针灸合并运动想象疗法在脑卒中偏瘫患者康复护理中的应用

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1、授予单位代码10089学号或申请号13298HebeiMedicalUniversity硕士学位论文科学学位针灸合并运动想象疗法在脑卒中偏瘫患者康复护理中的应用作者姓名：谢立娟导师：田素斋教授专业：护理学二级学院：河北医大二院交稿时间：2015.03河北医科大学学位论文使用授权及知识产权归厲承诺本学位论文在导师(或指导小组)的指导下,由本人独立完成。本学位论文研究所获得的研究成果,其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文,第一署名为单位河北医科大学，试验材

2、料、原始数据、申报的专利等知识产权均归河北医科大学所有<»否则,承担相应法律责任。研究生签名：吻^导师签章:gj声：级学院领导盖章：年上月釦日河北医科大学研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果,除了文中特别加以标注和致谢等内容外,文中不包含其他人已经发表或撰写的研究成果,指导教师对此进行了审定。本论文由本人独立撰写,文责自负。>O/JT年月彡。日目录中文摘要····································································

3、·········1英文摘要·············································································4研究论文针灸合并运动想象疗法在脑卒中偏瘫患者康复护理中的应用前言·············································································7材料与方法····························································

4、········8结果·············································································12附表·············································································14讨论·············································································16结论·············

5、································································20参考文献·······································································20附录·············································································23综述脑卒中偏瘫患者康复护理的现状与研究进展·················31致谢·

6、··················································································39个人简历·············································································40中文摘要针灸合并运动想象疗法在脑卒中偏瘫患者康复护理中的应用摘要目的：探讨求证于针灸治疗的同时介入运动想象疗法在脑卒中患者康复护理中的应用效果。方法：1研究对象采用随机分组的方法，选取于2014年1月

7、-10月入住我科的脑卒中患者60名。1.1纳入标准经过临床颅脑CT／MRI证实，均符合全国第四届脑血管病学术会议制定的诊断标准；首次发生脑卒中，一侧肢体偏瘫，肌力Ⅱ-Ⅲ级；神志清楚，无认知障碍；运动觉及视觉想象问卷(kinestheticandvisualimageryquestionnaire，KVIQ)测试正常(＞25分)；年龄40-65岁；病人及家属同意入组并自愿配合。1.2排除标准老年痴呆及意识障碍者；有严重的心肺疾患及并发症等危险因素者；各种原因致发病前已存在肢体功能障碍者；有情感及认知障碍、听力障碍、失语等不能完成或

8、配合想象者；病人或家属不同意入组者。2实施方法本研究由1名医师、1名治疗师、1名护士固定三人组成治疗小组共同完成。2.1对照组:医师为患者提供常规药物及内科治疗；治疗师为患者提供针灸治疗及康复治疗，包括物理疗法、运动疗法、作业疗法等；护士为患者提供康复护理，包括