doi:10.3969/j.issn.1674-490X.2024.05.006

Abstract

Abstract: Objective To construct an extended care program of traditional Chinese medicine for hemiplegia patients with stroke and provide reference for the practice of extended care of traditional Chinese medicine for hemiplegia patients with stroke. Methods Based on the literature analysis, the Delphi method was used to conduct two rounds of correspondence with 20 experts. Results The questionnaire return rate for both rounds of expert correspondence was 100% and 95%, the finalized TCM continuity of care program for stroke patients with hemiplegia contained 6 level 1 entries, 20 level 2 entries and 52 level 3 entries, with authority coefficients of 0.860 and 0.900, and Kendall's W of 0.280 and 0.319, respectively, P<0.01. Conclusion The TCM- specific extended care program for stroke patients with hemiplegia constructed in this study has reliable and scientific results and is feasible.

Key words: stroke, hemiplegia, TCM extended care, Delphi method, protocol construction

CLC Number:

R73.5

References

[1] SUN X W, XU K, SHI Y Q, et al. Discussion on the rehabilitation of stroke hemiplegia based on interdisciplinary combination of medicine and engineering[J]. Evid Based Complement Alternat Med, 2021, 2021: 6631835. DOI: 10.1155/2021/6631835.
[2] WU S M, WU B, LIU M, et al. Stroke in China: advances and challenges in epidemiology, prevention, and management[J]. Lancet Neurol, 2019, 18(4): 394-405. DOI: 10.1016/S1474-4422(18)30500-3.
[3] 《中国脑卒中防治报告》编写组.《中国脑卒中防治报告2020》概要[J].中国脑血管病杂志, 2022, 19(2): 136-144. DOI: 10.3969/j.issn.1672-5921.2022.02.011.
[4] 陈秋霞,娄佳奡,鲁文果,等.医联体背景下脑卒中患者延续护理服务管理模式评价[J].中国医院, 2022, 26(3): 14-17. DOI: 10.19660/j.issn.1671-0592.2022.3.04.
[5] 唐珊,李俐,闫彩霞,等.脑卒中病人延续护理需求调查[J].护理研究, 2018, 32(19): 3103-3106. DOI: 10.3969/j.issn.1009-6493.2018.19.029.
[6] 徐寅,王玲,王忠敏,等.TIPS术后集束化延续性护理管理方案的构建[J].介入放射学杂志, 2021,30(8): 832-836.DOI:10.3969/j.issn.1008-794X.2021.08.018.
[7] 庄平,张广清,林美珍,等. 运用Delphi法构建中医专科护士培训方案指标体系[J]. 护理学杂志, 2015, 30(9): 63-66. DOI: 10.3870/hlxzz.2015.09.063.
[8] 吴莹玉,黄霞,贾培培,等.护士工作场所暴力防范培训体系的构建[J].中华护理杂志, 2020, 55(4): 584-589.DOI: 10.3761/j.issn.0254-1769.2020.04.020.
[9] 邵先成,尹琳,李天庆,等.基于德尔菲法的大型公立医院党支部工作评价指标体系研究[J].中国医院, 2020, 24(12): 67-68. DOI: 10.19660/j.issn.1671-0592.2020.12.23.
[10] 陈璐,奚兴.基于三维质量结构评价延伸护理服务质量的研究[J].中国护理管理, 2015, 15(6): 713-716, 717. DOI: 10.3969/j.issn.1672-1756.2015.06.023.
