中医情志护理配合穴位贴敷对脑外伤术后患者情感、生活质量影响的研究

目的:观察中医情志护理配合穴位贴敷对脑外伤术后患者情感、生活质量的影响效果。方法:将108例患者随机分为对照组52例,观察组56例;对照组采用心理护理、并发症预防、营养支持和康复护理指导等综合西医护理措施;观察组在对照组的基础上给予中医情志护理配合穴位贴敷进行干预,2组疗程均为4周;观察比较2组患者治疗前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分,自尊量表(SES)、日常生活能力(ADL)和健康SF-36量表[包括健康状况(GH)、精力(VT)、社会功能(SF)、情感职能(RE)、心理健康(MH)、生理机能(PF)、生理职能(RP)、躯体疼痛(BP)]评分;并评价患者护理满意度。结果:治治疗后,2组患者SAS、SDS评分均较治疗前明显下降(P<0.05);且观察组SAS、SDS评分均低于对照组(P<0.05)。治疗后,2组SES评分较治疗前明显升高(P<0.05),ADL评分明显下降(P<0.05);且观察组SES、ADL评分改善较对照组更显著(P<0.05)。治疗后,2组患者GH、VT、SF、RE、MH、PF、RP和BP评分均较治疗前明显升高(P<0.05);且观察组上述各项评分均高于对照组(P<0.05)。经秩和检验,观察组患者护理满意度优于对照组,差异有统计学意义(P<0.05)。结论:中医情志护理联合穴位贴敷干预脑外伤术后患者疗效显著,可减轻患者焦虑、抑郁状态,提高了患者的自尊度和生活活动能力,明显改善了患者的生活质量,值得临床推广应用。

Study on the Effect of Chinese Medicine Emotional Nursing Combined with Pointapplication on the Emotion and Quality of Life in Postoperative Patients with Operation for Brain Injury

Objective:To observe the effect of Chinese medicine emotional nursing combined with point-application on the emotion and quality of life in postoperative patients with operation for brain injury.Methods:Divided 108 cases of patients into the control group with 52 cases and the observation group with 56 cases randomly;both groups adopted the comprehensive western medicine nursing measures instructed by psychological nursing,complication prevention,nutritional support and rehabilitation nursing;the observation group was additionally given the intervention of Chinese medicine emotional nursing combined with point-application and the course of treatment in both groups was 4 weeks;observed and compared the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-esteem scale(SES),ability of daily life(ADL)and health SF-36 scale[including the general health(GH),vitality(VT),social function(SF),emotional role(RE),mental health(MH),physiological function(PF),physiological role(RP),body pain(BP)]in the two groups before and after treatment;and evaluated the nursing satisfaction of patients.Results:After treatment,the scores of SAS and SDS in the two groups were obviously decreased when compared with those before treatment(P<0.05);and the scores of SAS and SDS in the observation group were lower than those in the control group(P<0.05).After treatment,the SES scores in the two groups were obviously increased when compared with those before treatment(P<0.05),while the ADL scores were obviously decreased(P<0.05);and the improvement of the scores of SES and ADL in the observation group was more evident than that in the control group(P<0.05).After treatment,the scores of GH,VT,SF,RE,MH,PF,RP and BP in the two groups were obviously increased when compared with those before treatment(P<0.05);and all the scores mentioned above in the observation group were higher than those in the control group(P<0.05).Rank sum test showed that the nursing satisfaction of patients in the observation group was better than that in the control group,difference being significant(P<0.05).Conclusion:The intervention of Chinese medicine emotional nursing combined with point-application on postoperative patients with operation for brain injury has evident curative effect,which can reduce the degree of anxiety and depression of patients,enhance the degree of self-esteem and living ability of patients and evidently improve the quality of life of patients.It is worthy of clinical promotion and application.