生物波穴位刺激联合中医情志护理对脑卒中后抑郁患者恢复效果的影响

毛亚娣; 孙剑虹; 刘蓝冰; 马兰; 相松飞; 黄春敏; 袁紫刚

doi:10.16766/j.cnki.issn.1674-4152.002924

生物波穴位刺激联合中医情志护理对脑卒中后抑郁患者恢复效果的影响

doi: 10.16766/j.cnki.issn.1674-4152.002924

1.
绍兴市人民医院神经外科，浙江绍兴 312000
2.
绍兴市人民医院泌尿外科
3.
绍兴市人民医院老年病科中西医结合科
4.
绍兴市人民医院康复科
5.
绍兴市人民医院神经内科

基金项目:

浙江省医药卫生科技计划项目 2021KY1153

详细信息

通讯作者:
毛亚娣，E-mail: Maoyadi1005@163.com

中图分类号: R749.13 R248
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- 文章访问数: 233
- HTML全文浏览量: 117
- PDF下载量: 7
- 被引次数: 0
出版历程
- 收稿日期: 2022-09-15
- 网络出版日期: 2023-04-19

Effect of bio-wave acupoint stimulation combined with emotional nursing of traditional Chinese medicine on recovery in patients with post-stroke depression

1.
Department of Neurosurgery, Shaoxing people' s Hospital, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的分析生物波穴位刺激联合中医情志护理对脑卒中后抑郁患者抑郁状态、生活质量及康复依从性的影响。方法采用便利抽样法，选取2020年6月—2022年5月绍兴市人民医院收治的120例脑卒中后抑郁(PSD)患者作为研究对象，根据随机数字表法将患者分为对照组(60例)和观察组(60例)。对照组采用常规护理，观察组应用生物波穴位刺激联合中医情志护理。分别于干预前和干预后第1、2、3周运用汉密顿抑郁量表(HAMD)、Barthel指数(MBI)、脑卒中专用生活质量量表(SS-QOL)对2组患者进行评估，并比较2组患者的康复依从性。结果干预后，2组患者HAMD评分均低于干预前，观察组干预后第1、2、3周HAMD评分分别为(22.52±1.87)分、(15.16±2.62)分、(10.24±1.78)分，均低于对照组[(24.16±2.64)分、(19.22±2.97)分、(15.34±2.13)分，均P < 0.05]。2组患者MBI及SS-QOL量表评分均高于干预前，且观察组干预后第1、2、3周MBI及SS-QOL量表评分均高于对照组(均P < 0.05)。观察组康复依从性为96.7%(58/60)，优于对照组的83.3%(50/60)，P < 0.05。结论生物波穴位刺激联合中医情志护理可有效减轻脑卒中后抑郁患者抑郁状态，提高患者日常生活能力、生活质量及康复依从性。
- 生物波穴位刺激 /
- 中医情志护理 /
- 脑卒中后抑郁 /
- 日常生活能力 /
- 生活质量
Abstract: Objective To analyze the effect of bio-wave acupoint stimulation combined with traditional Chinese medicine (TCM) emotional nursing on the depressive status, quality of life and rehabilitation compliance in patients with post-stroke depression. Methods A convenience sampling method was used to select 120 patients with post-stroke depression (PSD) admitted to Shaoxing People' s Hospital from June 2020 to May 2022 as the research objects, and the patients were divided into control group (60 cases) and observation group (60 cases) according to the random number table method. The control group received routine nursing, while the observation group received bio-wave acupoint stimulation combined with TCM emotional nursing. The Hamilton depression scale (HAMD), modified barthel index (MBI), stroke specific quality of life scale (SS-QOL) and rehabilitation compliance scale were used to evaluate the two groups of patients before the intervention and at the first, second and third weeks after the intervention. Results After the intervention, the HAMD scores of patients in both groups were lower than that before intervention, and the HAMD scores in the observation groups were (22.52±1.87) points, (15.16±2.62) points and (10.24±1.78) points at the first, second, and third weeks after intervention, respectively, which were lower than in the control group [(24.16±2.64) points, (19.22±2.97) points, (15.34±2.13) points, all P < 0.05]; The MBI and SS-QOL scores in both groups were higher than those before the intervention, and the MBI and SS-QOL scores in the observation group were higher than those in the control group at the 1st, 2nd and 3rd weeks after the intervention (all P < 0.05); The rehabilitation compliance in the observation group was 96.7% (58/60), which was better than that in the control group [83.3% (50/60), P < 0.05]. Conclusion Bio-wave acupoint stimulation combined with TCM emotional nursing can effectively reduce depression in patients with post-stroke depression, improve their daily life and ability, quality of life and rehabilitation compliance.
- Bio-wave acupoint stimulation /
- Traditional Chinese medicine care /
- Post stroke depression /
- Daily living ability /
- Quality of life

