摘要
目的评价足底反射区及穴位按摩联合音乐疗法对脑创伤伴昏迷患者的促醒作用。方法于2022年3月-2023年3月选择在河北省唐山市工人医院神经外科重症监护室治疗的90例脑创伤伴昏迷患者作为研究对象,按随机数字表法分为对照组、试验1组、试验2组,每组各30例。对照组给予脑创伤常规护理,试验1组在对照组的基础上给予自然之声的音乐疗法,试验2组在试验1组的基础上给予足底反射区及穴位按摩治疗,比较三组患者干预前后的格拉斯哥昏迷量表评分、昏迷恢复量表评分。结果干预后2、4、6周,试验2组患者的格拉斯哥昏迷量表评分、昏迷恢复量表评分均高于对照组及试验1组,差异有统计学意义(P<0.05)。结论足底反射区及穴位按摩联合音乐疗法对脑创伤昏迷患者有一定促醒作用,可在临床推广应用。
Objective To evaluate the arousal effect of plantar reflex area and acupoint massage combined with music therapy in patients with brain trauma and coma.Methods From March 2022 to March 2023,90 patients with brain trauma and coma who were treated in the Neurosurgery Intensive Care Unit of Tangshan Gongren Hospital in Hebei Province were selected as the research subject.According to the random number table method,patients were divided into a control group,experimental group 1,and experimental group 2,with 30 cases in each group.The control group received routine nursing for brain trauma,while the experimental group 1 received music therapy with the natural voice on the basis of the control group.The experimental group 2 was treated with plantar reflex area and acupoint massage treatment on the basis of the experimental group 1.This study compared the Glasgow Coma Scale(GCS)scores and Coma Recovery Scale-Revised(CRS-R)scores of three groups of patients before and after intervention.Results After 2,4,and 6 weeks of intervention,the GCS scores and CRS-R scores of patients in experimental group 2 were higher than those in the control group and experimental group 1,with statistically significant differences(P<0.05).Conclusions The combination of plantar reflex area and acupoint massage with music therapy has a certain arousal effect on patients with brain trauma and coma,and can be promoted and applied in clinical practice.
作者
杨美琪
郝习君
郭全荣
田晓华
陈长香
Yang Meiqi;Hao Xijun;Guo Quanrong;Tian Xiaohua;Chen Changxiang(Nursing Faculty,School of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan 063210,China;Intensive Care Unit,Tangshan Gongren Hospital,Tangshan 063000,China)
出处
《中华现代护理杂志》
2024年第10期1368-1372,共5页
Chinese Journal of Modern Nursing
基金
河北省重点研发计划项目(21377748D)。
关键词
干预研究
脑创伤
昏迷
促醒
按摩
音乐疗法
Intervention study
Brain injuries,traumatic
Coma
Arousal
Massage
Music therapy
