急性心肌梗死辨证施护临床研究

Clinical Study on Nursing Based on Syndrome Differentiation for acute Myocardial Infarction

目的:观察中医辨证施护急性心肌梗死(AMI)患者的临床疗效。方法:选取AMI患者72例为研究对象,采用随机数字表法将其均分为2组,对照组36例,采用常规护理;观察组36例在常规护理的基础上进行中医辨证施护。观察患者的护理效果。结果:干预后,2组中医症状积分均明显降低,且观察组评分均低于对照组(P<0.05);干预后,2组应对方式中的退避、自责、幻想积分均降低,且观察组更低,其余应对方式解决问题、合理化、求助积分均升高,且观察组更高(P<0.05)。干预后,2组自我护理能力量表(ESCA)各项评分以及总评分均升高,且观察组评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,2组生活质量各项评分均显著升高,且观察组评分均明显高于对照组,差异均有统计学意义(P<0.05)。结论:中医辨证施护AMI患者效果较佳,优于单纯使用常规护理,可显著改善患者临床症状,提高应对能力和自护能力,从而可较好地促进其生活质量的提高。

Objective:To observe the clinical effect of Chinese medicine nursing based on syndrome differentiation for patients with acute myocardial infarct(AMI). Methods:A total of 72 cases of AMI patients were selected as the study subjects and divided into two group according to the random number table method,36 cases in each group. The control group was given routine nursing,and the observation group was additionally treated with Chinese medicine nursing based on syndrome differentiation on the basis of routine treatment. The nursing effect in the two groups was observed. Results: After intervention,the Chinese medicine symptom scores in the two groups were significantly decreased,and the score in the observation group was lower than that in the control group(P<0.05). After intervention,the scores of coping styles including backoff, self-accusation and fantasy in the two groups were decreased, and the scores in the observation group were lower;the scores of other coping styles including solving problems,rationalization and seeking help were increased,and the scores in the observation group were higher(P<0.05). After intervention,each score in Exercise of Self-Care Agency(ESCA) and the total scores in the two groups were increased,and the scores in the observation group were higher than those in the control group,differences being significant(P<0.05). After intervention,each score of quality of life in the two group was significantly increased, and the scores in the observation group were higher than those in the control group,differences being significant(P<0.05). Conclusion:Chinese medicine nursing based on syndrome differentiation for patients with AMI has better effect than simple routine nursing,which can significantly improve their clinical symptoms,coping ability and self-care ability,thus better improving quality of life.