中西医结合康复护理在脑卒中患者恢复期的干预效果研究

目的 探究在脑卒中患者恢复期间实行中西医结合康复护理的干预效果。 方法 选取2016年3月-2018年3月收治在舟山市中医院的脑卒中患者80例,采用数字随机法分为常规护理组和结合护理组,每组40例。常规护理组患者采用常规康复护理,结合护理组患者采用中西医结合康复护理进行干预。比较2组患者护理干预后的总有效率,统计患者的临床指标、神经功能缺损程度、日常运动功能和生活能力、干预后的生活质量以及复发率和护理满意度。 结果 结合护理组患者护理干预后的总有效率高于常规护理组(P<0.05);结合护理组患者床上开始活动时间、下床活动时间和住院时间均短于常规护理组患者(均P<0.05);结合护理组患者干预后的CSS评分、Barthel指数和MAS评分均优于常规护理组患者护理后(均P<0.05);结合护理组患者护理干预后的生活质量各项目评分均高于常规护理组(均P<0.05);结合护理组患者护理干预后的复发率低于常规护理组,护理满意度高于常规护理组(均P<0.05)。 结论 中西医结合康复护理能够缩短脑卒中患者的恢复时间,改善患者的运动功能和日常生活能力,提高其生活质量,且复发率低,安全性高。 

Intervention effect of integrated traditional Chinese and western medicine rehabilitation nursing on the recovery of stroke patients

Objective To explore the intervention effect of integrated traditional Chinese and western medicine rehabilitation nursing during the recovery of stroke patients. Methods Eighty stroke patients treated in our hospital from March 2016 to March 2018 were divided into routine nursing group and combined nursing group with 40 cases in each group by digital random method. The routine nursing group was intervened by routine rehabilitation nursing, and the nursing group was intervened by integrated traditional Chinese and Western medicine rehabilitation nursing. The total effective rate of the two groups after nursing intervention was compared. The clinical indicators, degree of neurological impairment, daily motor function and living ability, quality of life after intervention, recurrence rate and nursing satisfaction were counted. Results The total effective rate of combined nursing group after nursing intervention was higher than that of conventional nursing group (P<0.05); the starting time, getting out of bed time and hospitalization time of combined nursing group were shorter than those of conventional nursing group (P<0.05); the CSS score, Barthel index and MAS score of combined nursing group after intervention were better than those of normal nursing group (P<0.05). The scores of quality of life items in the combined nursing group after intervention were higher than those in the conventional nursing group (P<0.05); the recurrence rate after nursing intervention in the combined nursing group was lower than that in the conventional nursing group, and the nursing satisfaction was higher than that in the conventional nursing group (P<0.05). Conclusion Rehabilitation nursing with integrated traditional Chinese and Western medicine can accelerate the recovery time of stroke patients, improve their motor function and daily living ability, and improve their quality of life, with low recurrence rate and high safety.