中医特色护理结合个体化健康教育在眩晕多专业一体化诊疗平台中的应用效果

Application effect of medical characteristic nursing combined with individualized health education in the integrated diagnosis and treatment platform of Vertigo

目的研究与探讨中医特色护理结合个体化健康教育在眩晕多专业一体化诊疗平台中的应用效果,为以后临床研究提供参考依据。方法选取南京市中医院脑病科2016年6月至2017年6月收治的60例应用眩晕多专业一体化诊疗平台治疗的眩晕患者为研究对象,按照随机数字表分为常规组和观察组,每组30例。2组均应用穴位贴敷治疗,常规组将常规规范化护理方法应用于眩晕多专业一体化诊疗平台中;观察组在常规组的基础上将中医特色护理结合个体化健康教育应用于平台中,对比2组的应用效果。结果观察组的护理总有效率为96.67%(29/30),明显高于常规组的86.67%(26/30),差异有统计学意义(χ^2=4.172,P<0.05)。2组治疗前的生命质量评分差异无统计学意义(P>0.05);治疗后半年的生命质量评分比较观察组评分为(16.73 ± 2.14)分,明显高于常规组的(11.73 ± 1.75)分,差异有统计学意义(t=4.237,P<0.05);2组治疗后的生命质量评分均高于治疗前,差异有统计学意义(t=9.239、5.217,均P<0.05)。观察组护理满意度为96.67%(29/30),明显优于常规组的83.33%(25/30),差异有统计学意义(χ^2=5.372,P<0.05)。经过1年的随访,观察组复发例数为2例,复发率为6.67%;常规组的复发例数为6例,复发率为20.00%,2组比较观察组明显的优于常规组,差异有统计学意义(χ^2=5.137,P<0.05)。结论在眩晕多专业一体化诊疗平台中应用中医护理结合个体化健康教育,提高了护理效果,提高了患者生命质量和护理满意度,降低了复发率,为改善眩晕患者提供新的理论思路和临床方法。

Objective To study and discuss the application effect of TCM characteristic nursing combined with individualized health education in vertigo multi-specialty integrated diagnosis and treatment platform, and to provide reference basis for clinical research in the future. Methods From June 2016 to June 2017, 60 patients with vertigo treated by multi-professional integrated diagnosis and treatment platform in our hospital were studied. The subjects of both groups were treated with acupoint application, and were randomly divided into routine group and combined group. There were 30 cases in each group. The routine standardized nursing method was applied to the vertigo multi-specialty integrated diagnosis and treatment platform, and the combined group was applied to the platform based on the routine group, and the application effect of the two groups was compared. Results The total effective rate of nursing in the observation group was 96.67%(29/30), which was significantly higher than that in the routine group (86.67%(26/30), and the difference was statistically significant (χ^2= 4.172, P < 0.05).There was no significant difference in the quality of life score before treatment between the two groups (t = 0.178, P > 0.05), but the score of the observation group was significantly higher than that of the routine group (t = 4.237, P < 0.05), and the quality of life score of the observation group was significantly higher than that of the routine group (t = 4.237, P < 0.05). At the same time, the scores of quality of life after treatment in the two groups were significantly higher than those before treatment (t = 9.239, 5.217, P < 0.05).The nursing satisfaction of the observation group was 96.67%(29/30), which was significantly better than that of the conventional group (83.33%(25/30), and the difference was statistically significant (x = 5.372, P <0.05). After one year of follow-up, the number of recurrences in the observation group was 2, the recurrence rate was 6.67%, the number of recurrences in the conventional group was 6, the recurrence rate was 20.00%, the observation group was superior to the normal group, and the difference was statistically significant (χ^2= 5.137, P<0.05). Conclusion In the integrated diagnosis and treatment platform of vertigo, the application of TCM nursing combined with individualized health education can improve the nursing effect, improve the patients' quality of life and nursing satisfaction, and reduce the recurrence rate. To provide new theoretical thinking and clinical methods for improving vertigo patients.