摘要
目的:探讨基于经筋理论的康复治疗与护理对脑梗死恢复期患者的效果。方法:将笔者所在医院神经内科于2018年6月-2019年3月收治的脑梗死恢复期患者94例,采用随机数字表法将其随机分为对照组和观察组,每组47例。对照组给予常规康复护理干预,观察组给予基于经筋理论的康复护理干预。比较两组干预1、2、3个月后的临床效果,FMA、NIHSS、ADL、四肢肌力评分及护理满意度。结果:观察组临床总有效率和护理满意度均高于对照组,差异有统计学意义(P<0.05)。干预前两组FMA、NIHSS、ADL和四肢肌力评分比较差异均无统计学意义(P>0.05);干预1、2、3个月后两组FMA、ADL和四肢肌力评分均高于干预前(P<0.05),且观察组均高于对照组,差异有统计学意义(P<0.05)。干预1、2、3个月后两组NIHSS评分均较干预前降低(P<0.05),且观察组低于对照组,差异有统计学意义(P<0.05)。结论:脑梗死恢复期患者采用基于经筋理论的康复护理干预,不仅可提高护理效果和患者满意度,而且可以加快患者的神经功能、肢体功能和日常生活能力的恢复,值得临床推广。
Objective:To explore the effect of rehabilitation treatment and nursing based on the theory of meridians on patients with cerebral infarction in the recovery period.Method:A total of 94 patients with cerebral infarction in the recovery period treated in neurology department of our hospital from June 2018 to March 2019 were randomly divided into the control group and the observation group by random number table method,with 47 cases in each group.The control group was given routine rehabilitation nursing intervention,the observation group was given rehabilitation nursing intervention based on the theory of meridians.The clinical effects,FMA,NIHSS,ADL,limb strength score and nursing satisfaction after 1,2 and 3 months intervention were compared between the two groups.Result:The total clinical effective rate and nursing satisfaction in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There were no significant differences in the scores of FMA,NIHSS,ADL and limb strength between the two groups before intervention(P>0.05).After 1,2 and 3 months intervention,the scores of FMA,ADL and limb strength of the two groups were higher than those before intervention(P<0.05),and the scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After 1,2 and 3 months intervention,the NIHSS scores of the two groups were lower than those before intervention(P<0.05),and the scores of the observation group was lower than that of the control group,the difference were statistically significant(P<0.05).Conclusion:The rehabilitation nursing intervention based on the theory of meridians in the recovery period of cerebral infarction can not only improve the nursing effect and patients’satisfaction,but also accelerate the recovery of patients’nerve function,limb function and daily life ability,which is worthy of clinical promotion.
作者
赵一军
李松
陈婵华
ZHAO Yijun;LI Song;CHEN Chanhua(The Traditional Chinese Medicine Hospital of Luoding,Luoding 527200,China;不详)
出处
《中外医学研究》
2020年第6期159-162,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
经筋理论
康复护理
脑梗死恢复期
四肢肌力
Meridians theory
Rehabilitation nursing
Cerebral infarction recovery period
Limb strength
