九转揉腹法缓解抗痨药物致胃肠道副作用的应用效果

Applying nine-turn abdomen kneading technique to relieving gastrointestinal side effects caused by anti-tuberculosis drugs

目的:探讨九转揉腹法在缓解抗痨药物致胃肠道副作用患者中的应用效果。方法:选取60例接受抗痨药物治疗并产生胃肠道副作用的肺结核患者,随机分为对照组(30例)和观察组(30例)。对照组采用常规护理,观察组在对照组基础上加用九转揉腹法护理,比较两组患者胃肠道副作用的程度、用药依从性、住院时间及住院费用。结果:两组患者随着观察天数的延长,胃肠道症状分级评分量表(GSRS)评分均增高(P<0.05),在第1、3天时GSRS评分差异均无统计学意义(P>0.05),而观察组在第5、7天时GSRS评分均低于对照组(P<0.05);两组患者随着观察天数的延长,Morisky用药依从性量表(MMAS-8)评分降低(P<0.05),在第1、3天时MMAS-8评分差异均无统计学意义(P>0.05),而观察组在第5、7天时MMAS-8评分均高于对照组(P<0.05);观察组患者住院时间、住院费用均少于对照组(P<0.05)。结论:九转揉腹法可缓解抗痨药物治疗后的胃肠道副作用,提高患者的用药依从性,缩短住院时间,降低住院费用,值得临床借鉴。

Objective:To observe the effect of the nine-turn abdomen kneading technique on alleviating the side effects of gastrointestine caused by anti-tuberculosis drugs.Methods:Sixty pulmonary tuberculosis patients complicated with gastrointestinal adverse response due to antituberculosis drugs were randomly divided into control group(n=30)and observational group(n=30).Patients in the control group received routine nursing care,and those in the observational group were given additional nine-turn abdomen massage besides the care in the control group.Then the two groups were compared pertinent to degree of gastrointestinal side effects,medication compliance,days of hospital stay and hospitalization expense.Results:Gastrointestinal symptom scoring(GSRS)was significantly increased in the two groups with extended observation days(P<0.05),yet insignificant at day 1 and 3(P>0.05),and the average GSRS was lower in observational group than in control group at day 5 and 7(P<0.05).Medication compliance by MMAS-8 score was markedly reduced in the two groups with extension of observation days(P<0.05).MMAS-8 score was not significantly different at day 1 and 3(P>0.05),whereas was higher in the observational group than in the control group at day 5 and 7(P<0.05).Patients in the observational group had shorter days of hospital stay and lower hospitalization cost than those in the control group(P<0.05).Conclusion:The nine-turn abdomen kneading technique can be worthy of clinical recommendation because it can counteract the gastrointestinal side effects following anti-tuberculosis drug,improve the patient's medication compliance,shorten days of hospital stay and reduce the cost of hospitalization.