基于CFIR循证实践模式的中西医管理方案对卒中患者早期肌力康复的影响研究

摘要/Abstract

摘要： 目的研究基于CFIR循证实践模式的中西医管理方案对卒中患者早期肌力康复的影响。方法选取2020年8月~2021年5月上海市第十人民医院收治的72例缺血性脑卒中患者作为研究对象,根据随机数表法分为对照组和干预组,循证实践前纳入42名患者为对照组,循证实践后纳入的30名患者为干预组。对照组患者给予常规管理方案,干预组患者采用循证实践干预管理方案。比较两组患者美国国立卫生研究院卒中量表（National Institute of Health Stroke scale,NIHSS）评分、日常生活活动能力（activities of daily living,ADL）评分、肌力分级及医务人员对证据的执行情况。结果循证实践后,干预组患者NIHSS评分低于对照组,差异有统计学意义（P<0.05）;干预组患者ADL评分高于对照组,差异有统计学意义（P<0.05）;干预组肌力分级≥4级的患者比例高于对照组,差异有统计学意义（P<0.05）。循证实践后医护人员对证据的执行率均有所提高,差异有统计学意义（P<0.05）。结论基于CFIR循证实践模式的中西医管理方案能够有效提高患者日常生活活动能力,促进脑卒中患者早期肌力及神经功能恢复,值得临床应用。

关键词: 脑卒中, 肌力康复, 中西医结合, 循证

Abstract: Objective To explore the effect of TCM management program based on CFIR on early muscle strength rehabilitation in stroke patients. Methods A total of 72 patients with ischemic stroke admitted to the Shanghai 10th People's Hospital from August 2020 to May 2021 were selected as the research objects. According to the random number table method, they were divided into the control group and the intervention group, 42 patients were included before the evidence-based practice as the control group, and 30 patients were included after the practice as the intervention group. Patients in the control group were given routine management plan, while patients in the intervention group were given evidence-based practice intervention management plan. The National Institute of Health Stroke Scale (NIHSS) and activities of daily living were compared between the two groups living, ADL) score, muscle strength grading, and the implementation of evidence by medical staff. Results After evidence-based practice, the NIHSS score of intervention group was lower than that of control group, and the difference was statistically significant (P<0.05). The ADL score of the intervention group was higher than that of the control group, and the difference was statistically significant (P<0.05). The proportion of patients with muscle strength grade≥4 in intervention group was higher than that in control group, and the difference was statistically significant (P<0.05). After evidence-based practice, the implementation rate of medical staff to evidence was improved, and the differences were statistically significant (P<0.05). Conclusion The TCM and Western medicine management scheme based on CFIR evidence-based practice model can effectively improve the activities of daily living of patients and promote the early recovery of muscle strength and neurological function of stroke patients, which is worthy of clinical application.

Key words: stroke, muscle rehabilitation, integrated traditional Chinese and western medicine, evidence-based

中图分类号:

R473.74

张琳, 陈淑娟, 孙晓, 于晓丽, 朱晓萍, 陈亚梅, 陶宇, 刘晓青, 张雨, 颜琼枝. 基于CFIR循证实践模式的中西医管理方案对卒中患者早期肌力康复的影响研究[J]. 中华养生保健, 2022, 40(24): 1-4.

ZHANG Lin, CHEN Shu-juan, SUN Xiao, YU Xiao-li, ZHU Xiao-ping, CHEN Ya-mei, TAO Yu, LIU Xiao-qing, ZHANG Yu YAN, Qiong-zhi. Study on the Effect of CWM Management Program Based on CFIR Evidence-based Practice Model on Early Inotropic Rehabilitation in Stroke Patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(24): 1-4.

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