摘要
目的分析中医特色的护理专案模式在中风偏瘫患者心理护理中的应用效果。方法选取2024年1—8月长春中医药大学附属第三临床医院收治的72例中风偏瘫患者作为研究对象,采用随机数字表法将患者分为对照组和试验组各36例,对照组采用常规护理及治疗,试验组在对照组基础上采用中医特色的护理专案模式。比较2组汉密尔顿焦虑量表(Hamilton anxiety scale,HAMA)评分、Barthel指数(Barthel index,BI)、不良事件、依从性、护理满意度。结果入院4周末,试验组患者的HAMA评分为(29.54±9.40)分,对照组为(34.25±6.27)分,试验组低于对照组,差异有统计学意义(P<0.05);试验组的BI评分为(57.63±10.01)分,对照组为(43.93±14.33)分,试验组高于对照组,差异有统计学意义(P<0.05)。出院前,试验组不良事件总发生率为2.78%,对照组为22.22%,试验组低于对照组,差异有统计学意义(P<0.05);入院4周末,试验组患者的依从率为97.22%,护理满意度为97.22%,对照组分别为77.78%、77.78%,试验组高于对照组,差异均有统计学意义(P<0.05)。结论针对中风偏瘫患者,在常规护理方案基础上采用中医特色的护理专案模式,能够更加显著地缓解患者的焦虑状态,提升其日常生活能力,达到提高患者依从率和满意度的效果。
Objective Analyze the application effect of the nursing project model with traditional Chinese medicine characteristics in the psychological care of stroke hemiplegia patients.Methods A total of 72 stroke patients with hemiplegia admitted to the Third Affiliated Hospital of Changchun University of Chinese Medicine from January to August 2024 were selected as the research subjects.They were divided into a control group and an experimental group with 36 cases in each group using the random number table method.The control group received routine nursing and treatment,while the experimental group was given a nursing project model with traditional Chinese medicine characteristics on the basis of the control group.The Hamilton anxiety scale(HAMA)scores,Barthel index(BI),adverse events,compliance,and nursing satisfaction were compared between the two groups.Results At the end of the 4th week after admission,the HAMA score of patients in the experimental group was(29.54±9.40)points,and that in the control group was(34.25±6.27)points.The score of the experimental group was lower than that of the control group,with a statistically significant difference(P<0.05).The BI score of the experimental group was(57.63±10.01)points,while that of the control group was(43.93±14.33)points.The score of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before discharge,the total incidence of adverse events in the experimental group was 2.78%,and that in the control group was 22.22%.The incidence in the experimental group was lower than that in the control group,with a statistically significant difference(P<0.05).At the end of the 4th week after admission,the compliance rate and nursing satisfaction of patients in the experimental group were both 97.22%,while those in the control group were 77.78%and 77.78%respectively.The rates in the experimental group were higher than those in the control group,and all the differences were statistically significant(P<0.05).Conclusion For stroke patients with hemiplegia,adopting the traditional Chinese medicine characteristic nursing project model on the basis of routine nursing plan can significantly alleviate the patient's anxiety state,improve their daily living ability,and achieve the effect of improving patient compliance and satisfaction.
作者
明巍
杨淑梅
MING Wei;YANG Shumei(Quality Control Office,the Third Affiliated Hospital of Changchun University of Chinese Medicine,Changchun Jilin 130117,China;Department of Infectious Diseases,Jilin Province People's Hospital,Changchun Jilin 130021,China)
出处
《中国卫生标准管理》
2025年第14期169-173,共5页
China Health Standard Management
基金
2024年度吉林省中医药科技项目(2024060)。
关键词
日常生活能力
心理护理
依从性
中风偏瘫
满意度
常规护理
daily life ability
psychological care
compliance
stroke induced hemiplegia
satisfaction
routine care
