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中医辩证护理联合目标设定流程化健康宣教在急性上消化道出血患者中的应用研究

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目的 探究中医辩证护理联合目标设定流程化健康宣教在急性上消化道出血(UGIB)患者中的应用研究。方法 选取 2021 年 1 月至 2023 年 1 月濮阳市中医医院肝胆脾胃科收治的 100 例急性UGIB患者作为研究对象,采用随机分层化法将其分为对照组(n=50)和观察组(n=50)。对照组给予常规护理,观察组在对照组的基础上采取中医辩证护理联合目标设定流程化健康宣教的模式进行干预,干预 7 d,出院后进行随访 2 个月。比较两组患者恢复情况及不良情况发生率,比较干预前、干预 7 d后两组患者心理状态[中国成年人心理弹性量表(RSA)]、生活质量[生活质量指数问卷(QL-Index)]差异。结果 观察组患者止血时间、首次进食时间、黑便转黄时间及平均住院时间均低于对照组,差异有统计学意义(P<0。05)。观察组不良反应发生率(14。00%)低于对照组(34。00%),差异有统计学意义(P<0。05);干预后,两组患者RSA、QL-Index评分均高于干预前,且观察组上述评分高于对照组,差异有统计学意义(P<0。05)。结论 采取中医辩证护理联合目标设定流程化健康宣教的模式对急性UGIB患者进行干预后,有效缩短患者恢复时间,改善患者心理状态及生活质量,并可提高安全性。
Application Study of Traditional Chinese Medicine Syndrome Differentiation Nursing Combined with Goal-Setting Process-Oriented Health Education in Patients with Acute Upper Gastrointestinal Bleeding
Objective To explore the application of Traditional Chinese Medicine(TCM)syndrome differentiation nursing combined with goal-setting process-oriented health education in patients with acute Upper Gastrointestinal Bleeding(UGIB).Methods A total of 100 patients with acute UGIB admitted to the Department of Hepatobiliary,Spleen and Stomach,Puyang Traditional Chinese Medicine Hospital from January 2021 to January 2023 were selected as the research subjects.They were randomly stratified into the control group(n=50)and the observation group(n=50).The control group was given routine care,while the observation group was intervened with the mode of TCM syndrome differentiation nursing combined with goal-setting process-oriented health education based on the control group.The intervention lasted for 7 days,and a 2-month follow-up was conducted after discharge.The recovery and adverse event rates of the two groups were compared,and the differences in psychological status[Resilience Scale for Chinese Adults(RSA)]and quality of life[Quality of Life Index Questionnaire(QL-Index)]before and after the intervention were compared.Results The hemostasis time,first eating time,black stool turning yellow time,and average hospital stay of the observation group were all lower than those of the control group,with statistically significant differences(P<0.05).The adverse reaction rate of the observation group(14.00%)was lower than that of the control group(34.00%),with a statistically significant difference(P<0.05).After the intervention,the RSA and QL-Index scores of both groups were higher than before the intervention,and the above scores of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).Conclusion The intervention of acute UGIB patients with the mode of TCM syndrome differentiation nursing combined with goal-setting process-oriented health education can effectively shorten the recovery time of patients,improve the psychological status and quality of life of patients,and enhance safety.

traditional Chinese medicine syndrome differentiation nursinggoal-setting process-orientedhealth educationacute upper gastrointestinal bleeding

贾俊利、刘建华

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濮阳市中医医院 肝胆脾胃科,河南 濮阳 457000

中医辩证护理 目标设定流程化 健康宣教 急性上消化道出血

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(7)