[1]魏英梅,李兰芳,相世霞,等.择时穴位按摩联合情志干预在急性脑梗死后康复期患者中的应用效果[J].西部中医药,2025,38(11):144-147.[doi:10.12174/j.issn.2096-9600.2025.11.26]
 WEI Yingmei,LI Lanfang,XIANG Shixia,et al.Application Effects of Timed Acupoint Massage Combined with Emotional Intervention on Patients with Acute Cerebral Infarction during Convalescence[J].Western Journal of Traditional Chinese Medicine,2025,38(11):144-147.[doi:10.12174/j.issn.2096-9600.2025.11.26]
点击复制

择时穴位按摩联合情志干预在急性脑梗死后康复期患者中的应用效果()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年11期
页码:
144-147
栏目:
特色医疗
出版日期:
2025-11-15

文章信息/Info

Title:
Application Effects of Timed Acupoint Massage Combined with Emotional Intervention on Patients with Acute Cerebral Infarction during Convalescence
作者:
魏英梅, 李兰芳, 相世霞, 马聪, 周光
青岛市胶州中心医院,山东 青岛 266300
Author(s):
WEI Yingmei, LI Lanfang, XIANG Shixia, MA Cong, ZHOU Guang
Jiaozhou Central Hospital of Qingdao, Qingdao 266300, China
关键词:
脑梗死急性康复期择时穴位按摩情志干预神经功能运动功能
Keywords:
cerebral infarction acute during convalescencetimed acupoint massageemotional interventionneurological functionmotor function
分类号:
R247.9
DOI:
10.12174/j.issn.2096-9600.2025.11.26
文献标志码:
B
摘要:
目的探究择时穴位按摩联合情志干预在急性脑梗死(acute cerebral infarction,ACI)后康复期患者中的应用效果。 方法选择ACI后康复期患者96例,采用随机数字表法分成观察组和对照组各48例。对照组采用基础护理并给予情志干预,观察组在此基础上进行择时穴位按摩。比较两组患者干预前后语言功能[采用西方失语症评定法(Western aphasia battery,WAB)评估]、神经功能[采用美国国立卫生研究院卒中量表(national institutes of health stroke scale,NIHSS)评估]、运动功能[采用运动功能积分量表(fugl-meyer assessment,FMA)评估]、焦虑状态[采用焦虑自评量表(self-rating anxiety scale,SAS)评估]、抑郁状态[采用抑郁自评量表(self-rating depression scale,SDS)评估]、自我护理能力量表[采用自我护理能力量表(exercise of self-care agency scale,ESCA)评估]及生活质量[采用世界卫生组织生存质量量表简表(world health organization quality of life-brief version,WHOQOL-BREF)评估],并评估两组患者的护理满意度。 结果干预后,两组患者WAB评分、FMA上肢及下肢评分、ESCA评分、WHOQOL-BREF评分均较干预前升高(P<0.05),NIHSS评分、SAS评分、SDS评分均较干预前降低(P<0.05);且观察组上述各项指标的改善程度均优于对照组(P<0.05)。观察组操作技能、护理态度、沟通技巧维度评分均高于对照组(P<0.05),两组健康教育、出院指导维度评分比较,差异无统计学意义(P>0.05)。 结论择时穴位按摩联合情志干预可有效促进ACI康复期患者语言功能、神经功能及运动功能的恢复,改善其焦虑、抑郁等不良情绪,提升自护能力与生活质量,并提高患者对护理服务的满意度。
Abstract:
ObjectiveTo survey the application effects of timed acupoint massage joined with emotional intervention on ACI patients during convalescence. MethodsAll 96 ACI patients during convalescence were selected, and allocated to the observation group and control group using random number table method with 48 cases in each. The control group adopted basic nursing and emotional intervention, and the observation group received timed acupoint massage. To compare lingustic function (WAB), neurological function (NIHSS), and motor function (FMA), anxiety status (SAS), depression status (SDS), self-care agency scale (ESCA) and quality of life (WHOQOL-BREF) before and after the intervention between two groups, and to assess the patients’ nursing satisfaction in the two groups. ResultsAfter the intervention, WAB scores, FMA scores for the lower and upper extremities, ESCA scores and WHOQOL-BREF scales of the two groups were elevated than these before the intervention (P<0.05), NIHSS scores, SAS scales and SDS scales were lower than before the intervention (P<0.05); the improvements of the above indexes in the observation group were better than these in the control group (P<0.05). The observation group was higher than the control group in the scores of operational skills, nursing attitude and communication skills (P<0.05), the difference had no statistical meaning in the scores of health education and discharge guidance (P>0.05). ConclusionTimed acupoint massage joined with emotional intervention could effectively promote the patients’ recovery of linguistic function, neurological function and motor function during convalescence, improve the bad moods including anxiety, depression and others, enhance self-care ability and quality of life and the patient?s satisfaction with nursing service.

