首页|中医五音疗法联合耳穴压豆对鼻内镜手术后疼痛和负性情绪的干预效果

中医五音疗法联合耳穴压豆对鼻内镜手术后疼痛和负性情绪的干预效果

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目的:探讨中医五音疗法联合耳穴压豆对鼻内镜手术(NES)后疼痛和负性情绪的干预效果.方法:采用随机数字表法将 2022 年 1 月—2023 年 12 月于江西中医药大学附属医院拟行NES治疗的患者100例分为两组,各50例.对照组接受常规治疗和基础护理,观察组加用中医五音疗法联合耳穴压豆干预,两组均连续干预7 d.比较两组术后疼痛程度、负性情绪及生活质量.结果:术后 12 h,两组疼痛数字评分法(NRS)评分比较,差异无统计学意义(P>0.05);术后 24、48、72 h,观察组NRS评分均低于对照组,差异均有统计学意义(P<0.05).干预后,观察组汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分均低于对照组,生活质量综合评定问卷(GQOLI-74)各维度评分均高于对照组,差异均有统计学意义(P<0.05).结论:中医五音疗法联合耳穴压豆可有效减轻NES后患者疼痛程度,改善其负性情绪,提高其生活质量,是一种简便廉验、可值得推广的临床护理方案,患者易于接受,具有较高的临床应用价值.
Interventional Effect of Traditional Chinese Medicine Five Tone Therapy Combined with Ear Acupoint Pressing Beans on Pain and Negative Emotions after Nasal Endoscopic Surgery
Objective:To explore the intervention effect of traditional Chinese medicine five tone therapy combined with ear acupoint pressing beans on pain and negative emotions after nasal endoscopic surgery(NES).Method:A random number table method was used to divide 100 patients who planned to undergo NES at Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2022 to December 2023 into two groups,with 50 patients in each group.The control group received routine treatment and basic nursing,while the observation group received traditional Chinese medicine five tone therapy combined with ear point pressing beans intervention,and both groups received continuous intervention for 7 days.The degree of postoperative pain,negative emotions,and quality of life between two groups compared.Result:At 12 hours after surgery,there was no statistically significant difference in the pain numerical rating scale(NRS)scores between the two groups(P>0.05);at 24,48 and 72 hours after surgery,the NRS scores of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).After intervention,the Hamilton anxiety scale(HAMA)and Hamilton depression scale(HAMD)scores of the observation group were lower than those of the control group,scores of each dimension and the generic quality of life inventory(GQOLI-74)were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The combination of traditional Chinese medicine five tone therapy and ear acupoint pressure baens can effectively alleviate the pain level,improve negative emotions,and improve the quality of life of patients after NES.It is a simple,inexpensive,and worth promoting clinical nursing plan,which is easy for patients to accept and has high clinical application value.

Nasal endoscopyTraditional Chinese medicine five tone therapyEar acupoint pressing beansPainNegative emotionsQuality of life

唐文静、李小妹、张晶、吴晓兰

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江西中医药大学附属医院护理部 江西 南昌 330002

鼻内镜 中医五音疗法 耳穴压豆 疼痛 负性情绪 生活质量

江西省中医药管理局科技计划项目

2022B836

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(24)