中医体质辨证护理在脑卒中患者康复护理中的应用

Application of Traditional Chinese Medicine Constitution Syndrome Differentiation Nursing in Rehabilitation Nursing of Patients with Cerebral Stroke

目的:研究中医体质辨证护理在脑卒中(CS)患者康复护理中的应用。方法:选择医院2016年3月到2017年9月CS患者60例,按随机数表法分为两组。对照组进行常规护理,观察组在对照组基础上采用中医体质辨证护理,两组均护理3周。采用简化Fugl-Meyer运动功能评分表(FMA)评估患者运动功能情况,采用Barthel指数(BI)评估患者日常生活能力;采用卒中量表(NIHSS)评估患者神经功能损伤情况,采用改良Rankin(MRS)评估患者神经功能恢复情况;采用健康调查简表(SF-36)评估患者健康状况;采用汉密尔顿抑郁量表(HAMD)与汉密尔顿焦虑量表(HAMA)评估患者心理状态;统计两组患者对护理满意程度。结果:护理后,观察组FMA、BI水平均高于对照组,差异有统计学意义(P<0.05);护理后,观察组NIHSS、MRS水平均低于对照组,差异有统计学意义(P<0.05);护理后,观察组SF各项评分均高于对照组,差异有统计学意义(P<0.05);护理后,观察组HAMD、HAMA分数均低于对照组,差异有统计学意义(P<0.05);与对照组比较,观察组对护理满意度更高,差异有统计学意义(P<0.05)。结论:中医体质辨证护理在CS患者康复护理中有利于患者运动功能、神经功能恢复。

Objective:To study the application of TCM constitution syndrome differentiation nursing in rehabilitation nursing of patients with cerebral stroke(CS).Methods:60 cases of CS patients from March 2016 to September 2017 in our hospital were selected and divided into two groups according to the random number table method.The controlled group was given routine nursing,and the observation group was treated with TCM constitution syndrome differentiation nursing based on the controlled group,and the two groups were given nursing for 3 weeks.Simplified Fugl-Meyer Motor Function Assessment(FMA)was used to assess motor function,and Barthel index(BI)was used to assess the patients’daily life ability,and National Institute of Health Stroke Scale(NIHSS)was used to evaluate neurological impairment,and the modified Rankin scale(MRS)was used to assess the neurological function recovery,and the short-form health survey summary(SF-36)was used to assessed the health status of patients,and the Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)were used to assess the psychological status of patients,and the nursing satisfaction of patients was counted in the two groups.Results:After nursing,the scores of FMA and BI in the observation group were higher than those in the controlled group(P<0.05).After nursing,the scores of NIHSS and MRS in the observation group were lower than those in the controlled group(P<0.05).After nursing,every items scores of SF scale in the observation group were higher than those in the controlled group(P<0.05).After nursing,the scores of HAMD and HAMA in the observation group were lower than those in the controlled group(P<0.05).Compared with the controlled group,the nursing satisfaction was higher in the observation group(P<0.05).Conclusions:TCM constitution syndrome differentiation nursing is beneficial to the recovery of motor function and neurological function in rehabilitation nursing of CS patients.