子午流注中药离子导入在慢性胃炎患者中医特色护理中的应用

Application of iontophoresis of traditional Chinese medicine of meridian flowing in nursing care with traditional Chinese medicine characteristics for patients with chronic gastritis

目的分析子午流注中药离子导入在慢性胃炎患者中医特色护理中的应用效果。方法选取2018年7月至2019年11月本院95例慢性胃炎患者,依据建档时间不同分为常规组(n=47)及研究组(n=48)。常规组接受常规护理干预,研究组接受中医特色护理干预;比较两组依从性、恢复进程(症状缓解时间、住院时间)、干预前后心理状态[抑郁-焦虑-压力量表中文简版(DASS-21)评分]及生活质量[生活质量综合评定问卷-74(GQOLI-74)评分]。结果研究组依从性评分为(39.26±4.17)分,高于常规组(32.26±5.26)分,差异有统计学意义(P<0.05);研究组症状开始缓解时间、住院时间分别为(3.02±1.01)d、(7.14±1.76)d,均短于常规组(4.15±1.25)d、(9.06±2.54)d,差异均有统计学意义(均P<0.05);干预前,两组患者DASS-21、GQOLI-74评分比较,差异均无统计学意义(均P>0.05);干预后,研究组DASS-21评分为(17.51±3.93)分,低于常规组(23.36±4.57)分,GQOLI-74评分为(77.12±5.04)分,高于常规组(71.09±6.12)分,差异均有统计学意义(均P<0.05)。结论中医特色护理干预应用于慢性胃炎患者,可提高患者依从性,缩短恢复进程,还可减轻不良心理状态,改善生活质量。

Objective To analyze the application effect of iontophoresis of traditional Chinese medicine of meridian flowing in the nursing care with traditional Chinese medicine characteristics for patients with chronic gastritis.Methods A total of 95 patients with chronic gastritis treated at our hospital from July,2018 to November,2019 were selected and divided into a routine group(n=47)and a study group(n=48)according to the time of filing.The routine group received routine nursing intervention,and the study group traditional Chinese medicine special nursing intervention.The compliance,recovery process(time of symptom relief and length of hospital stay),the psychological status[Depression-Anxiety-Stress Scale Chinese Short Version(DASS-21)Score],and quality of life[Generic Quality of Life Inventory-74(GQOLI-74)Score]were compared between the two groups before and after the intervention.Results The compliance score of the study group was higher than that of the routine group[(39.26±4.17)vs.(32.26±5.26);P<0.05].The time of symptom relief and the hospitalization time were shorter in the study group than in the routine group[(3.02±1.01)d vs.(4.15±1.25)d and(7.14±1.76)d vs.(9.06±2.54)d;both P<0.05].There were no statistical differences in the scores of DASS-21 and GQOLI-74 between the two groups before the intervention(both P>0.05).After the intervention,the DASS-21 score was lower and the GQOLI-74 score was higher in the study group than in the control group[(17.51±3.93)vs.(23.36±4.57)and(77.12±5.04)vs.(71.09±6.12);both P<0.05].Conclusion Characteristic nursing intervention of traditional Chinese medicine for patients with chronic gastritis can improve their compliance and quality of life,shorten the recovery process,and reduce their adverse mental state.