穴位按摩结合情志护理对颈椎病后抑郁病人康复效果的影响

摘要

[目的]探讨情志护理结合穴位按摩对颈椎病后抑郁病人康复效果的影响。[方法]运用随机数字表法将134例颈椎病后抑郁病人随机分为对照组(n=46)、情志组(n=44)、穴位按摩结合情志护理组(n=44)。对照组采用项痹的中医护理方案和抑郁病人的常规护理进行护理,情志组在对照组的基础上给予情志护理,穴位按摩情志组在情志组的基础上给予穴位按摩。干预前及干预后8周采用汉密尔顿抑郁量表(HADM)、颈椎病临床评价量表(CASCS)、简易自我效能量表进行评价。[结果]对照组、情志组、穴位按摩结合情志组干预后 HAMD评分分别为18.34分±6.93分,14.78分±6.38分,10.12分±6.25分；CASCS评分分别为87.73分±6.12分,92.37分±6.37分,96.33分±3.24分；简易自我效能量表评分6.54分±1.02分,7.25分±0.93分,7.46分±0.86分,3组评分差异均有统计学意义(P<0.05),且情志护理、穴位按摩结合情志护理组康复效果优于对照组,穴位按摩结合情志护理组优于情志组。[结论]穴位按摩结合情志护理能够有效提高颈椎病后抑郁病人的康复效果。%Objective:To explore the effect of emotional nursing combined with acupoint massage on the rehabili-tation of patients with depression after cervical spondylosis.Methods:A total of 134 patients with depression were randomly divided into control group (46 cases),emotion group (44 cases),and acupoint massage combined with emotional nursing group (44 cases)by random number table method.The control group received traditional Chinese medicine nursing of cervical spondylosis and routine nursing for depression.The emotion group was giv-en emotional care on the basis of the control group.The acupoint massage group combined with emotional nurs-ing group received acupoint massage on the basis of emotion group.Hamilton Depression Scale (HADM),Clini-cal Assessment Scale for Cervical Spondylosis (CASCS)and General Self-Efficacy Scale were used before the intervention and after 8 weeks after intervention.Results:The HAMD scores of the control group,emotion group and acupoint massage combined with emotional nursing group were (18.34±6.93)points,(14.78±6.38)points and (10.12±6.25)points respectively.The CASCS scores of the three groups were (87.73±6.12)points,(92.37±6.37) points and (96.33±3.24)points respectively.The self-efficacy scale scores of the three groups were (6.54±1.02) points,(7.25±0.93)points and (7.46±0.86)points respectively.There were significant differences among the three groups (P<0.05).The rehabilitation of emotion group and acupoint massage combined with emotional nursing group was better than the control group.The acupoint massage combined with emotional nursing group had a better rehabilitation effect than the emotion group.Conclusion:Acupoint massage combined with emo-tional nursing can effectively improve the rehabilitation effect of patients with depression after cervical spondy-losis.