家属参与早期活动干预联合中医适宜技术对急性缺血性卒中介入取栓患者术后康复效果的影响  

Effect of family members'participation in early activity nursing intervention combined with traditional Chinese medicine appropriate technology on postoperative rehabilitation of stroke patients underwent interventional thrombectomy

作　　者：陈澄 鲍婉茹[1] 谢婧[1] 王雪梅[1] CHEN Cheng;BAO Wanru;XIE Jing;WANG Xuemei(Department of Interventional Radiology,Jiangsu Province Hospital,Nanjing,Jiangsu 210000)

机构地区：[1]江苏省人民医院介入放射科,江苏南京210000

出　　处：《河北中医》2024年第4期644-649,共6页Hebei Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金青年科学基金项目(编号:81501565)。

摘　　要：目的观察家属参与早期活动联合中医适宜技术干预治疗急性缺血性卒中介入取栓术后患者康复的临床疗效。方法选取2021年1月至2021年12月收治的急性缺血性卒中介入取栓术后106例患者为研究对象,按照随机数字表法分为2组,对照组53例采用西医常规干预治疗,治疗组53例在对照组的基础上加用家属参与早期活动联合中医适宜技术方案干预治疗。比较2组治疗前后病情康复[采用Flugl-Meyer运动功能量表(FMA)评分、美国国立卫生研究院卒中量表(NIHSS)评分及Barthel指数评分进行评价]、家庭环境[采用家庭亲密度和适应性量表中文版(FACESⅡ-CV)进行评价,包含亲密度和适应性两个方面]、心理弹性[采用中文版Connor-Davidson心理弹性量表(CD-RISC)进行评价,包括控制、能力、接受变化、忍受消极情感及精神影响5个方面]及生活质量[采用简明健康状况量表(SF-36)中的生活功能、躯体功能、社会功能及心理功能进行评价]变化情况。结果与本组治疗前比较,2组治疗后FMA评分及Barthel指数评分均升高(P<0.05),NIHSS评分均降低(P<0.05),且治疗组治疗后FMA评分及Barthel指数评分均高于对照组(P<0.05),NIHSS评分低于对照组(P<0.05)。与本组治疗前比较,2组治疗后FACESⅡ-CV亲密度及适应性评分均升高(P<0.05),且治疗组治疗后亲密度及适应性评分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后CD-RISC控制、能力、接受变化、忍受消极情感、精神影响评分及总分均升高(P<0.05),且治疗组治疗后CD-RISC各项评分及总分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后SF-36生活功能、躯体功能、社会功能及心理功能评分均升高(P<0.05),且治疗组治疗后SF-36生活功能、躯体功能、社会功能及心理功能评分均高于对照组(P<0.05)。结论家属参与早期活动联合中医适宜技术干预治疗急性缺血性卒中介入取栓术后患者�Objective To observe the clinical effect of family members'participation in early activity nursing intervention combined with traditional Chinese medicine(TCM)appropriate technology on postoperative rehabilitation of patients with acute ischemic stroke(AIS)underwent interventional thrombectomy.Methods A total of 106 AIS patients underwent interventional thrombectomy treated in our hospital from January 2021 to December 2021 were randomly assigned into treatment group(n=53)and control group(n=53).All patients were managed by conventional Western medicine,and those in treatment group additionally received family members'participation in early activity nursing intervention combined with TCM appropriate technology.Fugl-Meyer Motor Assessment,National Institutes of Health Stroke Scale(NIHSS),Barthel Index(BI),Family Adaptability and Cohesion Scale,Second Edition-Chinese Version(FACESⅡ-CV)(including intimacy and adaptability),Connor-Davidson Resilience Scale(CD-RISC)(including control,ability,acceptance of change,tolerance of negative emotions and spiritual influence),36-item Short Form Health Survey(SF-36)(including life function,physical function,material function,mental function)were included as comparators.Results After treatment,significantly increased the scores of FMA and BI,and decreased the scores of NIHSS were detected in the two groups(all P<0.05),and the treatment group was superior to the control group for the scores of FMA,BI and NIHSS(all P<0.05).Significantly increased the each dimension scores and total scores of FACESⅡ-CV,CD-RISC,and SF-36 were found in the both groups(all P<0.05),and the improvements were more pronounced in the treatment group than those of the control group(all P<0.05).Conclusion For AIS patients underwent interventional thrombectomy,family members'participation in early activity nursing intervention combined with TCM appropriate technology has definite curative effect,which can effectively improve motor function,promote neurological function recovery,improve activity of daily l

关 键 词：缺血性卒中 中风 介入疗法 中医疗法 中风康复 

分 类 号：R255.2[医药卫生—中医内科学]