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图 1 双侧合谷穴贴敷

Figure 1. Bilateral application of Hegu acupoint

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图 2 双侧太冲穴贴敷

Figure 2. Bilateral Taichong acupoint application

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表 1 2组PSD患者干预前后HAMD评分比较(x±s，分)

Table 1. Comparison of HAMD scores before and after intervention in PSD patients in the two groups(x±s, points)

组别	例数	干预前	干预后第1周	干预后第2周	干预后第3周
对照组	60	27.68±2.18	24.16±2.64^a	19.22±2.97^ab	15.34±2.13^abc
观察组	60	28.12±2.53	22.52±1.87^a	15.16±2.62^ab	10.24±1.78^abc
t值		1.021	3.927	7.941	14.232
P值		0.309	< 0.001	< 0.001	< 0.001
注：与同组干预前比较，^aP < 0.05；与同组干预后第1周比较，^bP < 0.05；与同组干预后第2周比较，^cP < 0.05。

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表 2 2组PSD患者干预前后MBI量表评分比较(x±s，分)

Table 2. Comparison of MBI scale scores between the two groups of PSD patients before and after intervention(x±s, points)

组别	例数	干预前	干预后第1周	干预后第2周	干预后第3周
对照组	60	31.19±3.45	38.12±3.25^a	47.81±4.11^ab	60.34±5.56^abc
观察组	60	30.25±3.16	43.63±4.12^a	58.79±5.66^ab	70.56±5.45^abc
t值		1.556	8.133	12.159	10.168
P值		0.122	< 0.001	< 0.001	< 0.001
注：与同组干预前比较，^aP < 0.05；与同组干预后第1周比较，^bP < 0.05；与同组干预后第2周比较，^cP < 0.05。

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表 3 2组PSD患者干预前后SS-QOL量表评分比较(x±s，分)

Table 3. Comparison of SS-QOL scale scores between the two groups of PSD patients before and after intervention(x±s, points)

组别	例数	干预前	干预后第1周	干预后第2周	干预后第3周
对照组	60	121.34±11.28	129.43±9.66^a	134.72±10.86^ab	141.32±11.44^abc
观察组	60	121.77±10.65	134.53±10.76^a	140.73±1.57ab	151.95±12.65^abc
t值		0.215	2.732	4.243	4.828
P值		0.830	0.007	< 0.001	< 0.001
注：与同组干预前比较，^aP < 0.05；与同组干预后第1周比较，^bP < 0.05；与同组干预后第2周比较，^cP < 0.05。

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表 4 2组PSD患者康复依从性比较[例(%)]

Table 4. Comparison of rehabilitation compliance of PSD patients in two groups [cases (%)]

组别	例数	完全依从	部分依从	不依从	康复依从性
对照组	60	29(48.3)	21(35.0)	10(16.7)	50(83.3)
观察组	60	36(60.0)	22(36.7)	2(3.3)	58(96.7)
注：2组康复依从性比较，χ²=5.926，P=0.015。

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