摘要
目的:观察中西医联合护理干预对脑出血术后患者康复效果的影响。方法:将脑出血术后患者67例随机分为对照组33例与治疗组34例。对照组在常规治疗的基础上给予西医护理,治疗组在对照组的基础上给予中医综合护理,包括情志护理、针刺、穴位按摩、饮食护理。比较2组治疗前后神经功能缺损程度评分量表(NFDS)、日常生活能力量表(ADL)的Barthel指数、功能独立性评价量表(FIM)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分。结果:治疗前,2组NFDS、Barthel指数、FIM、HAMA及HAMD评分比较,差异无统计学意义(P>0.05);治疗后,2组NFDS、HAMA及HAMD评分均较治疗前降低(P<0.05),且治疗组各项评分低于对照组(P<0.05);2组Barthel指数、FIM评分均较治疗前升高(P<0.05),且治疗组2项评分高于对照组(P<0.05)。治疗前,2组WHOQOL-BREF生理、社会、心理及环境领域维度评分比较,差异无统计学意义(P>0.05);治疗后,2组WHOQOL-BREF各维度评分均较治疗前升高(P<0.05),且治疗组评分高于对照组(P<0.05)。结论:中西医联合护理能有效改善脑出血术后患者肢体功能、提高患者日常生活能力,改善生活质量及术后焦虑抑郁状态。
Objective:To observe the effect of intervention with nursing of integrated Chinese and western medicine on rehabilitation of patients after surgery of cerebral hemorrhage.Methods:A total of 67 cases of patients who had undergone surgery of cerebral hemorrhage were randomly divided into the control group and the treatment group,33 and 34 cases in each group respectively.The control group was given western medicine nursing on the basis of conventional treatment;based on the nursing of the control group,the treatment group was additionally given comprehensive nursing of Chinese medicine,namely emotional nursing,acupuncture,point massage,dietary nursing.Scores of Neurological Functional Deficit Scale(NFDS),Barthel index of Activity of Daily Living Scale(ADL),Functional Independence Measure Scale(FIM),Hamilton Depression Scale(HAMD),Hamilton Anxiety Scale(HAMA),and World Health Organization Quality of Life-brief version(WHOQOL-BREF)before and after treatment were compared in the two groups.Results:Before treatment,when compared scores of NFDS,Barthel index,FIM,HAMA,and HAMD between the two groups,there was no significance being found in the difference(P>0.05).After treatment,scores of NFDS,HAMA,and HAMD in the two groups were decreased when compared with those before treatment(P<0.05),and the scores above in the treatment group were lower than those in the control group(P<0.05).After treatment,scores of Barthel index and FIM in the two groups were increased when compared with those before treatment(P<0.05),and the scores above in the treatment group were higher than those in the control group(P<0.05).Before treatment,when compared scores of physical health,social relationships,psychological health,and environment in WHOQOL-BREF between the two groups,there was no significance being found in the difference(P>0.05).After treatment,scores of all domains of WHOQOL-BREF in the two groups were increased when compared with those before treatment(P<0.05),and the scores above in the treatment group were higher than those in th
作者
王慧梅
陈君霞
陈琴芬
蓝晶晶
WANG Huimei;CHEN Junxia;CHEN Qinfen;LAN Jingjing
出处
《新中医》
CAS
2021年第9期182-186,共5页
New Chinese Medicine
关键词
脑出血术后
中西医联合护理
情志护理
针刺
穴位按摩
饮食护理
肢体功能
After surgery of cerebral
Nursing of integrated Chinese and western medicine
Emotional nursing
Acupuncture
Point massage
Dietary nursing
Limb function
