首页|"治未病"理念下特色中医护理在肺结核患者中的应用及对预后的影响观察

"治未病"理念下特色中医护理在肺结核患者中的应用及对预后的影响观察

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目的:观察"治未病"理念下特色中医护理在肺结核患者中的应用及对预后的影响.方法:选取 2022 年 2 月—2023 年 3 月在赣州市第五人民医院接受治疗的 82 例肺结核患者,根据抛掷硬币法分为对照组(n=40)和中医组(n=42).对照组接受常规的护理干预,中医组给予"治未病"理念下的特色中医护理.比较两组肺功能、自护能力、情绪及预后情况(痰菌阴转率、并发症发生情况).结果:干预6 个月后,两组最大呼气流量(PEF)、第 1 秒用力呼气容积(FEV1)、用力肺活量(FVC)指标均较干预前上升,差异均有统计学意义(P<0.05).干预 6 个月后,中医组自我护理技能、责任感、自我概念、健康认知水平评分均显著高于对照组,差异均有统计学意义(P<0.05).干预 6 个月后,两组焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分均较干预前下降,且中医组评分均低于对照组,差异均有统计学意义(P<0.05).两组患者痰菌阴转率比较,差异无统计学意义(P>0.05).中医组并发症发生率低于对照组,差异有统计学意义(P<0.05).结论:肺结核患者应用"治未病"理念下的特色中医护理可有效改善肺部功能,提升自我护理能力,改善负性情绪及预后.
Observation on Application of Characteristic Traditional Chinese Medicine Nursing under the Concept of"Preventive Treatment of Disease"in Patients with Pulmonary Tuberculosis and Its Impact on the Prognosis
Objective:To observe the application of characteristic traditional Chinese medicine nursing under the concept of"preventive treatment of disease"in patients with pulmonary tuberculosis and its impact on the prognosis.Method:A total of 82 pulmonary tuberculosis patients who were treated in the Fifth People's Hospital of Ganzhou from February 2022 to March 2023 were selected,and divided into the control group(n=40)and the traditional Chinese medicine group(n=42)using coin flipping.The control group received routine nursing intervention,while the traditional Chinese medicine group received characteristic traditional Chinese medicine nursing under the concept of"preventive treatment of disease".Pulmonary function,self-care ability,emotions and prognosis(sputum negative conversion rate and incidence of complications)of the two groups were compared.Result:After 6 months of intervention,peak expiratory flow(PEF),forced expiratory volume in 1 second(FEV1)and forced vital capacity(FVC)in both groups increased compared to those before intervention,the differences were statistically significant(P<0.05).After 6 months of intervention,the scores for self-care skills,sense of responsibility,self-concept and health cognition in the traditional Chinese medicine group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).After 6 months of intervention,the scores on the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in both groups decreased compared to those before intervention,and the scores of the traditional Chinese Medicine group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in sputum negative conversion rate between the two groups(P>0.05).The incidence of complications was lower in the traditional Chinese medicine group than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Applying characteristic traditional Chinese medicine nursing under the concept of"preventive treatment of disease"in patients with pulmonary tuberculosis can effectively improve their pulmonary function,enhance self-care ability,improve negative emotions and prognosis.

Concept of "preventive treatment of disease"Characteristic traditional Chinese medicine nursingPulmonary tuberculosisPrognosis

刘伟江、杨秀英、尤冰

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赣州市第五人民医院体检科 江西 赣州 341000

赣州市第五人民医院急诊科 江西 赣州 341000

赣州市第五人民医院结核科 江西 赣州 341000

治未病理念 特色中医护理 肺结核 预后

江西省中医药管理局科技计划项目

2023B0355

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(20)
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