中医体质辨识干预对脑卒中患者康复效果及康复依从性的影响  

Effect of traditional Chinese medicine constitution identification intervention on rehabilitation and rehabilitation compliance of stroke patients

作　　者：江丽玲 李萍 曹桂娴 谢学慧 JIANG Liling;LI Ping;CAO Guixian;XIE Xuehui(Department of Traditional Chinese Medicine,Guangzhou Red Cross Hospital,Guangzhou,Guangdong,510220,China)

机构地区：[1]广州市红十字会医院中医科,广东广州510220

出　　处：《中西医结合护理（中英文）》2022年第12期69-72,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨中医体质辨识干预对脑卒中患者康复效果及康复依从性的影响。方法以广州市红十字会医院2020年4月至2021年11月收治的100例脑卒中患者为研究对象,按照随机数字表法分为观察组和对照组,各50例。对照组患者给予常规护理,观察组患者基于常规护理实施中医体质辨识干预。观察2组患者的康复效果、神经功能缺损程度、总胆固醇(TC)水平、甘油三酯(TG)水平、脂蛋白a水平和康复依从性。结果随访2个月后,观察组的康复总有效率高于对照组(P<0.05)。随访2个月后,2组的美国国立卫生研究院卒中量表(NIHSS)评分、TC、TG和脂蛋白a水平均低于干预前(P均<0.05);观察组的NIHSS评分、TC、TG和脂蛋白a水平均低于对照组(P均<0.05)。随访2个月后,2组的肢体锻炼依从性、锻炼监测依从性和主动寻求建议依从性均高于干预前(P均<0.05),且观察组均高于对照组(P均<0.05)。结论中医体质辨识干预可改善脑卒中患者的神经功能和血脂水平,提高其康复效果和康复依从性。Objective To explore the effect of traditional Chinese medicine constitution identification intervention on the rehabilitation and rehabilitation compliance of stroke patients.Methods One hundred stroke patients admitted to Guangzhou Red Cross Hospital from April 2020 to November 2021 were selected as research subjects and divided into an observation group and a control group by random number table method,each with 50 patients.The control group was given conventional nursing,while the observation group was given traditional Chinese medicine constitution identification intervention based on the conventional nursing.The rehabilitation effect,severity of neurological impairment,total cholesterol(TC)level,triglyceride(TG)level,lipoprotein(a)level,and rehabilitation compliance of the two groups were measured.Results After 2 months of follow-up,the total effective rate of rehabilitation in the observation group was higher than that in the control group(P<0.05).After 2 months of follow-up,the National Institutes of Health Stroke Scale(NIHSS)scores,TC,TG,and lipoprotein(a)levels in both groups were lower than those before the intervention(all P<0.05),and the NIHSS scores,TC,TG,and lipoprotein(a)levels in the observation group were lower than those in the control group(all P<0.05).After 2 months of follow-up,the compliance of limb exercises,exercise monitoring,and active advice seeking in both groups was higher than that before the intervention(all P<0.05),and the compliance of the observation group was higher than that of the control group(all P<0.05).Conclusion The implementation of traditional Chinese medicine constitution identification intervention can improve the neurological function and blood lipid levels of stroke patients,and improve their rehabilitation effect and compliance.

关 键 词：脑卒中 中医体质辨识干预 康复效果 康复依从性 

分 类 号：R473.5[医药卫生—护理学]