辨证施护结合延续性护理模式在慢性阻塞性肺病中的应用

Evaluation of the Effects of Syndrome Differentiation and Nursing Combined with Continuous Nursing Model Applied to Chronic Obstructive Pulmonary Disease

目的:观察辨证施护联合延续性护理模式在慢性阻塞性肺病患者中的应用效果。方法:将100例患者按就诊顺序随机分为观察组、对照组各50例。对照组在患者入院时给予入院常规宣教,出院后给予患者门诊常规护理。观察组患者在对照组护理的基础上,依据中医学整体观念和辨证论治的基本原则,制定个体化的中医辨证护理方案,出院后对患者进行延续性护理。观察2组护理干预前后中医症状积分,住院时间、护理满意效率及患者遵医嘱情况。结果:中医症状积分护理干预前2组比较,差异无统计学意义(P>0.05);护理干预后相同时间点2组比较,差异均有统计学意义(P<0.05);护理干预前后不同时间点2组组内比较,差异有统计学意义(P<0.05)。住院时间观察组为(16.74±4.17)天,对照组为(20.44±3.26)天,2组比较差异有统计学意义(P<0.05)。护理满意率观察组为98.00%,对照组为86.00%,2组比较差异有统计学意义(P<0.05)。按时服药、定期复查、运动锻炼、合理饮食等遵医嘱情况观察组优于对照组,差异有统计学意义(P<0.05)。讨论:对慢性阻塞性肺病患者给予中医辨证施护配合延续性护理,获得了较理想护理疗效,可提高患者的生活质量,护理满意率较高。

Objective: To observe the application effects of syndrome differentiation and nursing combined with continuous nursing model to the patients with chronic obstructive pulmonary disease(COPD). Methods: One hundred patients were allocated to the observation group and the control group according to the visiting order randomly, 50 cases each group. The control group were given conventional health education when they were hospitalized, outpatient conventional nursing after discharging. The observation group accepted individualized TCM syndrome differentiation and nursing regimen according to basic principles of TCM holism and syndrome differentiation and treatment on the foundation of the nursing the control group received, and continuous nursing model after discharging. To observe TCM syndrome scores, hospitalization time, nursing satisfactory efficiency and the conditions of the patient following the doctor′ s advice before and after nursing between both groups. Results:The difference had no statistical meaning in syndrome scores before nursing intervention between both groups(P>0.05);the difference could be found between both groups after nursing intervention at the same time points(P<0.05);the difference had statistical meaning within two groups before and after nursing intervention at different time points(P<0.05). Hospitalization time of the observation group was(16.74±4.17) days, lower than(20.44±3.26) days of the control group, and the difference showed statistical meaning(P <0.05). Nursing satisfactory rate of the observation group was 98.00%, higher than 86.00% of the control group, and the difference was statistically significant(P<0.05). The observation group was superior to the control group in the conditions of following the doctors′ advice including timely medication, regular re-check, exercise, rational diet and others, and the difference showed statistical meaning(P<0.05). Conclusion: Syndrome differentiation and nursing combined with continuous nursing model given to COPD patients could obtain satisfactory nursing effects, it could raise quality of life of the patients with higher nursing satisfactory rate.