“治未病”理念在良性肺结节患者护理中的应用

The Application of the Preventive Treatment of Disease Concept in the Nursing of Patients with Benign Pulmonary Nodules

目的分析在外科治疗多发性慢性良性肺结节(MCBPN)患者时使用基于“治未病”理念的中医护理的效果。方法将2021年5月—2022年5月在某院接受外科治疗的62例MCBPN患者作为研究对象,随机分为对照组和干预组,每组31例。对照组实施常规护理,干预组给予基于“治未病”理念的中医护理。对比两组患者干预后的并发症发生情况以及生活质量、炎症、睡眠质量和肺功能的变化情况。结果干预后,干预组的并发症发生率(6.45%)低于对照组(29.03%),差异有统计学意义(P<0.05);干预组的SF-36评分(躯体功能、社会功能、生理功能、心理功能、活力)、炎性因子指标(IL-6、TNF-α、CRP)、PSQI评分、肺功能指标的改善情况均优于对照组(P<0.05)。结论使用基于“治未病”理念的中医护理对MCBPN患者改善炎症、肺功能的效果显著,同时也能提高患者的生活和睡眠质量。

Objective To analyze the effectiveness of traditional Chinese medicine(TCM)nursing based on the concept of Preventive Treatment of Disease in the surgical treatment of patients with multiple chronic benign pulmonary nodules MCBPN.Methods A total of 62 MCBPN patients who received surgical treatment in a certain hospital from May 2021 to May 2022 were randomly divided into a control group and an intervention group,with 31 cases in each group.The control group received routine nursing care,while the intervention group received TCM nursing based on the concept of Preventive Treatment of Disease.the incidence of complications,as well as changes in quality of life,inflammation,sleep quality,and lung function between two groups of patients after intervention were compared.Results After intervention,the incidence of complications in the intervention group(6.45%)was lower than that in the control group(29.03%),and the difference was statistically significant(P<0.05);the improvement of SF-36 scores(physical function,social function,physiological function,psychological funetion,vitality),inflammatory factor indicators(IL-6,TNF-a,CRP),PSQI scores,and lung function indicators in the intervention group were better than those in the control group(P<0.05).Conclusion The use of TCM nursing based on the concept of Preventive Treatment of Disease has a significant ffct on improving inflammation and lung function in MCBPN patients,while also improving their quality of life and sleep.