中医情志护理干预对创伤性脑出血患者康复的影响  

Effect of Chinese Medicine Emotional Nursing on Rehabilitation of Patients with Traumatic Cerebral Hemorrhage

作　　者：周艳琴 年随 张明霞 

机构地区：[1]渭源县人民医院,甘肃渭源748200

出　　处：《新中医》2017年第6期133-135,共3页New Chinese Medicine

摘　　要：目的:观察中医情志护理对创伤性脑出血患者康复的影响。方法:选取350例创伤性脑出血患者,按随机数字表法分为研究组和对照组各175例。2组均行常规治疗,对照组予常规护理,研究组在常规护理基础上加用中医情志护理。比较2组的康复效果和焦虑、抑郁、神经功能及日常生活能力情况。结果:研究组总康复率82.86%,对照组总康复率66.86%,2组比较,差异有统计学意义(P<0.01)。干预1月后,研究组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)及神经功能缺损评分(NIHSS)均低于对照组,差异均有统计学意义(P<0.01);日常生活能力量表(ADL)评分高于对照组,差异有统计学意义(P<0.01)。结论:加用中医情志护理后,患者的焦虑、抑郁及神经功能缺损程度均轻于单纯常规护理干预,且生活质量相对较高,康复效果较好。Objective： To observe the effect of Chinese medicine emotional nursing on rehabilitation of patients with traumatic cerebral hemorrhage. Methods ： Selected 350 cases of patients with traumatic cerebral hemorrhage and divided them into the study group and the control group randomly,175 cases in each group. Both groups received routine treatment.The control group was treated with routine nursing,while the study group was treated with routine nursing combined with Chinese medicine emotional nursing. Compared rehabilitation effect,anxiety,depression,nerve function and activity of daily living in both groups. Results：The rehabilitation rate was 82.86% in the study group and 66.86% in the control group,the difference being significant（P〈0.01）. Afterone month of intervention, scores of Hamilton anxiety scale（HAMA）,Hamilton depressive scale（HAMD） and national institute of health stroke scale（NIHSS） in the study group were lower than those in the control group（P〈0.01）. The scores of activities of daily living measuring scale（ADL） in the study group were higher than those in the control group（P〈0.01）. Conclusion： After patients additionally received Chinese medicine emotional nursing, their anxiety,depression and the degree of nervous functional defects are all lighter than those of patients who only receive routine nursing intervention. The quality of life is relatively high and the rehabilitation effect is better.

关 键 词：创伤性脑出血 中医情志护理 汉密尔顿焦虑量表(HAMA) 汉密尔顿抑郁量表(HAMD) 神经功能缺损评分(NIHSS) 日常生活能力量表(ADL) 

分 类 号：R743.34[医药卫生—神经病学与精神病学]