[11] 杨佳,俞红五,朱艳,等.腕踝针联合热敏灸治疗中风后肢体功能障碍效果及对生活质量的影响[J].现代生物医学进展, 2023, 23(17): 3316-3320. DOI: 10.13241/j.cnki.pmb.2023.17.022.
[12] 季卫强,姚耿圳,尚宝令,等.中西医结合内科学教学新方法应用研究[J].中国中医药现代远程教育, 2023, 21(11): 4-6. DOI: 10.3969/j.issn.1672-2779.2023.11.002.
[13] 陈顺中.慢性脑供血不足的中医治疗研究进展[J].实用老年医学, 2023, 37(2): 124-127. DOI: 10.3969/j.issn.1003-9198.2023.02.005.
[14] 吴远华,张艺凡.急性脑梗死早期中西医结合诊疗方案贵州专家共识[J].贵州中医药大学学报, 2021,43(1): 98-102.DOI: 10.16588/j.cnki.issn2096-8426.2021.01.024.
[15] 贾杨.上海建设全球领先的中医药高地研究[J].科学发展, 2021, 2(2): 19-26. DOI: 10.3969/j.issn.1674-6171.2021.02.002.
[16] 于卫华,林丹,陈雪羚.医养结合型长期照护的研究现状[J].中国护理管理, 2013, 13(4): 91-93. DOI: 10.3969/j.issn.1672-1756.2013.04.028.
[17] 张淑美,陈慧丽,屈雯,等.中医护理在促进中风偏瘫患者康复中的应用[J].国际护理学杂志, 2017,36(8): 1039-1042.DOI:10.3760/cma.j.issn.1673-4351.2017.08.009.
[18] 雒韵韵,武俊英.脑卒中后偏瘫上肢功能障碍的康复治疗研究进展[J].中西医结合心脑血管病杂志, 2022,20(10): 1815-1818.DOI: 10.12102/j.issn.1672-1349.2022.10.020.
[19] 李景莉.穴位按摩联合五行音乐疗法对脑卒中后抑郁伴睡眠障碍患者临床症状和生活质量的影响[J].四川中医, 2019, 37(5): 190-192.
[20] 余凌.中医康复护理对改善脑卒中偏瘫恢复期患者肢体功能的作用[J].中医临床研究, 2021, 13(12): 38-40. DOI: 10.3969/j.issn.1674-7860.2021.12.014.
[21] 刘红艳,王亚.中医情志护理联合康复护理干预在脑梗死患者中的应用效果[J].临床医学研究与实践, 2019, 4(8): 143-145. DOI: 10.19347/j.cnki.2096-1413.201908056.
[22] 严隽陶,杨佩君,吴毅,等.脑卒中居家康复上海地区专家共识[J].上海中医药大学学报, 2020,34(2): 1-10.DOI: 10.16306/j.1008-861x.2020.02.001.
[23] 胡昌盛,许星莹,张彩霞,等.缺血性脑卒中二级预防中医特色护理干预效果研究[J].护士进修杂志, 2020, 35(11): 961-964, 969. DOI: 10.16821/j.cnki.hsjx.2020.11.001.
[24] 张艳柳.精细化管理联合中医护理对中风后偏瘫患者康复进程及护理满意度的影响[J].新中医, 2020,52(22): 163-165.DOI: 10.13457/j.cnki.jncm.2020.22.046.
[25] 武庆花,李花玉.通窍复神汤联合耳穴压豆治疗急性脑梗死(风痰瘀阻证)的临床观察[J].中国中医急症, 2021, 30(10): 1818-1820. DOI: 10.3969/j.issn.1004-745X.2021.10.035.
[26] 叶宝叶,康佳珺,魏定群,等.经络穴位拍打治疗对脑卒中偏瘫患者肢体功能及情绪变化的影响[J].亚太传统医药, 2019, 15(2): 135-137. DOI: 10.11954/ytctyy.201902046.
[27] 周瑜.穴位按摩联合中药熏蒸在脑卒中偏瘫病人康复期护理中的应用[J].全科护理, 2019, 17(21): 2627-2630. DOI: 10.12104/j.issn.1674-4748.2019.21.024.
[28] 史芝璟,黄瑾,居珺, 等.区域医联体背景下的4C中医延续护理对脑卒中患者康复效果的研究[J].护士进修杂志, 2021, 36(9): 843-846, 849. DOI: 10.16821/j.cnki.hsjx.2021.09.018.
[29] 陈丹,刘圣香.以家庭为中心的群组式健康管理在缺血性脑卒中病人二级预防中的应用效果[J].护理研究, 2021, 35(3): 514-518. DOI: 10.12102/j.issn.1009-6493.2021.03.032.
[30] 马俊玲.社区延续护理联合辨证施护对脑梗死偏瘫生活质量的影响[J].内蒙古中医药, 2017,36(3): 172-173.DOI: 10.3969/j.issn.1006-0979.2017.03.150.

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