辨证施膳对肠息肉术后患者治疗依从性及生活质量随访研究

The study of intestinal polyp surgery patients on obedience and quality of life after applying syndrome differentiation and treatment

目的:探讨中医宏观及微观辨证施膳对肠息肉术后患者治疗依从性及其生活质量的影响。方法:将120例中山市中医院肛肠科肠息肉术后的患者随机分为观察组和对照组各60例,观察组患者按医嘱执行辨证施膳饮食调护,对照组患者则按医嘱口服中药煎剂,经过6个月的治疗护理后,比较两组方法对肠息肉术后患者治疗依从性及生活质量的影响。结果:观察组患者观察周期服膳完成人数合计55例(91.66%)。对照组患者观察周期服药完成人数合计37例(61.66%)。观察组患者治疗依从性明显优于对照组患者(P<0.01)。观察组患者术后6个月生活质量主要指标:总体健康、生理功能、生理职能、情感职能、社会功能、活力、精神健康,都优于对照组(P<0.05)。两组躯体疼痛症状差异无统计学意义(P>0.05)。结论:宏观微观辨证施膳饮食调护显著提高肠息肉术后患者的治疗依从性;提高了患者的生活质量。

Objective： To explore the effect of syndrome differentiation and diet application on treatment compliance and quality of life of intestinal polyp surgery patients. Methods： 120 cases from Colon and Rectal Surgery Department at Zhongshan Chinese Medicine Hospital were randomly selected and divided into the observation group and the control group, with 60 cases in each group. The syndrome differentiation and diet application were implemented in the observation group, while the control group received Chinese herb decoction. After 6 months of treatment and nursing, the effect of syndrome differentiation and diet application on treatment compliance and quality of life of intestinal polyp surgery patients was compared. Results： 55 cases （91.66%） in the observation group completed the treatment, while only 37 cases（61.66%） in the control group completed the treatment. The treatment obedience in the observation group was much better than the control group （P〈0.01）. The main indexes of quality of life in the observation group in 6 months： general health, physical fimction, emotional function, social ftmction, vitality and mental health were much better than those in the control group （P〈0.05）. However, the difference of physical pain symptoms in this two groups was of no statistical significance （P〉0.05）. Conclusion： Chinese Medicine syndrome differentiation and diet application could significantly enhance the compliance and quality of life of patients with intestinal polyp surgery.