中医康复护理对脑梗死偏瘫患者肢体功能恢复及生活质量的影响
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R743.3

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Effect of Chinese Medicine Rehabilitation Nursing on the Recovery of Limb Function and Quality of Life in Patients with Hemiplegia due to Cerebral infarction
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    摘要:

    目的:观察中医康复护理对脑梗死偏瘫患者肢体功能恢复及生活质量的影响。方法:将脑梗死偏瘫患者80例采用信封法随机分为2组各40例,对照组给予常规护理;观察组在常规护理的基础上给予中医康复护理,比较2组护理效果及对肢体功能恢复、生活质量的影响。结果:护理后,2组Barthel指数、Fugl-Meyer运动功能(FMA) 评分、社会关系领域评分、生理领域评分、心理领域评分、环境领域评分均升高,SAS评分、SDS评分均降低,且观察组护理后Barthel指数、FMA评分、社会关系领域评分、生理领域评分、心理领域评分、环境领域评分均高于对照组,SAS 评分、SDS 评分低于对照组,差异均有统计学意义(P<0.05);护理后,2 组中医症状积分均降低,且观察组低于对照组,差异均有统计学意义(P<0.05);观察组护理满意度97.5%高于对照组80.0%,差异均有统计学意义(P<0.05)。结论:中医康复护理在脑梗死偏瘫患者中的应用较佳,可显著改善患者负性情绪及临床症状,促进肢体功能恢复,提高生活质量,是一种满意度较高的护理模式。

    Abstract:

    Abstract:Objective:To observe the effect of Chinese medicine rehabilitation nursing on the recovery of limb function and quality of life in patients with hemiplegia due to cerebral infarction. Methods:Divided 80 cases of patients with hemiplegia due to cerebral infarction into two groups according to the envelope method, 40 cases in each group. The control group received routine nursing,while the observation group additionally received Chinese medicine rehabilitation nursing. Compared the nursing effect and its effect on the recovery of limb function and quality of life in the two groups. Results:After nursing, the indexes of Barthel,scores of FMA,scores of social relation domain,physiological domain,psychological domain and environmental domain in both groups were increased,and scores of SAS and SDS were decreased;the indexes of Barthel, scores of FMA,and scores of social relation domain,physiological domain,psychological domain and environmental domain in the observation group were higher than those in the control group,and the scores of SAS and SDS were lower than those in the control group,differences being significant(P<0.05). After nursing,Chinese medicine syndrome scores in both groups were decreased, and Chinese medicine syndrome scores in the observation group were lower than those in the control group, differences being significant(P<0.05). The rate of nursing satisfaction was 97.5% in the observation group, being higher than 80.0% in the control group, difference being significant(P<0.05). Conclusion: The application of Chinese medicine rehabilitation nursing has good effect in treating patients with hemiplegia due to cerebral infarction, which can significantly improve negative emotions and clinical symptoms,promote the recovery of limb function and elevate the quality of life. It is a kind of nursing pattern with high satisfaction.

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徐东霞,徐夏霞,奚琼霄.中医康复护理对脑梗死偏瘫患者肢体功能恢复及生活质量的影响[J].新中医,2020,52(8):179-181

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  • 在线发布日期: 2020-04-25
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