优势病种中医护理方案在脑梗死患者恢复期的应用  

Application of dominant disease Chinese medicine nursing program in patients with cerebral infarction at recovery period

作　　者：黄丽晴[1] 葛芳[1] HUANG Liqing;GE Fang(Department of Acupuncture and Rehabilitation, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310007, China)

机构地区：[1]杭州市中医院针灸康复科

出　　处：《中国现代医生》2019年第23期156-160,共5页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2019ZB085)

摘　　要：目的对优势病种中医护理方案应用于脑梗死患者恢复期的临床疗效进行观察。方法在我院康复科2017年7月~2018年6月期间收治的脑梗死恢复期患者中随机选取90例作为本次研究对象,按照随机数字表方法将90例患者分为观察组与对照组,对照组患者实施常规对症护理,而观察组患者根据优势病种中医护理方案进行辨证施护。两组患者于入院3个月后评价偏瘫肢体功能、睡眠、便秘、二便失禁情况及肩手综合征的临床症状,观察两组护理效果。结果观察组和对照组偏瘫肢体运动功能干预有效率分别为88.9%和77.8%;肩手综合征干预有效率分别为97.7%和91.1%;失眠干预有效率分别为91.1%和68.9%,二便失禁干预有效率分别为97.1%和80.0%;便秘干预有效率分别为97.2%和82.8%;两组比较差异均有统计学意义(P<0.05)。观察组的护理满意度为93.3%,明显高于对照组的75.6%,组间比较差异有统计学意义(P<0.05)。结论对脑梗死恢复期患者实施优势病种中医护理方案效果显著,值得临床实践中广泛应用。Objective To observe and analyze the clinical efficacy of the dominant disease traditional Chinese medicine nursing program in patients with cerebral infarction at recovery period. Methods 90 patients were randomLy selected from the patients with cerebral infarction at recovery period in rehabilitation department of our hospital from July 2017 to June 2018. The 90 patients were divided into observation group and control group according to the random number table method. The control group received routine symptomatic care, while the observation group patients underwent dialectical protection according to the dominant disease Chinese medicine nursing program. The patients in the two groups were evaluated for hemiplegia limb function, sleep, constipation, incontinence, and clinical symptoms of shoulder-hand syndrome after 3 months of admission. The nursing effects of the two groups were observed. Results In the observation group and the control group, the effective rate of limb movement function intervention was 88.9% and 77.8%, respectively;the shoulder hand syndrome intervention efficiency was 97.7% and 91.1%, respectively;the insomnia intervention effective rate was 91.1% and 68.9%, respectively;the effective rate of incontinence intervention was 97.1% and 80.0%, respectively;the effective rate of constipation intervention was 97.2% and 82.8%, respectively. The difference between the two groups was statistically significant (P<0.05). The nursing satisfaction of the observation group was 93.3%, which was significantly higher than that of the control group(75.6%). The difference between the two groups was statistically significant(P<0.05). Conclusion The implement of the TCM nursing program inpatients with cerebral infarction in the recovery period is effective, which is worthy of extensive application in clinical practice.

关 键 词：优势病种 中医护理方案 脑梗死 恢复期 

分 类 号：R248.9[医药卫生—中医临床基础]