摘要
目的探讨脑梗死患者采用中医护理干预对其运动功能以及生活质量的改善作用.方法选择该院2020年1月—2021年3月收治的脑梗死患者80例,以随机数表法分为两组.对照组(n=40)采用常规康复护理方案,观察组(n=40)则在对照组基础上采用中医护理干预.比较两组护理效果及并发症发生率,分别于干预前后采用Fugl-Meyer肢体运动功能评定量表(FMA)评估患者的运动功能,并使用生活质量综合评定问卷评估患者的生活质量.结果观察组护理总有效率为90.00%,高于对照组的70.00%,组间差异有统计学意义(P<0.05).干预后,观察组FAM上肢、下肢评分分别为(37.84±6.13)分、(26.35±4.35)分,均高于对照组,组间差异有统计学意义(P<0.05).干预后,观察组躯体功能、心理功能、社会功能、物质生活4个维度的评分分别为(72.64±4.51)分、(77.26±4.83)分、(75.81±5.06)分、(78.26±5.43)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组并发症发生率为12.50%,低于对照组的40.00%,组间差异有统计学意义(P<0.05).结论脑梗死患者采用中医护理干预的临床效果理想,能提高患者的运动功能以及生活质量,并可降低并发症发生风险.
Objective To explore the effect of traditional Chinese medicine nursing intervention on the improvement of motor function and quality of life in patients with cerebral infarction.Methods A total of 80 patients with cerebral infarction admitted to this hospital from January 2020 to March 2021 were selected and divided into two groups by random number table method.The control group(n=40)received conventional rehabilitation nursing program,while the observation group(n=40)received traditional Chinese medicine nursing intervention on the basis of the control group.The nursing effects and the incidence of complications of the two groups were compared,Fugl-Meyer assessment(FMA)was used to evaluate the motor function of the patients before and after the intervention,and the quality of life of the patients was evaluated using the generic quality of life inventory-74.Results The total effective rate of nursing in the observation group was 90.00%,which was higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).After the intervention,the FAM upper and lower extremity scores of the observation group were(37.84±6.13)points and(26.35±4.35)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After the intervention,the scores of the four dimensions of somatic functioning,psychological functioning,social functioning and material life in the observation group were(72.64±4.51)points,(77.26±4.83)points,(75.81±5.06)points and(78.26±5.43)points,respectively,which were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of complications in the observation group was 12.50%,which was lower than 40.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of traditional Chinese medicine nursing intervention in patients with cerebral infarction is ideal,which can improv
作者
张菊莲
ZHANG Julian(Department of Neurology,Rugao Hospital of Traditional Chinese Medicine,Rugao Jiangsu,226500,China)
出处
《反射疗法与康复医学》
2021年第23期31-34,38,共5页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
中医护理干预
运动功能
生活质量
并发症
神经功能
Cerebral infarction
Traditional Chinese medicine nursing intervention
Motor function
Quality of life
Complications
Neurological function
