摘要
目的探究聚焦解决模式在脑卒中后肢体疼痛中的应用效果。方法单纯随机选取2022年5月—2023年6月南宁市第三人民医院住院治疗的40例急性脑卒中患者作为研究对象,按不同护理方法将患者分为对照组及观察组,各20例。其中对照组给予常规康复护理,观察组在对照组的基础上联合采取聚焦解决模式护理干预。比较两组护理前后(入院第1天、干预1个月后)的神经缺损程度[应用美国国立卫生研究院卒中量表(National Institute of Health Stroke Scale,NIHSS)]、肢体疼痛情况[应用视觉模拟评分(Visual Analogue Scale,VAS)]、Barthel指数和心境状态[应用心境状态量表(Profile of Mood States,POMS)]。结果护理后,与对照组相比,观察组VAS与NIHSS评分均更低,BI指数更高,差异有统计学意义(P均<0.05)。护理后,与对照组(84.20±3.78)分、(15.35±2.85)分相比,观察组的负性情绪评分(80.05±3.54)分更低、正性情绪评分(20.50±3.09)分更高,差异有统计学意义(t=3.599、5.479,P均<0.05)。结论聚焦解决模式运用于卒中后肢体疼痛患者中,能激发患者积极向上的正性情绪,缓解患者的负性情绪和肢体疼痛,提高生活自理能力。
Objective To explore the effect of focused resolution mode in post-stroke limb pain.Methods A total of 40 patients with acute stroke who were hospitalized in the Nanning Third People's Hospital from May 2022 to June 2023 were simple randomly selected as the research objects.The patients were divided into control group and observa⁃tion group according to different nursing methods,with 20 cases in each group.The control group was given routine re⁃habilitation nursing,and the observation group was combined with focused solution mode nursing intervention on the basis of the control group.The degree of nerve defect[National Institute of Health Stroke Scale(NIHSS)],limb pain[Visual Analogue Scale(VAS)],Barthel index and mood state[Profile of Mood States(POMS)]were compared between the two groups before and after nursing intervention(1 d after admission and 1 month after intervention).Results After nursing,compared with the control group,the VAS and NIHSS scores of the observation group were lower,and the BI index was higher,the differences were statistically significant(all P<0.05).After nursing,compared with the control group(84.20±3.78)points and(15.35±2.85)points,the negative emotion score(80.05±3.54)points of the observation group was lower,and the positive emotion score(20.50±3.09)points was higher,the differences were statistically significant(t=3.599,5.479,both P<0.05).Conclusion The focused solution mode is applied to patients with post-stroke limb pain,which can stimulate their positive and positive emotions,relieve their negative emotions and limb pain,and improve their self-care ability.
作者
覃佩红
黄戈伦
潘耀宏
李婕
刘春梅
李秋
陆兴培
刘秋莲
QIN Peihong;HUANG Gelun;PAN Yaohong;LI Jie;LIU Chunmei;LI Qiu;LU Xingpei;LIU Qiulian(Department of Neurology,Nanning Third People's Hospital,Nanning,Guangxi Zhuang Autonomous Region,530003,China)
出处
《中外医疗》
2024年第29期181-185,共5页
China & Foreign Medical Treatment
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z-A20221203)。
