摘要
目的:探讨基于4C理论的中医特色护理干预在脑卒中患者中的临床应用价值。方法:选择2019年8月-2021年8月深圳市宝安区中心医院收治的96例脑卒中患者作为研究对象,按随机数字表法将患者分为对照组和观察组,各48例。对照组采取常规护理,观察组采取基于4C理论的中医特色护理干预。观察两组中医症状积分、肢体功能、神经功能、日常生活能力及脑卒中恢复情况。结果:护理前两组乏力、偏瘫、麻木和走路不稳积分对比,差异均无统计学意义(P>0.05);出院后6个月观察组乏力、偏瘫、麻木和走路不稳积分均低于对照组,差异均有统计学意义(P<0.05)。护理前两组Fugl-Meyer运动功能评分法(FMA)、美国国立卫生院脑卒中评估表(NIHSS)及改良Barthel指数(MBI)评分对比,差异均无统计学意义(P>0.05);出院后6个月观察组FMA和MBI评分均高于对照组,NIHSS评分低于对照组,差异均有统计学意义(P<0.05)。观察组优良率为91.30%,明显高于对照组的58.70%,且观察组脑卒中恢复情况分布优于对照组,差异均有统计学意义(P<0.05)。结论:基于4C理论的中医特色护理干预能有效改善脑卒中患者的临床症状,促进患者肢体功能和神经功能的恢复,提高患者生活能力。
Objective:To explore the clinical application value of TCM nursing intervention based on 4C theory in patients with stroke.Method:A total of 96 patients with stroke who were admitted to Shenzhen Baoan District Central Hospital from August 2019 to August 2021 were selected as the research subjects.The patients were divided into the control group and the observation group according to the random number table method,with 48 cases in each group.The control group was given routine nursing,and the observation group was given TCM characteristic nursing intervention based on 4C theory.The symptom scores,limb function,neurological function,daily living ability and stroke recovery of the two groups were observed.Result:There were no significant differences in the scores of fatigue,hemiplegia,numbness and unsteady walking between the two groups before nursing(P>0.05).6 months after discharge,the scores of fatigue,hemiplegia,numbness and unsteady walking in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before nursing,there were no significant differences between the two groups in Fugl-Meyer motor function assessment(FMA),national institute of health stroke scale(NIHSS)and modified Barthel index(MBI)(P>0.05).6 months after discharge,the scores of FMA and MBI in the observation group were higher than those in the control group,and the score of NIHSS was lower than that in the control group,the differences were statistically significant(P<0.05).The excellent and good rate in the observation group was 91.30%,which was significantly higher than 58.70%in the control group,and the distribution of stroke recovery in the observation group was better than that in the control group,the differences were statistically significant(P<0.05).Conclusion:TCM characteristic nursing intervention based on 4C theory can effectively improve the clinical symptoms of patients with stroke,promote the recovery of limb function and nerve function,and improve the living ability of patients.
作者
吴晓璇
周振邦
刘雪春
曾玉
谭春燕
WU Xiaoxuan;ZHOU Zhenbang;LIU Xuechun;ZENG Yu;TAN Chunyan(Shenzhen Baoan District Central Hospital,Guangdong Province,Shenzhen 518102,China;不详)
出处
《中国医学创新》
CAS
2023年第16期127-132,共6页
Medical Innovation of China
基金
重庆市教育委员会科学技术研究项目(KJQN202000415)。
