中医特色延伸护理联合情志护理对脑卒中患者躯体功能康复的影响

Effect of traditional Chinese medicine characteristic extended nursing combined with emotional nursing on physical function rehabilitation of stroke patients

目的 探究脑卒中患者接受中医特色延伸护理联合情志护理对其躯体功能康复效果的影响。方法 回顾性分析2020年7月至2021年7月镇江市中西结合医院收治的120例脑卒中患者的临床资料,按照护理措施的不同将其分为对照组(64例)和观察组(56例)。对照组患者采用中医特色延伸护理,观察组患者采用中医特色延伸护理联合情志护理。比较2组患者的负性情绪、中医症状积分及脑卒中病损程度。结果 与干预前相比,2组在干预1个月、3个月后的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低(P均<0.05);2组在干预3个月后的SAS、SDS评分均较干预1个月时降低(P均<0.05);观察组的上述评分均较同期对照组更低(P均<0.05)。干预3个月后,2组的各中医症状积分均低于干预前(P均<0.05),且观察组的言语不畅、偏身麻木及活动不利积分均低于对照组(P均<0.05)。干预1个月、2个月及3个月后,2组的脑卒中病损评估量表(SIAS)评分均较干预前升高(P均<0.05),且观察组均较同期对照组更高(P均<0.05);2组在干预后各个时间点两两比较均有统计学差异(P均<0.05)。结论 采用中医特色延伸护理联合情志护理对于促进脑卒中患者的康复具有积极意义,可改善临床症状,缓解负性情绪,促进躯体功能恢复。

Objective To explore the effect of traditional Chinese medicine characteristic extended nursing combined with emotional nursing on the physical function rehabilitation of stroke patients.Methods The clinical data of 120 stroke patients admitted to Zhenjiang Hospital of Traditional Chinese and Western Medicine from July 2020 to July 2021 were retrospectively analyzed.They were divided into a control group(64 cases)and an observation group(56 cases)according to different nursing measures.The patients in the control group received traditional Chinese medicine characteristic extended nursing,and the patients in the observation group received traditional Chinese medicine characteristic extended nursing combined with emotional nursing.The negative emotions,traditional Chinese medicine symptom scores,and severity of stroke were compared between the two groups.Results Compared with before intervention,the scores of self-rating anxiety scale(SAS)and selfrating depression scale(SDS)in the two groups were decreased after 1 and 3 months of intervention(all P<0.05).The SAS and SDS scores of the two groups after 3 months of intervention were lower than those after 1 month of intervention(all P<0.05).The above scores of the observation group were lower than those of the control group(all P<0.05).After 3 months of intervention,the traditional Chinese medicine symptom scores of the two groups were lower than those before intervention(all P<0.05),and the scores of slurred speech,partial numbness,and activity limitation in the observation group were lower than those in the control group(all P<0.05).After 1,2,and 3 months of intervention,the stroke impairment assessment set(SIAS)scores in the two groups were higher than those before intervention(all P<0.05),and the scores of the observation group were higher than those of the control group(all P<0.05).There were significant differences in SI AS scores of the two groups between each time point after intervention(all P<0.05).Conclusion The application of traditional Chinese medicine characteristic extended nursing combined with emotional nursing is of positive significance for promoting the rehabilitation of stroke patients,which can improve their clinical symptoms,relieve their negative emotions,and promote their recovery of physical function.