子宫内膜异位症患者的中医慢病护理门诊管理
TCM chronic disease nursing clinic management in endometriosis outpatients
谢玉英 1叶淑华 1向东方 1梁雪芳 1程兰 1王永霞1
作者信息
- 1. 广东省中医院妇科(广东广州,510370)
- 折叠
摘要
目的 评价中医慢病护理门诊对子宫内膜异位症患者的管理效果.方法 采用历史对照法,将2020年1-12月行腹腔镜手术的子宫内膜异位症门诊就诊的痛经患者88例作为对照组,按常规行术后门诊复诊及随访;2021年1-12月行腹腔镜手术的门诊就诊的88例痛经患者为观察组,在对照组基础上实施子宫内膜异位症中医慢病护理;干预3个月.干预后3、6、12个月评估干预效果.结果 两组各85例患者完成研究及随访.两组痛经评分、自我管理能力评分及生存质量评分比较,组间效应、时间效应及交互效应差异有统计学意义(均P＜0.05).结论 对子宫内膜异位症患者实施中医慢病护理门诊管理,可更有效地改善痛经症状,提高疾病自我管理能力和生存质量.
Abstract
Objective To evaluate the management effect of TCM chronic disease nursing clinic in endometriosis oupatients.Methods The historical control method was used,a total of 88 endometriosis outpatients with dysmenorrhea after laparoscopic surgery from January to December 2020 were regarded as a control group,who received routine postoperative outpatient visit and follow-up,and their counterparts of 88 patients visited from January to December 2021 were taken as an experimental group,who additionally re-ceived TCM chronic disease management in a nurse-led clinic for 3 months.The intervention effect was evaluated at 3,6,and 12 months after the intervention.Results Totally 85 patients in each group completed the study and follow-up.When compared the dys-menorrhea score,self-management ability score and quality of life score between the two groups,the intervention effect,time effect and intervention X time effect were statistically significant(all P＜0.05).Conclusion The TCM chronic disease nursing cli-nic management in endometriosis outpatients,can more effectively alleviate the symptom of dysmenorrhea,and improve patients'disease self-management ability and quality of life.
关键词
子宫内膜异位症/痛经/慢病管理/护理门诊/中医护理/自我管理能力/生存质量Key words
endometriosis/dysmenorrhea/chronic disease management/nurse-led clinic/traditional Chinese medicine nur-sing/self-management ability/quality of life引用本文复制引用
基金项目
广州市科技计划市校(院)企联合资助专题(登峰医院)基础研究项目(2023A03J0241)
广州市荔湾区科技计划(20230716)
广州民政科技基金(2021MZK34)
广东省名老中医药专家传承工作室建设项目(国中医药人教函[2018]134号)
出版年
2024
NETL
NSTL
万方数据