中医食疗调护功能性便秘的效果研究

Research on the Effect of Chinese Food Therapy to Nurse Functional Constipation

目的:探究中医食疗技术对缓解功能性便秘患者中虚秘证型患者的症状,提高生活质量的作用及有效性。方法:将符合纳入标准的肛肠门诊功能性便秘患者72例,按随机数字表分为试验组和对照组,各36例。试验组实施中医食疗护理技术配合常规健康教育,对照组实施常规健康教育,每月通过问卷调查了解患者功能性便秘症状和生活质量情况,与同期的对照组比较。结果:实验组与对照组患者的便秘症状改善比较表明,实验组患者大便性状、大便次数、便秘严重程度的改善与对照组比较存在统计学差异(P<0.05、P<0.05、P<0.01)),实验组便秘症状改善优于对照组。生活质量综合评定及评分比较表明,试验组患者躯体功能维度、心理功能维度及社会功能维度与对照组比较均存在统计学差异(P<0.01、P<0.05、P<0.01),试验组生活质量改善优于对照组。结论:中医食疗技术配合健康教育的实施,不仅能有效缓解功能性便秘症状,提高生活质量,更是体现"治疗和保健结合,促进健康"的健康观念。中医食疗方案既继承了中医的"药食一体化"理论,也结合了西医的食物营养学,是对中医食疗的创新和发展。中医食疗技术的运用,符合当今社会文化的多元化特点,丰富了中医护理实践的内涵。

Objective： Exploring how to relief deficiency syndrome of patients with functional constipation and studying the therapeutic role and effectiveness of enhancing the quality of life.Methods： 72patients with functional constipation in the anorectal clinic were randomly divided into experimental and control groups according to the inclusion criteria,two groups were 36cases.The test group was given Chinese food therapy with conventional health care education,the control group was implemented conventional health education.Understanding the symptoms of functional constipation and the situation of quality of life through questionnaires per month,and then compared to control group with the same period.Results： The improvement of constipation symptoms between experimental group and control group showed that compared with the control group,there were significantly differences among stool,stool frequency,improvement of constipation severity（P0.05,P0.05,P0.01））.The experimental group was better than the control group in the improvement of constipation symptoms.Comprehensive assessment and scores of quality of life showed that compared with the control group,there were significantly differences in the dimensions of physical function,psychological function and social function of the test group（P0.01,P0.05,P0.01）.The experimental group was better than the control group in the improvement of quality of life.Conclusion： Chinese food therapy technology with the implementation of health education,not only can effectively alleviate the symptoms of functional constipation,improve quality of life,but also can reflect the health concepts of ＂combination of treatment and care,health promotion＂.Chinese food therapy program not only inherits ＂food and medicine integration＂ theory of the Traditional Chinese Medicine,but also combins with food nutrition of western medicine,which is the innovation and development of the Chinese diet.The use of Chinese food therapy meets diversely cultural characteristics of today＇s social and also enriches the content of nursing practice of Traditional Chinese Medicine.