相似文献/References:

[1]朱晓娜,李天浩.调脂柔脉颗粒治疗动脉粥样硬化性脑梗死的疗效评价[J].西部中医药,2012,25(10):77.
 ZHU Xiao-na,LI Tian-hao.Evaluation on Clinical Efficacy of TiaoZhi RouMai Granules in Treating Atherosclerotic Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2012,25(11):77.
[2]李雅娟.急性重症胰腺炎62例临床护理干预观察[J].西部中医药,2013,26(03):115.
 LI Yajuan.Observation on Nursing Intervention for 62 Patients with Acute Severe Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(11):115.
[3]张世祥,贾兴梅,高鹏,等.中西医结合治疗急性重症胰腺炎18例临床研究[J].西部中医药,2013,26(05):102.
 ZHANG Shixiang,JIA Xingmei,GAO Peng,et al.Clinical Study on Integrative Medicine in Treating 18 Cases of Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2013,26(11):102.
[4]胡兰文,徐盛开,范玲莉.老年人急性心肌梗死的临床特征及中医证型分析[J].西部中医药,2013,26(06):44.
 HU Lanwen,XU Shengkai,FAN Lingli.Clinical Characteristics and Patterns Analysis of Acute Myocardial Infarction in the Elderly[J].Western Journal of Traditional Chinese Medicine,2013,26(11):44.
[5]孙志江,王映珍,徐庆杰.大黄内服配合芒硝外敷治疗重症急性胰腺炎患者43例[J].西部中医药,2012,25(08):70.
 SUN Zhi-jiang,WANG Ying-zhen,XU Qing-jie.DaHuang for Oral Administration Combined with MangXiao for External Use in Treating 43 Patients with Severe Acute Pancreatitis[J].Western Journal of Traditional Chinese Medicine,2012,25(11):70.
[6]刘康乐.中西药物联用治疗小儿急性支气管炎86例[J].西部中医药,2013,26(08):90.
 LIU Kangle.Clinical Observation on Treating 86 Cases of Children Suffering from Acute Bronchitis with Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2013,26(11):90.
[7]董莉莉,王军燕,刘安国,等.针灸治疗急性胃炎的临床选穴规律研究*[J].西部中医药,2013,26(11):129.
 DONG Lili,WANG Junyan,LIU Anguo,et al.Study on Acupoint Selection for Treating Acute Gastritis with Acupuncture[J].Western Journal of Traditional Chinese Medicine,2013,26(11):129.
[8]刘晓花.中医康复护理与常规内科护理对脑梗死患者功能康复的效果观察[J].西部中医药,2013,26(10):117.
 LIU Xiaohua.Observation on Therapeutic Effects of TCM Rehabilitation Care and Routine Care on Functional Rehabilitation of the Patients with Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2013,26(11):117.
[9]陈少兰,徐胜珍△.中西医结合护理对急性心肌梗死患者康复效果的影响[J].西部中医药,2014,27(04):129.
 CHEN Shaolan,XU Shengzhen.Influence of Nursing on the Patients with Acute Myocardial Infarction at Recovery Stage by Integrative Medicine[J].Western Journal of Traditional Chinese Medicine,2014,27(11):129.
[10]张兆耘.丹红注射液治疗脑梗塞急性期52例[J].西部中医药,2014,27(06):76.
 ZHANG Zhaoyun.DanHong Injection in Treating 52 Cases of Acute Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2014,27(11):76.
[11]张永全,张惠玉,仝树坡,等.急性脑梗死肝阳暴亢证患者血脂及经颅多普勒检查结果的相关性研究[J].西部中医药,2011,24(11):38.
[12]康庄.自拟中风活血化痰汤对急性脑梗死患者血清NSE、BDNF 水平的影响[J].西部中医药,2013,26(02):22.
 KANG Zhuang.Effects of Self-made ZhongFeng HuoXue HuaTanTang on Contents of Serum NSE and BDNF in Patients with Acute Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2013,26(11):22.
