首页|中医综合干预配合健康宣教在老年阳虚型便秘患者中的应用效果

中医综合干预配合健康宣教在老年阳虚型便秘患者中的应用效果

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目的 探讨中医综合干预配合健康宣教在老年阳虚型便秘患者中的应用效果.方法 选择 2021 年 7 月至2023 年7 月上海浦东新区光明中医医院内科收治的110 例老年阳虚型便秘患者为研究对象,采用随机数字表法将其分为对照组(55 例,常规药物治疗和护理)与观察组(55 例,常规药物治疗和护理+中医综合干预配合健康宣教).对比2 组的临床疗效、排便情况、中医证候积分、大便性状及生活质量改善情况.结果 观察组的临床总有效率(96.36%)较对照组(87.27%)更高(P＜0.05).干预4 周后,观察组的排便时间早于对照组,每周正常排便次数多于对照组(P均＜0.05),且2 组的排便情况均优于干预前(P均＜0.05).干预4 周后,观察组的大便性状积分高于对照组,各项中医证候积分和便秘患者生活质量量表(PAC-QOL)评分均低于对照组(P均＜0.05),且 2 组的以上评分均优于干预前(P均＜0.05).结论 中医综合干预配合健康宣教在老年阳虚便秘患者中显现较好的疗效,可促进患者排便,有助于改善便秘情况及大便性状,提高生活质量.
Application effect of traditional Chinese medicine comprehensive intervention combined with health education in elderly patients with constipation of yang deficiency type
Objective To explore the application effect of traditional Chinese medicine comprehensive intervention combined with health education in elderly patients with constipation of yang deficiency type.Methods A total of 110 elderly patients with constipation of yang deficiency type admitted to the Department of Internal Medicine of Shanghai Pudong New Area Guangming Hospital of Traditional Chinese Medicine from July 2021 to July 2023 were selected as the study subjects.They were divided into a control group(55 cases who received conventional medication and nursing)and an observation group(55 cases who received conventional medication and nursing+traditional Chinese medicine comprehensive intervention combined with health education)by the use of a random number table.The clinical efficacy,bowel movements,traditional Chinese medicine syndrome scores,stool traits,and improvement in quality of life were compared between the two groups.Results The total clinical effective rate of the observation group was higher than that of the control group(96.36%vs.87.27%,P＜0.05).After 4 weeks of intervention,the bowel movement time of the observation group was earlier than that of the control group,and the frequency of normal bowel movements per week was greater than that of the control group(both P＜0.05).The bowel movement of both groups was better than that before intervention(all P＜0.05).Compared with the control group,the observation group had higher stool trait scores and lower traditional Chinese medicine syndrome scores and Patient Assessment of Constipation-Quality of Life Scale(PAC-QOL)scores after 4 weeks of intervention(all P＜0.05).Both groups had better scores compared with those before intervention(all P＜0.05).Conclusion Traditional Chinese medicine comprehensive intervention combined with health education has shown a good therapeutic effect on elderly patients with constipation of yang deficiency type,which can promote the bowel movements,improve the constipation and stool traits,and enhance the quality of life.

constipation of yang deficiency typeelderlytraditional Chinese medicine comprehensive interventionhealth educationtraditional Chinese medicine syndrome score

王琳、王瑜、游琴、唐燕萍

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上海市浦东新区光明中医医院,上海,201399

阳虚型便秘 老年 中医综合干预 健康宣教 中医证候积分

2021年度上海市护理学会科研课题计划2021年度浦东新区科技发展基金事业单位民生科研专项项目2020年度浦东新区卫生系统优秀青年医学人才培养计划

2021MS-B09PKJ2021-Y67PWRq2020-08

2024

10.11997/nitcwm.202406014

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(6)