摘要
目的:探讨基于CICARE沟通模式的情志干预配合穴位敷贴对脑梗死患者肠道功能及负面情绪的影响。方法:采用简单随机法将我院2022年1月~2022年12月神经内科收治的120例脑梗塞患者分为对照组(60例)和试验组(60例),对照组采用穴位贴敷治疗,试验组在对照组基础上采用基于CICARE沟通模式的情志干预护理模式。比较两组干预前、干预后的便秘症状评分,肠道不良反应,焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果:干预前,两组患者的便秘症状评分对比无差别(P>0.05),干预后两组患者的便秘症状评分均较干预前低(P<0.05),且试验组较对照组低(P<0.05);试验组患者的呕吐、腹胀、腹泻、便秘、拒食等肠道症状发生率低于对照组(P<0.05);干预前,两组患者的SAS、SDS评分对比无差异(P>0.05),干预后,两组患者的SAS、SDS评分均较干预前低(P<0.05),且试验组患者的SAS、SDS评分均较对照组低(P<0.05)。结论:脑梗死肠道功能紊乱患者使用CICARE沟通模式的情志干预配合穴位敷贴干预,能够有效改善便秘症状,减轻肠道不良反应,缓解不良情绪,具有临床推广意义。
Objective:To explore the effect of emotional intervention based on CICARE communication model combined with acupoint application on intestinal function and negative emotions in patients with cerebral infarction.Methods:120patients with cerebral infarction admitted to department of neurology of our hospital from January 2022to December 2022were divided into control group(60cases)and experimental group(60cases)by simple randomization method.The control group was treated with acupoint application,and the experimental group was given emotional intervention nursing model based on CICARE communication model.The constipation symptoms scores,intestinal adverse reactions,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were compared between the two groups before and after intervention.Results Before intervention,there were no differences in the scores of constipation symptoms between the two groups(P>0.05).After intervention,the constipation symptoms scores in the two groups were declined compared with those before intervention(P<0.05),and the scores in experimental group were lower than those in control group(P<0.05).The incidence rates of intestinal symptoms such as vomiting,abdominal distension,diarrhea,constipation and food refusal in experimental group were lower than those in control group(P<0.05).Before intervention,there were no differences in the scores of SAS and SDS between both groups(P>0.05).After intervention,the scores of SAS and SDS in the two groups were decreased compared with those before intervention(P<0.05),and the above scores in experimental group were lower than those in control group(P<0.05).Conclusion:In patients with cerebral infarction and intestinal dysfunction,emotional intervention based on CICARE communication model combined with acupoint application can effectively improve the constipation symptoms,alleviate the intestinal adverse reactions and relieve the adverse emotions,and it has clinical promotion significance.
作者
刘琳
曹燕秋
龚歆
LIU Lin;CAO Yanqiu;GONG Xin(Department of Encephalopathy,Taicang Hospital of Traditional Chinese Medicine,Taicang Jiangsu 225400,China)
出处
《四川中医》
2024年第1期199-202,共4页
Journal of Sichuan of Traditional Chinese Medicine
基金
太仓市科技局科技计划项目合同(编号:TC2020JCYL12)。
关键词
CICARE沟通模式
穴位敷贴
脑梗死患者
肠道功能
负面情绪
CICARE communication model
Acupoint application
Patients with cerebral infarction
Intestinal function
Negative emotions
作者简介
通讯作者:曹燕秋,E⁃mail:285114721@qq.com;第一作者:刘琳,本科,主管护师,研究方向:护理学,E⁃mail:liulincici0720@163.com。