[13]梁建,刘国华,李水桥,等.红花黄色素联合依达拉奉治疗急性脑梗死临床观察[J].西部中医药,2014,27(03):105.
 LIANG Jian,LIU Guohua,LI Shuiqiao,et al.Clinical Observation on Carthamin Yellow Combined with Edaravone in Treating Acute Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2014,27(11):105.
[14]魏小年,师仰宏.醒脑静注射液治疗急性脑梗死50例[J].西部中医药,2014,27(10):88.
[15]李仕妹.桃红四物汤合半夏白术天麻汤治疗急性脑梗死并发脑心综合征60例[J].西部中医药,2017,30(08):77.
 LI Shimei.TaoHong SiWu Tang Combined with BanXia BaiZhu TianMa Tang in Treating 60 Cases of Acute Cerebral Infarction Complicated with Cerebrocardiac Syndrome[J].Western Journal of Traditional Chinese Medicine,2017,30(11):77.
[16]金亚娟,曹旸,霍康.通心络胶囊联合西药治疗急性脑梗死39例[J].西部中医药,2018,31(12):74.
 JIN Yajuan,CAO Yang,HUO Kang.Treating 39 Patients of Acute Cerebral Infarction by TongXinLuo Capsule and Western Medicine[J].Western Journal of Traditional Chinese Medicine,2018,31(11):74.
[17]徐穗莲,常鑫,何奕涛.基于正念减压法的心理干预对急性脑梗死合并高血压患者的影响[J].西部中医药,2020,33(06):122.[doi:10.12174/j.issn.1004-6852.2020.06.33]
 XU Suilian,CHANG Xin,HE Yitao.The Effects of Psychological Intervention Based on Mindfulness-based Stress Reduction on Acute Cerebral Infarction Complicated with Hypertension[J].Western Journal of Traditional Chinese Medicine,2020,33(11):122.[doi:10.12174/j.issn.1004-6852.2020.06.33]
[18]赵鹏,卢言言,阴均涛,等.择时穴位按摩联合情志干预在急性脑梗死后康复期患者中的应用效果[J].西部中医药,2024,37(08):120.[doi:10.12174/j.issn.2096-9600.2024.08.27]
 ZHAO Peng,LU Yanyan,YIN Juntao,et al.Application Effects of Time-selected Acupoint Massage Combined with Emotional Intervention in Patients in Recovery from Acute Cerebral Infarction[J].Western Journal of Traditional Chinese Medicine,2024,37(11):120.[doi:10.12174/j.issn.2096-9600.2024.08.27]
[19]曹志娇,秦莉,范冉冉,等.中医辨证护理结合思维导图对急性脑梗死伴吞咽障碍患者康复效果的影响[J].西部中医药,2024,37(09):139.[doi:10.12174/j.issn.2096-9600.2024.09.31]
 CAO Zhijiao,QIN Li,FAN Ranran,et al.Effects of TCM Syndrome Differentiation and Nursing Combined with Mind Map on Rehabilitation of Patients with Acute Cerebral Infarction and Dysphagia[J].Western Journal of Traditional Chinese Medicine,2024,37(11):139.[doi:10.12174/j.issn.2096-9600.2024.09.31]
[20]庄平,易玲,王文莲.火龙罐综合灸配合模块化膳食干预在急性脑梗死伴便秘患者中的应用[J].西部中医药,2025,38(11):152.[doi:10.12174/j.issn.2096-9600.2025.11.28]
 ZHUANG Ping,YI Ling,WANG Wenlian.Application of Fire Dragon Pot Comprehensive Moxibustion Combined with Modular Dietary Intervention in Patients with Acute Cerebral Infarction and Constipation[J].Western Journal of Traditional Chinese Medicine,2025,38(11):152.[doi:10.12174/j.issn.2096-9600.2025.11.28]

备注/Memo

备注/Memo:
山东省中医药科技项目(2022M097)。魏英梅(1972—),女,副主任护师。研究方向:神经系统疾病的临床护理。
更新日期/Last Update: 2025-11-15