摘要
目的:探究子午流注穴位按摩联合激励式心理护理对脑梗死恢复期偏瘫患者生活质量的影响。方法:将100例患者随机分为对照组和观察组,每组50例。对照组采用子午流注穴位按摩,观察组采用子午流注穴位按摩联合激励式心理护理。比较两组患者干预前后肌力、Barthel指数、美国国立卫生研究院卒中量表(national institute of health stroke scale,NIHSS)评分,焦虑、抑郁评分的变化情况,比较干预后两组患者生活质量。结果:干预后,两组患者肌力、Barthel指数均较干预前上升,差异有统计学意义(P<0.05);且观察组高于对照组,差异有统计学意义(P<0.05);两组NIHSS评分均较干预前下降,差异有统计学意义(P<0.05);且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,观察组生活质量各项指标分数均高于对照组,差异有统计学意义(P<0.05)。干预后,两组焦虑自评量表(self rating anxiety scale,SAS)、抑郁自评量表(self rating depression scale,SDS)评分均较干预前降低,差异有统计学意义(P<0.05);且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,观察组的护理满意度各项评分均高于对照组,差异有统计学意义(P<0.05)。结论:子午流注穴位按摩联合激励式心理护理较单一子午流注穴位按摩更能提高患者肢体肌力,恢复肢体运动功能及日常生活能力,改善患者抑郁焦虑情绪,提高其生活质量和护理满意度。
Objective:To discuss the effects of midnight-noon ebb-flow acupoint massage and inspired psychological nursing on quality of life of hemiplegia patients with cerebral infarction at convalenscent stage.Methods:All 100 patients were randomized into the control group and the observation group,50 cases each group.The control group used midnight-noon ebb-flow acupoint massage,and the observation group midnight-noon ebb-flow acupoint massage and inspired psychological nursing.To compare muscle strength,Barthel index,NIHSS scores,SAS and SDS between both groups before and after the intervention,to compare quality of life between both groups after the intervention.Results:After the intervention,muscle strength and Barthel index of both groups rose compared with before intervention,and the difference showed statistical meaning(P<0.05);and the observation group was higher than the control group,and the difference had statistical meaning(P<0.05);NIHSS scores of both groups reduced than before the intervention,and the difference was statistically significant(P<0.05);and the observation group was lower than the control group,and the difference had statistical meaning(P<0.05).After the intervention,different indexes scores of quality of life of the observation group were higher than these of the control group,and there were the significant differences(P<0.05).After the intervention,SAS and SDS in both groups lowered than before the intervention,and the difference had statistical meaning(P<0.05);the observation group was lower than the control group,and the difference had statistical meaning(P<0.05).After the intervention,the scores of nursing satisfactory indexes of the observation group were higher than these of the control group,and the difference showed statistical meaning(P<0.05).Conclusion:Compared with only midnight-noon ebb-flow acupoint massage,its combination with inspired psychological nursing could enhance limb muscle strength of the patients,restore limb motor function and ability of daily living,effectively improve depression and anxiety,raise quality of life,simultaneously,it possesses higher nursing satisfactory degree.
作者
胡美婷
孙培养
王涛
余爽
刘琨
许玉军
HU Meiting;SUN Peiyang;WANG Tao;YU Shuang;LIU Kun;XU Yujun(Lujiang County TCM Hospital,Hefei 231500,China;The Second Affiliated Hospital of Anhui University of Chinese Medicine;College of Nursing,Anhui University of Chinese Medicine;The Second Clinical Medical College,Anhui University of Chinese Medicine)
出处
《西部中医药》
2020年第4期130-133,共4页
Western Journal of Traditional Chinese Medicine
基金
安徽省自然科学基金项目(1708085QH191)。
关键词
脑梗死
子午流注穴位按摩
激励式心理护理
偏瘫
cerebral infarction
midnight-noon ebb-flow acupoint massage
inspired psychological nursing
hemiplegia
