摘要
目的分析中医体质护理对痰湿质缺血性脑卒中恢复期患者的干预效果。方法选取2020年7月—2023年7月于钦州市中医医院康复医学科住院的60例脑卒中恢复期患者为研究对象,根据《中医体质分类与判定》体质辨识结果均为痰湿质患者,采用随机数字表法将患者分为对照组和观察组,每组30例。对照组患者采用常规护理干预,观察组患者采用常规护理联合中医体质护理干预,所有患者护理干预1个月。比较2组患者体质分类辨识评分、血压、血脂、中文版Barthel指数(BI指数)以及SF-36健康调查量表得分。结果干预前,2组患者体质分类辨识评分、血压水平、血脂水平、BI指数、SF-36评分比较,差异均无统计学意义(P>0.05)。干预后,观察组患者体质分类辨识评分低于对照组,收缩压(SBP)及舒张压(DBP)水平也低于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者胆固醇(Tc)水平低于对照组,甘油三酯(TG)水平高于对照组,差异均有统计学意义(P<0.05);干预后,观察组患者BI指数评分高于对照组,差异有统计学意义(P<0.05);干预后,观察组患者SF-36评分高于对照组,差异有统计学意义(P<0.05)。结论中医体质护理用于痰湿质缺血性脑卒中恢复期患者的临床护理价值高,有助于改善患者身体机能,促进患者机体功能的康复,建议临床推广。
Objective To analyze the intervention effects of TCM constitution nursing on phlegm-dampness constitution patients in the recovery period of ischemic stroke.Methods Sixty patients in the recovery period of ischemic stroke admitted to the Rehabilitation Medicine Department of Qinzhou Hospital of Traditional Chinese Medicine from July 2020 to July 2023 were selected as the study participants.According to the results of TCM constitution identification based on Classification and Determination of Constitution in TCM,all patients were identified as having the phlegm-dampness constitution.The patients were allocated to a control group and an observation group using a random number table,with 30 cases in each group.The control group received routine nursing intervention,while the observation group received routine nursing combined with TCM constitution nursing intervention.The nursing intervention lasted for one month for all patients.The constitution identification scores,blood pressure,blood lipids,the Chinese version of the Barthel Index(BI),and the 36-Item Short-Form Health Survey(SF-36)scores were compared between the two groups.Results Before intervention,no significant differences were found in constitution identification scores,blood pressure levels,blood lipid levels,BI scores,and SF-36 scores between the two groups(P>0.05).After intervention,the constitution identification scores of the observation group were lower than those of the control group,and the systolic blood pressure(SBP)and diastolic blood pressure(DBP)levels were also lower than those of the control group,with significant differences(P<0.05).After intervention,the total cholesterol(Tc)level of the observation group was lower than that of the control group,and the triglyceride(TG)level was higher than that of the control group,with significant differences(P<0.05).After intervention,the BI scores of the observation group were significantly higher than those of the control group(P<0.05).After intervention,the SF-36 scores of the observation group were significantly higher than those of the control group(P<0.05).Conclusion TCM constitution nursing has a high clinical value for phlegm-dampness constitution patients in the recovery period of ischemic stroke,which helps strengthen patients'physical function and promote their body's rehabilitation,holding promise for a wider clinical application.
作者
龙春霞
黄青华
曾秀英
Long Chunxia;Huang Qinghua;Zeng Xiuying(Nursing Department,Qinzhou Hospital of Traditional Chinese Medicine,Qinzhou Guangxi 535099,China)
出处
《保健医学研究与实践》
2023年第S02期154-157,共4页
Health Medicine Research and Practice
基金
广西壮族自治区中医药管理局科技项目(GZZC2020487)。
关键词
痰湿质
中医体质
中医体质护理
缺血性脑卒中
恢复期
Phlegm-dampness constitution
TCM constitution
TCM constitution nursing
Ischemic stroke
Recovery period
作者简介
第一作者:龙春霞,E-mail:taowa01234@163.com。
