中医护理干预对溃疡性结肠炎患者临床治疗效果的影响研究

Curative Observation of Applying Traditional Chinese Medicine Nursing Intervention to Patients with Ulcerative Colitis

目的:探讨和研究应用辨证施护中医护理干预对溃疡性结肠患者临床疗效的影响及可行性。方法:以我院142例溃疡性结肠炎患者为研究对象,由患者自主选择护理方案,并将其分为两组:对照组行传统护理干预,观察组在行上述护理干预基础上,同时依据辨证施护原则,配合行饮食干预、情志护理、中药保留灌肠等中医措施,观察和对比两组疾病治疗效果、止泻时间、住院时间、并发症发生率、护理服务投诉率、疾病复发率。结果:观察组治疗总有效率高达94.4%,对照组仅为84.3%;观察组止泻时间、住院时间分别为(2.4±0.5)天和(7.4±1.2)天,显著性短于对照组(4.8±1.2)天和(13.3±2.7)天;同时并发症发生率及疾病复发率分别为2.8%和6.9%,较对照组12.9%和18.6%均显著降低;上述对比差异均显著,具备统计学意义(P<0.05);但两组间护理服务投诉率相近,差异无统计学意义(P>0.05)。结论:应用辨证施护中医护理干预,能显著提升溃疡性结肠炎患者的治疗效果,缩短其止泻及住院时间,且护理期间并发症较少,出院后短期复发率较低,因此值得推广使用。

Objectives： To explore and research the clinical effect and feasibility of applying the methods of dialectical nursing and traditional Chinese medicine nursing intervention to the patients with ulcerative colitis. Methods： 142cases of ulcerative colitis patients in our hospital were selected as the research object. They were divided into two groups based on the principle of choosing the nursing program themselves. The controlled group received traditional nursing only, while the observation group, on the basic of the controlled group, received traditional Chinese medicine nursing intervention, such as additional diet recuperation, mentality nursing care and enema, according to the principle of dialectical nursing. Their treatment effect, antidiarrheal time, hospitalization time, complications rate, nursing services complaints rate, recurrence rate were observed and compared in order to show the differences of two kinds of nursing methods. Results ： The total effective rate of the observation group was up to 94. 4%, while the controlled group was only 84. 3% ; the observation group＇s antidiarrheal time and hospitalization time were （2. 4±0. 5 ） days and （7.4 ±1.2 ） days, significantly shorter than the controlled group＇s （4. 8 ± 1.2 ） days and （ 13. 3 ± 2. 7 ） days ; at the same time, complications rate and recurrence rate of the observation group were 2. 8% and 6. 9%, significantly less than 12. 9% and 18.6% of the controlled group. The differences above showed statistically significant （P〈0. 05）; but two groups＇ nursing services complaint rates were similar, there was no significant difference （ P〉0. 05 ）. Conclusions： The applica- tion of dialectical nursing and traditional Chinese medicine nursing intervention can significantly improve the treatment effect of patients with ulcerative colitis, which can shorten the antidiarrheal and hospitalization time, decrease the complications during nursing care, as well as reduce the short-term recurrence rate. So it is worthy to be popularized.