家属参与式健康教育护理模式在中药保留灌肠治疗慢性盆腔炎中的应用

Application of family participatory health education and care model in treating chronic pelvic inflammatory disease with TCM retention enema

目的分析家属参与式健康教育护理模式在中药保留灌肠治疗慢性盆腔炎中的应用价值。方法选取2020年1—12月在江西省峡江县中医院接受中药保留灌肠治疗的102例慢性盆腔炎患者,采用随机数字表法分为观察组与对照组,每组51例。2组患者均由同组医护人员开展治疗及常规护理干预,观察组患者在此基础上采用家属参与式健康教育护理模式进行干预。比较2组患者恢复情况、临床疗效、复发情况、治疗满意度及心理状态变化。结果2组患者干预后盆腔积液最大径、附件包块最大径均小于干预前,且观察组小于对照组,差异均有统计学意义(P<0.05)。观察组患者治疗总有效率为94.12%(48/51),高于对照组的66.67%(34/51),差异有统计学意义(χ^(2)=12.190,P<0.001)。观察组患者复发率为1.96%(1/51),低于对照组的15.69%(8/51),差异有统计学意义(χ^(2)=4.387,P=0.036)。观察组患者护理满意度为98.04%(50/51),高于对照组的72.55%(37/51),差异有统计学意义(χ^(2)=13.209,P<0.001)。2组患者干预后SAS及SDS评分低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论家属参与式健康教育护理模式用于中药保留灌肠治疗的慢性盆腔炎患者护理,有助于改善患者心理状态,提高临床疗效及治疗满意度,降低复发风险。

Objective To analyze the application of family members’participatory health education and care model in treating chronic pelvic inflammatory disease with retention enema of traditional Chinese medicine(TCM).Methods Patients with chronic pelvic inflammatory disease(n=102)who received retention enema with TCM in the Xiajiang TCM Hospital from January to December 2020 were randomly divided into the observation group and control group,with 51 cases in each group.Patients in both groups were treated by the same group of medical staff and with routine nursing intervention.Patients in the observation group were intervened using the family member participatory health education and care on this basis.The recovery,clinical efficacy,recurrence,treatment satisfaction,and psychological state were compared between the two groups.Results The maximum diameter of pelvic effusion and adnexal mass in the two groups after intervention were significantly lower than those before the intervention,with the observation group significantly lower than the control group(P<0.05).The overall response rate in the observation group was 94.12%(48/51),which was significantly higher than that in the control group(66.67%,34/51,χ^(2)=12.190,P<0.001).The recurrence rate in the observation group was 1.96%(1/51),which was significantly lower than that in the control group(15.69%,8/51,χ^(2)=4.387,P=0.036).The satisfaction rate of care in the observation group was 98.04%(50/51),which was significantly higher than that in the control group(72.55%,37/51,χ^(2)=13.209,P<0.001).The SAS and SDS scores of the patients in the 2 groups after intervention were significantly lower than those before the intervention,with the observation group significantly lower than the control group(P<0.05).Conclusion The family members’participatory health education and care model in treating patients with chronic pelvic inflammatory disease with retention TCM enema is conducive to improving the psychological state,increasing the clinical efficacy and treatment satisfaction,and reducing the risk of recurrence.