行动研究理论健康教育结合中西医护理策略在脑卒中患者中的应用价值

Application value of health education of action research theory combined with traditional Chinese and western medicine nursing strategy in stroke patients

目的 探讨行动研究理论健康教育结合中西医护理策略在脑卒中患者中的应用价值。方法 选取2020年12月至2022年12月在徐州市中医院老年病科就诊的116例脑卒中患者作为研究对象,选用随机数字表法将患者分为2组(各58例)。对照组采用常规护理,在此基础上,观察组加用行动研究理论健康教育结合中西医护理策略。比较2组患者的血清指标水平、神经功能、肢体功能、生活自理能力及护理满意度。结果 干预1个月和2个月后,观察组的血清脑源性神经营养因子(BDNF)水平均明显较同期对照组更高,其血清皮质醇(COR)水平均明显较同期对照组更低(P均<0.05);观察组的美国国立卫生研究院卒中量表(NIHSS)评分与同期对照组相比均更低,其Fugl-Meyer运动功能量表(FMA)和日常生活自理能力量表(ADL)评分与同期对照组相比均更高(P均<0.05);2组的上述2项指标及3项评分均较同组干预前更优(P均<0.05)。干预2个月后,观察组的护理满意度各项评分及总分相较于对照组均更高(P均<0.05)。结论 行动研究理论健康教育结合中西医护理策略能够明显改善脑卒中患者的神经功能,促进其肢体功能恢复,提升其生活自理能力和护理满意度。

Objective To explore the application value of health education of action research theory combined with traditional Chinese and western medicine nursing strategy in stroke patients.Methods A total of 116 stroke patients who visited the Department of Geriatrics at Xuzhou City Hospital of Traditional Chinese Medicine from December 2020 to December 2022 were selected as the research subjects.The patients were divided into two groups(58 in each group)using a random number table.The control group was given routine nursing,while the observation group was additionally given health education of action research theory combined with traditional Chinese and western medicine nursing strategy.The serum indicator levels,neurological function,limb function,self-care ability,and nursing satisfaction were compared between the two groups.Results After 1 and 2 months of intervention,the serum brain-derived neurotrophic factor(BDNF)level of the observation group was significantly higher than that of the control group,and the serum cortisol(COR)level was significantly lower than that of the control group(all P<0.05).The National Institutes of Health Stroke Scale(NIHSS)score of the observation group was lower than that of the control group,and the Fugl-Meyer Assessment(FMA)and Activity of Daily Living Scale(ADL)scores were higher than those of the control group(all P<0.05).The above two indicators and three scores of the two groups were better than those before intervention(all P<0.05).After 2 months of intervention,the total score and the various item scores of nursing satisfaction in the observation group were higher than those in the control group(all P<0.05).Conclusion Health education of action research theory combined with traditional Chinese and western medicine nursing strategy can significantly improve the neurological function of stroke patients,promote their limb function recovery,and enhance their self-care ability and nursing satisfaction.