脑卒中急性期患者中医康复循证护理研究  

Application research of Evidence-Based Nursing for TCM rehabilitation in patients in acute stage of apoplexy

作　　者：徐华[1] 施海红[2] 宋娟[1] 

机构地区：[1]深圳市宝安区人民医院中医科,518101 [2]深圳市宝安区人民医院护理部,518101

出　　处：《中华现代护理杂志》2012年第30期3612-3614,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨运用中医康复循证护理方案护理脑卒中急性期患者的效果。方法本研究选取2010年7月至2011年7月的脑卒中急性期患者70例为研究对象，随机分为观察组和对照组，两组治疗药物基本相同，其中，观察组患者进行循证护理，对照组进行脑卒中常规护理。在第1周内和4周后评定神经功能缺损及日常生活能力（ADL）。结果观察组的神经功能缺损评分显著低于对照组[（11．39±8．43）分比（24．78±7．56）分]，ADL评分显著优于对照组[（47．55±25．99）分比（64．56±30．08）分]，两组比较差异均有统计学意义（t值分别为2．561，2．416；P均〈0．01）。结论循证护理方案简便易学，可适用于临床、家庭、社区，对脑卒中急性期患者进行中医康复循证护理可以加快恢复其肢体功能，显著提高其日常生活能力与生活质量。d Objective To investigate the nursing effect of Evidence - Based Nursing（EBN） for TCM rehabilitation on patients in acute stage of apoplexy. Methods 70 patients in acute stage of apoplexy from July 2010 to July 2011 were randomly divided into the control group and the observation group. Both groups had almost the same medication, but the observation group received EBN while the control group received conventional nursing. Their neurological function defect and ADL were evaluated in the first week as well as after 4 weeks. Results The score of neurological function defect was obviously lower in the observation group than that in the control group [ （ 11.39 ± 8.43 ） vs （ 24.78 ± 7.56 ） ], while the ADL score was higher in the observation group than that in the control group [ （47.55± 25.99） vs （64.56 ± 30.08 ） ], and the differences were statistically significant （t = 2. 561, 2. 416, respectively; P 〈 0. 01 ）. Conclusions Evidence-based nursing scheme is easy to learn, and can be applied in clinical, family and community. Its application for patients in acute stage of apoplexy can speed up their limb function recovery, and improve their ADL and qualityof life.

关 键 词：中医康复 循证护理 脑卒中急性期 

分 类 号：R473.74[医药卫生—护理学]