中医健康管理在急性胰腺炎患者中的应用

The traditional Chinese medicine health management program for patients with acute pancreatitis

目的探讨中医健康管理方案在急性胰腺炎患者中的干预效果。方法采用便利抽样法,选择2017年1月—2018年5月在天津市某三级甲等医院就诊的58例急性胰腺炎患者作为研究对象,采用中医健康管理方案,包括信息采集、档案建立、健康评估、健康干预、跟踪随访、互动评价6个环节进行干预。结果实施中医健康管理后,患者健康行为能力总分及各维度得分均高于干预前,差异具有统计学意义(P<0.05);出院后共53例患者回院进行复查,6例患者出现并发症,4例患者出现疾病复发;并发症发生率(10.3%)低于同期未实施中医健康管理方案者(37.5%)(P<0.05)。结论中医健康管理方案能够有效改善急性胰腺炎患者健康行为能力水平,随着干预时间的推移,健康行为能力呈逐步递增趋势。

Objective To explore the effects of TCM health management program in patients with acute pancreatitis.Methods Fifty-eight acute pancreatitis patients were selected by convenient sampling in a tertiary hospital in Tianjin from January 2017 to May 2018.The TCM health management program included information gathering,documents building up,health assessment,intervention,follow-ups,and interactive evaluation.Results After the TCM health management program,the scores of the health practices abilities and all sub-dimensions were increased than those before the intervention(P<0.05).There were 53 patients returning to the hospital for check-ups,6 patients had complications,and 4 patients had disease recurrence.The complication rate(10.3%)was lower than the 37.5%(P<0.05)of those who did not implement a TCM health management program during the same period.Conclusion TCM health management program can improve health practices abilities.With the time going on,the healthy behavior ability of patients shows a gradual increasing trend.