中医综合护理措施对老年慢性肺源性心脏病患者生活质量的影响

Effect of Comprehensive Nursing Measures of Chinese Medicine on Quality of Life of Senile Patients with Chronic Pulmonary Heart Disease

目的:观察在常规疗法和护理措施基础上加用中医综合护理措施改善老年慢性肺源性心脏病(CPHD)患者生活质量的效果。方法:将110例老年CPHD稳定期心肺气虚证患者随机分为观察组和对照组各55例。2组均采用常规药物治疗措施,给予健康教育和呼吸功能锻炼等护理措施。观察组加予艾灸、中药药膳、八段锦练习和心理护理等中医综合护理措施。2组疗程均为3个月。治疗前后评定症状、体征评分和进行6 min步行距离测试,应用慢性病患者生命质量测定量表体系中的CPHD量表(QLICD-CPHD)评价患者的生活质量,包括生理功能(PHD)、心理功能(PSD)、社会功能(SOD)及疾病特异模块(SPD)4个维度。结果:治疗后,2组症状、体征积分均较治疗前下降(P<0.01),6 min步行距离均较治疗前增加(P<0.01)。观察组症状、体征积分低于对照组(P<0.01),6 min步行距离多于对照组(P<0.01)。2组PHD、PSD、SOD、SPD评分及QLICD-CPHD总分均较治疗前升高(P<0.01),观察组各维度评分及总分均高于对照组(P<0.01)。结论:在常规治疗和护理的基础上给予中医综合护理措施,可有效缓解老年CPHD稳定期患者的临床症状,改善心功能、增强日常活动能力,提高生活质量。

Objective:To observe the effect of comprehensive nursing measures of Chinese medicine based on routine therapy and nursing measures on improving the quality of life of senile patients with chronic pulmonary heart disease(CPHD).Methods:A total of 110 cases of senile patients with CPHD in stable stage with heart-lung qi deficiency syndrome were randomly divided into the observation group and the control group,55 cases in each group.Both groups were given routine medicine therapy as well as nursing measures including health education and respiratory function exercise.The observation group was additionally given comprehensive nursing measures of Chinese medicine including moxibustion,Chinese herbal medicated diet,Baduanjin and psychological nursing.Both groups were treated for three months.Before and after treatment,the scores of symptoms and signs were evaluated and six-minute walking distance was tested.The quality of life of patients including physiological function dimension(PHD),psychological function dimension(PSD),social function dimension(SOD)and disease-specific dimension(SPD)was evaluated by CPHD Scale in Quality of Life Instruments for Chronic Disease(QLICD-CPHD).Results:After treatment,the scores of symptoms and signs in the two groups were decreased when compared with those before treatment(P<0.01),and six-minute walking distances were increased(P<0.01);the score of symptoms and signs in the observation group were lower than those in the control group(P<0.01),and the sixminute walking distance was longer(P<0.01).The scores of PHD,PSD,SOD and SPD as well as the total scores of QLICDCPHD in the two groups were all increased when compared with those before treatment(P<0.01),the above scores in the observation group were all higher than those in the control group(P<0.01).Conclusion:Based on routine therapy and nursing,the application of comprehensive nursing measures of Chinese medicine can effectively relieve the clinical symptoms of senile patients with CPHD in stable stage,and improve the heart function,the ability of daily activities as well as the quality of life.