中医临床辨证施护路径在哮病缓解期患者中的应用

Application to TCM clinical syndrome differentiation nursing path on the patient nursing of wheezing catabatic period

目的 探讨中医辨证分型临床护理路径在哮病缓解期患者中的应用效果.方法 采用随机数字表法分为实验组和对照组各30例,实验组患者采用中医辨证施护路径,对照组患者采用传统护理,分别对患者入院第1天、干预后28 d进行哮喘控制测试（ACT评分）并评价.结果 实验组患者知识知晓度得分（95.32±3.25）分、合格率为24例（80.00%）,均高于对照组（P=0.001）;患者满意度方面健康教育得分最高,实验组总体满意度得分高于对照组（P〈0.01）;实验组ACT控制良好及基本控制优于对照组（P〈0.05）.结论 中医临床辨证施护路径具有节约医疗资源、提升护理质量、提高患者满意度、提升依从性及中医知识知晓率等优点,利于推广.

Objective To explore the effect of TCM syndrome differentiation types,build clinical nursing path and apply to the patients in wheezing catabatic period.Methods Random number table was applied to divide the study objects into experimental group and control group where there were 30 patients each.The patients of the experimental group used TCM syndrome differentiation nursing path and traditional nursing was applied to the patients of control group.Traditional nursing was conducted to the patients of the control group.In addition, asthma control test （ACT score） was conducted to the patients in the first day of admission and 28 days after intervention with evaluation.Results The knowledge degree of patients in experimental group was（95.32±3.25）, the percent of pass was 80.00%,which were higher than that of the control group（P=0.001）.With regard to the degree of satisfaction,the score of health education was the highest（P〈0.01）.The overall satisfaction score of the experimental group was higher than that of the control group（P〈0.01）.ACT of the experimental group was controlled well and the basic control was superior to that of the control group（P〈0.01）.Conclusion TCM clinical syndrome differentiation nursing path can save medical resources,improve nursing quality and the satisfaction of patients,promote compliance and awareness rate of TCM knowledge,which is worth having popularization.