中医整体化医疗模式及临床路径在胎动不安(先兆流产)中的应用评价

Evaluation of Holistic Chinese Medical Mode and Clinical Pathway in Fetal Movement Disturbed( Threatened Abortion)

目的:研究中医整体化医疗模式及临床路径在胎动不安(先兆流产)中的应用。方法:选取2015年3月至2016年3月海南省中医院接诊的60例先兆流产患者作为本次研究对象。对照组采用常规医疗干预;观察组采用中医整体化医疗模式及临床路径干预。观察2组患者治疗前后SAS、SDS评分,治疗后并发症情况,健康教育达标率,包括疾病知识、用药知识、心理及情志调适、孕期自我监护、营养及休息。结果:整体化治疗后,SAS、SDS评分均小于对照组(36.70±6.39、38.92±7.81)分vs(42.32±7.20、44.38±6.29)分(P<0.05);观察组并发症总发生率小于对照组16.66%(5/30)vs43.33%(13/30);观察组疾病知识、用药知识、心理及情志调适、孕期自我监护、营养及休息达标率均优于对照组[90.00%(27/30)、83.33%(25/30)、86.66%(26/30)、93.33%(28/30)、90.00%(27/30)]vs[50.00%(15/30)、66.66%(20/30)、70.00%(21/30)、63.33%(19/30)、73.33%(22/30)](P<0.05);观察组治疗总有效率优于对照组93.33%(28/30)vs70.00%(21/30)(P<0.05);观察组总满意度优于对照组93.33%(28/30)vs66.66%(20/30)(P<0.05)。结论:中医整体化医疗模式及临床路径在胎动不安(先兆流产)中的应用效果显著,能缓解患者不良情绪,提高患者保胎成功率,增进医护患3方沟通,监督,参与,提高患者满意度。

Objective：To study the application of holistic Chinese medical mode and clinical pathway in fetal movement disturbed （threatened abortion）.Methods：Sixty cases of threatened abortion from March 2015 to March 2016 in our hospital were selected as research objects.The control group was treated with routine intervention, while the observation group holistic medical treatment mode of TCM and clinical pathway intervention.Then observe the two groups of patients′SAS and SDS score, treatment complications, health education compliance rate, including disease knowledge, medication knowledge, psychological adjustment, pregnancy self-care, nutrition and rest.Results：After holistic treatment, SAS and SDS scores in the observation group was lower than those of the control group（36.70＆#177;6.39, 38.92＆#177;7.81）vs（42.32＆#177;7.20, 44.38＆#177;6.29）（P〈0.05）;the incidence of complications in the observation group was smaller than that of the control group 16.66%（5/30）vs 43.33%（13/30）（P〈0.05）;disease knowledge, medication knowledge, psychological adjustment, pregnancy self-care, nutrition and rest compliance rate in the observation group were statistically higher than those of the control group[90.00%（27/30）, 83.33%（25/30）, 86.66%（26/30）, 93.33%（28/30）, 90.00%（27/30）] vs [50.00%（15/30）, 66.66%（20/30）, 70.00%（21/30）, 63.33%（19/30）, 73.33%（22/30）]（P〈0.05）;the total effective rate of the observation group was statistically higher than that of the control group 93.33%（28/30）vs70.00%（21/30）（P〈0.05）;total satisfaction of the observation group was statistically higher than that of the control group 93.33%（28/30）vs 66.66%（20/30）（P〈0.05）.Conclusion：The holistic Chinese medical mode and clinical pathway in fetal movement disturbed （threatened abortion） has clear effect, which can alleviate the negative emotions of patients, improve the success rate of patients, enhance the doctor-patient communication, supervision and participation, and improve the satisfaction of patients.