中医康复健康教育路径护理对支气管哮喘患者生活质量的影响

Effect of TCM rehabilitation health education pathway nursing on quality of life of patients with bronchial asthma

目的探讨中医康复健康教育路径护理对支气管哮喘患者生活质量的影响。方法选择我院2015年1月至2017年12月收治的120例支气管哮喘患者作为研究对象,按随机数字表法将其分为常规组(n=60,常规护理)及中医组(n=60,中医康复健康教育路径护理干预)。比较两组患者护理前、后的疾病中医认知状况、肺功能、细胞免疫功能、生活质量及出院6个月疾病复发情况。结果护理后,两组的疾病中医认知评分均显著升高,且中医组明显高于常规组(P<0.05)。护理后,两组患者PEF、FEV1、CD4+及CD4+/CD8+均明显高于护理前,且中医组明显高于常规组(P<0.05)。护理后,两组患者躯体功能、心理功能、社会功能及物质生活评分明显高于护理前,且中医组明显高于常规组(P<0.05)。中医组出院6个月的疾病复发率明显低于常规组(P<0.05)。结论给予支气管哮喘患者中医康复健康教育路径护理可明显改善患者的疾病中医认知状况、肺功能及细胞免疫功能,提高患者的生活质量,且疾病复发率低。

Objective To explore the effect of TCM rehabilitation health education pathway nursing on quality of life of patients with bronchial asthma. Methods A total of 120 patients with bronchial asthma admitted in our hospital from January 2015 to December 2017 were selected as research objects and divided into routine group(n=60, routine nursing)and TCM group(n=60, nursing intervention of TCM rehabilitation health education pathway) according to random number table method. The disease TCM cognitive status, pulmonary function, cellular immune function and quality of life before and after nursing, recurrence of disease in 6 months after discharge were compared between the two groups. Results After nursing, the scores of TCM cognition for disease in both groups significantly increased, and that in the TCM group was significantly higher than the routine group(P<0.05). After nursing, the PEF, FEV1, CD4^+and CD4^+/CD8^+in the two groups were significantly higher than those before nursing, and those in the TCM group were significantly higher than the routine group(P<0.05). After nursing, the scores of physical function, psychological function, social function and material life in the two groups were significantly higher than those before nursing, and those in the TCM group were significantly higher than the routine group(P<0.05). The recurrence rate of disease in the TCM group discharged from hospital for six months was significantly lower than that in the routine group(P<0.05). Conclusion TCM rehabilitation health education pathway nursing applied in patients with bronchial asthma can significantly improve patients’ disease TCM cognitive status,pulmonary function and cellular immune function, increase their quality of life, with low recurrence rate of disease.