中西医结合护理对老年脑梗死患者生活质量和负性情绪的影响分析  

Effects of integrated TCM-WM nursing on quality of life and negative emotion in elderly patients with cerebral infarction

作　　者：沈丽华 邵丽芳[2] 

机构地区：[1]浙江老年关怀医院三病区,杭州市310015 [2]浙江大学附属第一医院中医科,杭州市310003

出　　处：《中华全科医学》2015年第6期1012-1014,共3页Chinese Journal of General Practice

基　　金：浙江省医药卫生科学研究基金(2010-KYA077);浙江省教育厅课题(Y200909848)

摘　　要：目的分析中西医结合护理在老年脑梗死患者护理中的应用效果,为临床护理提供参考依据。方法选择2012年2月—2014年1月浙江老年关怀医院收治的100例老年脑梗死患者作为研究对象,将100例患者按照随机数字表法分为观察组和对照组各50例,对照组给予常规护理干预,观察组采用中西医结合护理干预。比较2组患者护理前后焦虑调查表(SAS)、抑郁调查表(SDS)、生活质量评定量表(GQOLI-74)、上下肢运动肌力、神经功能缺损的评分情况。结果观察组上肢肌力、下肢肌力评分均高于对照组(2.77±1.02、3.32±1.26 vs.2.26±0.94、2.83±1.04,P<0.05),神经缺损评分低于对照组(9.45±2.07 vs.10.26±2.18,P<0.05)。观察组SAS、SDS评分均低于对照组(35.68±9.82、34.57±8.71 vs.40.49±9.96、41.24±8.53,P<0.05)。观察组生活质量总分及躯体功能、心理功能、社会功能维度评分均高于对照组(P<0.05)。结论中西医结合护理干预能够改善老年脑梗死患者负性情绪,提高生活质量和肢体运动功能,值得临床重视。Objective To evaluate the effect of TCM-WM nursing in elderly patients with cerebral infarction and to pro- vide reference for clinical nursing. Methods 100 cases of elderly cerebral infarction patients treated in our hospital from 2012 February to 2014 January were randomly divided into observation group and control group with 50 cases in each group, the control group was given routine nursing intervention, while the observation group was given TCM-WM nursing. Self-Rating Depression Scale, Self-Rating Anxiety Scale, Generic Quality of Life Inventory-74 （ GQOLI-74 ）, movement of upper and lower limbs muscle strength and neural function defect score were compared before and after the nursing. Re- suits The observation group of upper limb muscle strength, muscle strength of lower limbs were higher than those in the control group（2.77 ± 1.02,3.32 ± 1.26 vs. 2.26 ± 0.94,2.83 ± 1.04, P 〈 0.05 ）, neurologic deficit score lower than those in the control group（9.45 ±2.07 vs. 10.26 ±2.18,P 〈0.05）. The observation group SAS,SDS scores were lower than the control group（35.68 ± 9.82,34.57 ± 8.71 vs. 40.49 ± 9.96,41.24 ± 8.53, P 〈 0.05 ）. The observation group the scores of quality of life and body function, psychological function, social function dimension scores were higher than those in the control group （ P 〈 0.05 ）. Conclusion TCM-WM nursing can improve the senile cerebral infarction patients with negative mood, which can improve the quality of life and limb movement function, it is worthy of attention.

关 键 词：脑梗死 中西医结合护理 生活质量 负性情绪 肢体运动 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]