference in motor function and quality of life scores between the two groups(P>0.05);after 1 month of intervention,the upper and lower limb motor function scores of the observation group were(41.35±4.04)points and(21.68±2.92)points,which were significantly higher than(37.29±4.02)points and(17.84±2.93)points the control group(P<0.05).After 1 month of intervention,the mental hygiene,physical function,health,and emotional role scores of the observation group were(76.25±7.53)points,(73.48±6.23)points,(82.97±5.10)points,and(77.31±6.37)points,respectively,which were significantly higher than(65.38±7.51)points,(65.79±6.22)points,(75.55±5.09)points,and(70.16±6.34)points of the control group(P<0.05).After 1 month of intervention,the grading of living ability of the observation group was significantly better than that of the control group(P<0.05):Grade 1(55.56%vs 13.88%),Grade 2(33.33%vs 38.89%),Grade 3(8.33%vs 27.78%),and Grade 4(2.78%vs 16.67%).After 1 month of intervention,the incidence of complications in the observation group was 2.78%,which was significantly lower than 19.44%in the control group(P<0.05).Conclusion The application of integrated traditional Chinese and Western medicine rehabilitation nursing in the postoperative patients with hypertensive cerebral hemorrhage can significantly improve the patients'motor function,improve their quality of life and ability to live,reduce the occurrence of complications,which is worthy of clinical promotion.