Research on the risk assessment scale for traditional Chinese medicine nursing safety based on Barthel index combined with constitution identification
基于Barthel指数联合体质辨识的中医护理安全风险评估量表的研究

摘要

目的 将基于Barthel指数（BI）的安全风险评估量表联合体质辨识中医护理用于腰椎间盘突出症（LDH）患者中，对其应用价值进行探究。方法 选取2024年8月-2025年8月本院收治的88例LDH患者，随机分组，对照组44例行常规护理，观察组44例行基于BI指数的安全风险评估量表联合体质辨识的中医护理，对两组干预结果进行比较。结果 干预前，两组JOA、VAS评分比较，不具显著差异（P>0.05），干预后，观察组JOA评分更高、VAS评分更低（P<0.05）；干预前，两组BI、SF-36评分比较，不具显著差异，干预后，观察组各评分更高（P<0.05）；两组护理满意度比较，观察组95.45%更高（P<0.05）。结论 对LDH患者来说，应用基于BI指数的安全风险评估量表联合体质辨识的中医护理可获得满意效果，既能改善患者腰椎功能，还可减轻疼痛程度，提高日常生活能力及生活质量，提高患者护理满意度，具有较高应用价值。

Abstract

Objective To explore the application value of the Barthel Index (BI) based safety risk assessment scale combined with constitution identification in traditional Chinese medicine nursing for patients with lumbar disc herniation (LDH).
Methods 88 LDH patients admitted to our hospital from August 2024 to August 2025 were randomly divided into two groups. The control group (44 cases) received routine nursing care, while the observation group (44 cases) received traditional Chinese medicine nursing care based on the BI index safety risk assessment scale combined with constitution identification. The intervention results of the two groups were compared. Before intervention, there was no significant difference in JOA and VAS scores between the two groups (P>0.05). After intervention, the observation group had higher JOA scores and lower VAS scores (P<0.05);
Results Before intervention, there was no significant difference in BI and SF-36 scores between the two groups. After intervention, the observation group had higher scores in each group (P<0.05); The comparison of nursing satisfaction between the two groups showed that the observation group had a higher satisfaction rate of 95.45% (P<0.05).
Conclusion   For LDH patients, the application of a safety risk assessment scale based on BI index combined with constitution identification in traditional Chinese medicine nursing can achieve satisfactory results. It can improve the patient's lumbar spine function, reduce pain, enhance daily living ability and quality of life, and improve patient nursing satisfaction, which has high application value.