择时穴位按摩联合情志干预在急性脑梗死后康复期患者中的应用效果

Application Effects of Time-selected Acupoint Massage Combined with Emotional Intervention in Patients in Recovery from Acute Cerebral Infarction

目的:观察择时穴位按摩联合情志干预在急性脑梗死后康复期患者中的应用效果。方法:选择急性脑梗死康复期患者120例,按照随机数字表法将其分为对照1组、对照2组及观察组,每组40例。对照1组给予常规护理,对照2组在此基础上加用情志干预,观察组在对照2组基础上给予择时穴位按摩,各组均持续干预3周。比较各组干预前后焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(selfrating depression scale,SDS)、肌力水平、生活质量评分,美国国立卫生院神经功能缺损(national institutes of health stroke scale,NIHSS)评分及护理满意度。结果:与干预前比较,干预3周后对照1组、对照2组、观察组的SAS、SDS评分及NIHSS评分均降低(P<0.05);胫前肌、腓肠肌表面肌电信号均方根值、肌力评分、生活质量各项评分及满意度各项评分均升高(P<0.05),且任意两组间比较,差异均有统计学意义(P<0.05)。结论:以择时穴位按摩联合情志干预能有效改善急性脑梗死后康复期患者负面情绪,促进神经功能康复,并可提高肌力,改善生活质量,护理满意度更佳。

Objective:To observe the application effects of time-selected acupoint massage joined with emotional intervention in patients recovering from acute cerebral infarction.Methods:All 120 patients were allocated to the control group no 1,the control group no 2 and the observation group according to random number table method with 40 cases in each group.Conventional nursing was administered to the control group no 1,emotional intervention was given to the control group no 2,and time-selected acupoint massage to the observation group on the foundation of the control group no 2,the three groups accepted three weeks of intervention continuously.To compare the scores of SAS,SDS,muscle force,quality of life,NIHSS,and nursing satisfaction before and after the intervention in different groups.Results:Compared with before the intervention,SAS,SDS and NIHSS scores of the control group no 1,the control group no 2 and the observation group were obviously lowered after three weeks of intervention(P<0.05);root mean square values of sEMG signals of tbialis anterior and gastrocnemius muscles,the scales of muscle force,the scores of the items of quality of life,the scores of satisfaction were increased remarkably(P<0.05),the differences had statistical meaning between any two groups(P<0.05).Conclusion:Time-selected acupoint massage joined with emotional intervention could effectively relieve the patients'negative emotion,promote the recovery of neurological function,raise muscle force and improve quality of life with better nursing satisfaction.