早期护理干预联合中医护理技术在中风后偏瘫患者护理中的效果观察

Observation on the effect of early nursing intervention plus TCM nursing technology in patients with hemiplegia after stroke

目的:探讨早期护理干预联合中医护理技术在中风后偏瘫患者护理中的临床效果。方法:选取2021年1月-2021年12月时间段内邳州市中医院脑病2科收治的78例中风后偏瘫患者为研究观察对象,按照护理方案的差异分成对照组和观察组,每组39例。对照组患者开展早期护理干预,观察组患者在对照组早期护理干预的基础上实施中医护理技术干预,比较两组的护理效果,评价指标包括Fugl-Meyer量表评分、Barthel指数等。结果:观察组患者在出院时的Fugl-Meyer量表评分为(56.79±3.16)分,对照组患者在出院时的Fugl-Meyer量表评分为(43.02±2.78)分,两组均较入院时得到显著升高(P<0.05);出院时观察组Fugl-Meyer量表评分明显高于对照组(P<0.05),差异有统计学意义。观察组患者在出院时的Barthel指数量表评分为(75.18±3.84)分,对照组患者在出院时的Barthel指数量表评分为(55.69±3.25)分,两组均较入院时得到显著升高(P<0.05);出院时观察组Barthel指数量表评分明显高于对照组(P<0.05),差异显著有统计学意义。结论:对中风后偏瘫患者开展早期护理干预与中医护理技术干预的临床效果显著,具有重要价值,值得临床推广应用。

Objective: To explore the clinical effect of early nursing intervention plus TCM nursing technology in the nursing of patients with hemiplegia after stroke. Methods: A total of 78 patients with post-stroke hemiplegia treated in the Second Department of Encephalopathy of Pizhou Hospital of Traditional Chinese Medicine from January 2021 to December 2021 were selected as the research and observation subjects. According to the difference of nursing plan, they were divided into the control group and the observation group, with 39 cases in each group. The patients in the control group received early nursing intervention, and the patients in the observation group took TCM nursing technology intervention on the basis of early nursing intervention in the control group. The nursing effects in the two groups were compared, and the evaluation indexes included Fugl-Meyer scale score, Barthel index, etc. Results: The Fugl-Meyer scale score in the observation group at discharge was(56.79±3.16) and that in the control group was(43.02±2.78). The score in both groups was significantly higher than that at admission(P<0.05). At discharge, the Fugl-Meyer scale score in the observation group was significantly higher than the control group(P<0.05). The score of Barthel index scale at discharge in the observation group was(75.18±3.84) and that in the control group was(55.69±3.25). The score in both groups was significantly higher than that at admission(P<0.05). At discharge, the Barthel index scale score in the observation group was significantly higher than the control group(P<0.05). Conclusion: The clinical effect of early nursing intervention plus TCM nursing technology intervention is remarkable for patients with poststroke hemiplegia, which is of great value and worthy of clinical application.