中医护理方案在再生障碍性贫血患者临床护理中的应用

Application of TCM nursing program in clinical nursing care in patients with aplastic anemia

目的 探究中医护理方案在再生障碍性贫血患者临床护理中的应用.方法 选取2014年11月—2016年11月在廊坊市中医医院接受治疗的108例再生障碍性贫血患者为研究对象.按照随机数字表法将108例患者随机分为研究组和对照组,每组各54例.对照组采取再生障碍性贫血常规临床护理方案,研究组在常规临床护理的基础上结合中医护理方案对患者进行护理.比较两组患者的住院时间、患者的护理满意度、患者出血、感染等并发症的发生率以及两组患者的护理依从性.结果 研究组住院时间（13.50±4.25） d,短于对照组（18.24±4.36） d,差异有统计学意义（P〈0.05）.对照组护理满意度70.37%,低于研究组的96.30%,差异有统计学意义（P〈0.05）.研究组并发症发生率7.41%,低于对照组的24.07%,差异有统计学意义（P〈0.05）.研究组患者用药依从得分（5.93±1.03）分和情绪配合得分（4.78±1.14）分高于对照组患者用药依从得分（4.58±1.12）分和情绪配合得分（4.06±1.25）分,研究组治疗依从性77.78%,高于对照组的64.81%,差异有统计学意义（P〈0.05）.结论 中医护理方案能够有效缩短患者住院时间,减少患者并发症的发生,提高患者护理依从性以及护理满意度,值得广泛推广.

Objective To explore the application of TCM nursing program in clinical nursing in patients with aplastic anemia. Methods A total of 108 patients with aplastic anemia who were treated in Langfang TCM Hospital from November 2014 to November 2016 were selected in this study. The participants were divided into the intervention group （n=54） and the control group （n=54） using the random number table. Based on the routine nursing care for aplastic anemia patients, the intervention group received additional TCM nursing program. The hospital length of stay, patients＇ satisfaction level, the incidence of complications such as hemorrhage and infection, and patients＇ care compliance were compared between two groups. Results The intervention group had significantly shorter LOS [（13.5±4.25） vs. （18.24±4.36） d], higher satisfaction level （96.30% vs. 70.37%）, less incidence rate of complications （7.41% vs. 24.07%）, and better treatment compliance （77.78% vs. 64.81%） compared with the control group （P〈 0.05）. In addition, the intervention group had significantly higher scores of medication compliance [（5.93±1.03） vs. （4.58±1.12）]and emotion cooperation [（4.78±1.14） vs. （4.06±1.25）]compared with the control group （P〈 0.05）. Conclusions TCM nursing program can effectively reduce the length of stay and incidence of complications, and can significantly improve patients＇ compliance and nursing satisfaction.