摘要
目的:探究中医“治未病”理念与情志调理法对高血压脑出血术后患者康复的影响。方法:前瞻性选取2022年3月至2024年3月于新乡市第一人民医院就诊的高血压脑出血患者108例,随机分为对照组(常规康复护理)和观察组(常规护理联合“治未病”理念结合情志调理法),各54例。结果:常规康复护理下焦虑(38.59±6.59)分vs(45.69±5.50)分、抑郁(37.69±5.62)分vs(44.69±4.82)分分数降低的幅度更小(P<0.001)。3个月后,全体患者生活质量得分均变高(P<0.001);但观察组(77.61±4.59)分vs(70.22±4.12)分的患者分数提高幅度更大(P<0.001)。两组自我效能均增强(P<0.001),观察组更高(P<0.001)。护理后,两组的收缩压与舒张压均有所下降(P<0.001);观察组的血压更低(P<0.001)。观察组(32/54)脑损伤恢复良好人数更多(P<0.05),且两组患者均无死亡。结论:采用“治未病”的理念并结合情志调理法护理可有效降低高血压脑出血患者的血压、抑制不良情绪的表达、大幅改善生活质量、提升自我效能。
Objective:To explore the effects of the traditional Chinese medicine concept of“preventing disease”and emotional regulation methods on the rehabilitation of patients after hypertensive cerebral hemorrhage surgery.Methods:108 patients with hypertensive cerebral hemorrhage who were admitted to Xinxiang First People's Hospital from March 2022 to March 2024 were prospectively selected and randomly divided into a control group(receiving conventional rehabilitation nursing)and an observation group(receiving conventional nursing+the concept of“preventing disease”+emotional regulation methods),with 54 patients in each group.Results:Under conventional rehabilitation nursing,the reduction in anxiety(38.59±6.59)points vs(45.69±5.50)points and depression(37.69±5.62)points vs(44.69±4.82)points scores was smaller(P<0.001).After three months,the quality of life scores of all patients increased(P<0.001);however,the increase was more pronounced in the observation group(77.61±4.59)points vs(70.22±4.12)points(P<0.001).Self-efficacy improved in both groups(P<0.001),with the observation group showing a higher level(P<0.001).After nursing,both systolic and diastolic blood pressures decreased in both groups(P<0.001);the observation group had lower blood pressure(P<0.001).The observation group(32/54)had a higher number of patients with good recovery from brain injury(P<0.05),and there were no deaths in either group.Conclusion:Nursing based on traditional Chinese medicine concept of“preventing disease”combined with emotional regulation methods can effectively lower blood pressure,suppress negative emotions,significantly improve quality of life,and enhance self-efficacy in patients with hypertensive cerebral hemorrhage.
作者
岳秋香
崔小灿
王彤彤
王满侠
YUE Qiuxiang;CUI Xiaocan;WANG Tongtong;WANG Manxia(Department of Rehabilitation Medicine,The First People's Hospital of Xinxiang,Xinxiang 453000,China)
出处
《黑龙江医药科学》
2025年第9期39-42,共4页
Heilongjiang Medicine and Pharmacy
基金
河南省医学科技攻关计划联合共建项目,编号:LHGJ20220214。
关键词
治未病
情志调理
高血压脑出血
不良心理
生活质量
自我效能
preventing disease
emotional regulation
hypertensive cerebral hemorrhage
negative psychology
quality of life
self-efficacy
