首页|中医"治未病"理论护理对冠状动脉粥样硬化性心脏病患者心血管不良事件的影响

中医"治未病"理论护理对冠状动脉粥样硬化性心脏病患者心血管不良事件的影响

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目的 探讨基于中医"治未病"理论的护理对冠状动脉粥样硬化性心脏病(简称"冠心病")患者心血管不良事件及生活质量的影响。方法 选取2016 年1 月至2020 年12 月上海长征医院收治的 86 例冠心病患者为研究对象,采用随机数字表法分为干预组(43 例)和对照组(43 例)。对照组给予常规护理,干预组在对照组的基础上采用基于中医"治未病"理论的护理。从入院当日开始,干预为期 6 个月,比较 2 组的心血管不良事件发生率、治疗依从性、生活质量以及血清一氧化氮(NO)、内皮素-1(ET-1)、血栓素B2(TXB2)水平。结果 随访 6 个月后,对照组的心血管不良事件发生率为18。60%,干预组为4。65%,干预组低于对照组(P<0。05);对照组的治疗依从率为76。74%,干预组为93。02%,干预组高于对照组(P<0。05)。随访3 个月及 6 个月后,干预组的生理健康、心理健康和简明健康状况量表总分均高于同期对照组(P 均<0。05),且 2 组均高于同组入院时(P 均<0。05);2 组的血清NO水平均高于入院当日,而血清ET-1 和TXB2 水平均低于入院当日(P均<0。05),且干预组的血清NO水平均高于同期对照组,血清ET-1 和TXB2 水平均低于同期对照组(P均<0。05)。结论 基于中医"治未病"理论的护理可有效提升冠心病患者的治疗依从性,改善其血管内皮功能,降低心血管不良事件发生率,且能提升患者的生活质量。
Effect of nursing of traditional Chinese medicine"preventive treatment of disease"theory on cardiovascular adverse events in patients with coronary atherosclerotic heart disease
Objective To explore the effect of nursing based on traditional Chinese medicine"preventive treatment of disease"theory on the cardiovascular adverse events and quality of life in patients with coronary atherosclerotic heart disease(CHD).Methods A total of 86 CHD patients admitted to Shanghai Changzheng Hospital from January 2016 to December 2020 were selected as the study subjects,and were allocated to an intervention group(43 cases)and a control group(43 cases)by random number table method.The control group was given routine nursing,and the intervention group was additionally given nursing based on traditional Chinese medicine"preventive treatment of disease"theory.From the day of admission,the intervention lasted for 6 months.The incidence of cardiovascular adverse events,treatment compliance,quality of life,and serum levels of nitric oxide(NO),endothelin-1(ET-1),and thromboxane B2(TXB2)were compared between the two groups.Results After 6 months of follow-up,the incidence of cardiovascular adverse events was 18.60%in the control group and 4.65%in the intervention group.The intervention group was lower than the control group(P<0.05).The treatment compliance rate was 76.74%in the control group and 93.02%in the intervention group.The intervention group was higher than the control group(P<0.05).After 3 and 6 months of follow-up,the physical health score,mental health score,and the total score of Short Form-36 Health Survey in the intervention group were higher than those in the control group(all P<0.05),and both groups had higher scores compared with those at admission(all P<0.05).The serum NO level in both groups was higher than that at admission,and the serum ET-1 and TXB2 levels were lower than those at admission(all P<0.05).The serum NO level in the intervention group was higher than that in the control group,and the serum ET-1 and TXB2 levels were lower than those in the control group(all P<0.05).Conclusion The nursing based on traditional Chinese medicine"preventive treatment of disease"theory can effectively increase the CHD patients'treatment compliance,improve the vascular endothelial function,reduce the incidence of cardiovascular adverse events,and improve the quality of life.

coronary atherosclerotic heart diseasetheory of preventive treatment of diseasecardiovascular adverse eventquality of life

李景怡、文凤、孟庆翔

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海军军医大学第二附属医院 上海长征医院,上海,200003

冠状动脉粥样硬化性心脏病 治未病理论 心血管不良事件 生活质量

2024

中西医结合护理(中英文)
上海交通大学

中西医结合护理(中英文)

ISSN:2096-0867
年,卷(期):2024.10(2)
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