目的: 探究综合性中医康复护理联合动机访谈应用于脑梗死（cerebral infarction,CI）静脉溶栓术后患者的康复效果,并分析其对患者负性情绪的影响。方法: 选取我院2021年1月—2023年12月收治的86例CI静脉溶栓术后患者为研究对象,按照随机数字表将其分为对照组与观察组,各43例。对照组术后予以动机访谈干预,观察组在对照组的基础上联合综合性中医康复护理干预。评价两组干预效果,观察两组干预前后神经功能[神经功能缺损量表（national institute of health stroke scale,NIHSS）]、运动功能[功能性步行分级（functional ambulation category,FAC）]、肢体功能[Fugl-Meyer运动功能评定量表（Fugl-Meyer assessment,FMA）]、肌力[Motricity指数（motricity index,MI）]与负性情绪[医院焦虑抑郁量表（hospital anxiety and depression scale,HADs）]的变化情况。结果: 干预2个月后,观察组干预有效率95.35%,高于对照组81.40%;干预后观察组NIHSS及HADs各亚表评分均低于对照组,观察组FMA评分、MI、FAC均高于对照组。结论: 综合性中医康复护理联合动机访谈应用于CI静脉溶栓术后,有助于提高患者肌力,改善神经、运动及肢体功能,缓解负性情绪。
Abstract
Objective To explore the rehabilitation effect of comprehensive traditional Chinese medicine rehabilitation nursing combined with motivational interviewing in patients with cerebral infarction after intravenous thrombolysis, and analyze its effect on negative emotions of patients. Methods A total of 86 patients after intravenous thrombolysis for cerebral infarction in the hospital were selected from January 2021 to December 2023 as the research subjects. According to the random number table method, they were divided into control group and observation group, with 43 cases in each group. The control group was given motivational interviewing intervention after surgery, while the observation group was combined with comprehensive traditional Chinese medicine rehabilitation nursing intervention on the basis of the control group. The intervention effects of the two groups were evaluated. The neurological function [national institute of health stroke scale (NIHSS)], motor function [functional ambulation classification (FAC)], limb function [Fugl-Meyer motor function assessment (FMA)], muscle strength [Motricity index (MI)] and negative emotions [Hospital anxiety and depression scale (HADs)] were observed before and after the intervention The changes. Results After 2 months of intervention, the effective rate of intervention in the observation group was 95.35%, which was higher than 81.40% in the control group. After intervention, the scores of NIHSS and HADs in the observation group were lower than those in the control group. The FMA score, MI and FAC of the observation group were higher than those of the control group. Conclusion The application of comprehensive TCM rehabilitation nursing combined with motivational interviewing in CI patients after intravenous thrombolysis is helpful to improve the muscle strength, nerve, motor and limb function, and relieve negative emotions.
关键词
脑梗死 /
静脉溶栓术 /
中医康复护理 /
动机访谈 /
康复效果 /
负性情绪
Key words
cerebral infarction /
intravenous thrombolysis /
traditional Chinese medicine rehabilitation nursing /
motivational interviewing /
rehabilitation effect /
negative emotions
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基金
北京市属医院科研培育计划项目“李祥舒名老中医外治出痹方治疗中风后肩手综合征的疗效研究”（PZ20211022）
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