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目的分析中医康复护理干预对脑外伤患者术后功能恢复与社会支持度的影响。方法选取2014年2月—2016年6月收治的脑外伤患者80例,经随机数字表法将其分成两组,对照组和观察组均40例,两组分别采用常规护理和中医康复护理,对患者的社会支持度和术后功能恢复情况进行观察分析。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果观察组护理后肢体功能评分(Fugl-Meyer assessment,FMA)、Barthel指数、美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分[(50.36±12.55)、(61.08±9.11)、(11.82±3.95)分]均优于对照组[(38.14±14.03)、(53.12±9.22)、(15.04±4.36)分](均P<0.05);观察组护理后主观支持评分、客观支持评分、支持利用度评分、社会支持总分[(21.08±4.45)、(10.85±3.07)、(7.55±2.85)、(40.03±8.72)分]与对照组[(40.03±8.72)、(8.12±3.02)、(5.12±2.73)、(29.15±8.27)分]比较,差异有统计学意义(均P<0.05)。结论采用中医康复护理干预,能让脑外伤患者的社会支持度显著提高,促进患者的术后功能恢复。
Objective To analyze the effect of traditional Chinese medicine rehabilitation nursing intervention on postoperative functional recovery and social support in patients with traumatic brain injury. Methods Totally 80 traumatic brain trauma patients who were admitted from February 2014 to June 2016 were divided into two groups according to random number table method. The control group and observation group were all 40 cases. The two groups were treated with routine nursing and TCM rehabilitation nursing, The patient’s social support and postoperative functional recovery were observed and analyzed. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The scores of Fg, Barthel index and National Institutes of Health Stroke Scale (NIHSS) score [(50.36 ± 12.55), (61.08 ± 9.11 ), (11.82 ± 3.95) points in the observation group were superior to those in the control group (38.14 ± 14.03, 53.12 ± 9.22 and 15.04 ± 4.36, respectively) (all P <0.05) Support score, Support utilization score, Social support score [(21.08 ± 4.45), (10.85 ± 3.07), (7.55 ± 2.85), (40.03 ± 8.72) ± 3.02), (5.12 ± 2.73), (29.15 ± 8.27) points respectively. There was significant difference between the two groups (all P <0.05). Conclusion The use of traditional Chinese medicine rehabilitation nursing intervention can make patients with traumatic brain injury significantly increased social support, and promote postoperative functional recovery.