辨证施护在临床护士原发性痛经中的应用

Application of syndrome differentiation and nursing on primary dysmenorrhea of clinical nurses

目的:通过中医辨证护理干预临床一线护士的原发性痛经症状得到缓解。方法:通过中医辨证,将临床一线护士的原发性痛经进行分型:寒凝血瘀型、气滞血瘀型、肝肾亏虚型、气血虚弱型,再根据分型结果实施辨证的护理干预。采用简化的McGill疼痛问卷(SF-MPQ)进行评定。结果:65名护士干预后疼痛评定指数(PRI)及现时疼痛强度(PPI)均低于干预前(P<0.001)。结论:对不同类型的原发性痛经实施辨证的护理干预,更有利于经痛的缓解,提高护士经期的生活工作质量。

Objective：To relieve pain of clinical nurses＇ primary dysmenorrhea through syndrome differenfiation and nursing. Methods：Based on the theory of syndrome differentiation of TCM, clinical nurses＇primary dysmenorrhes can be divided into 4 types as follow： Cold coagulation and blood stasis, qi stagnation and blood stasis, liver and kidney deficiency, asthania of qi and blood. Different nursing metheds are givan according to different types. Simplified McGill Pain Questionnaire （ SF - MPQ） were used to evaluate the therapeutic effect. Results： Amount the 65 cases, before and after the syndrome differen- tiation and nursing, Pain Rating Index （ PRI ） and Present Pain Intensity （ PPl ） had improved significantly （P 〈 0. 001 ）. Conclusion： Giving different nursing methods according to different types of differentiation of primary dysmenorrheal can relieve menstrual pain more effectively, and can improve the living and working condition of clinical nurses during menstrual period.