摘要
目的:基于脑肠轴理论,探讨“辰时”五行音乐隔药饼灸集中创新管理模式在消化系统疾病的临床应用价值。方法:选取400例消化系统疾病患者,使用随机数字表法分为对照组和研究组,每组200例。给予对照组隔药饼灸治疗,给予研究组“辰时”五行音乐隔药饼灸集中创新管理治疗。出院时观察两组焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)评分,观察两组依从性、满意度、护理效果、治疗操作时间、烫伤率及不良反应发生率。结果:与入院时比较,两组SAS、SDS评分均降低(P<0.05),且研究组降低更加明显(P<0.05);研究组满意度、依从性均高于对照组(P<0.05),护理效果优于对照组(P<0.05),烫伤率低于对照组(P<0.05),治疗操作时间短于对照组(P<0.05);研究组药物过敏反应发生率[1.5%(3/200)]低于对照组[2.5%(5/200)],但差异无统计学意义(P>0.05)。结论:中医特色治疗室“辰时”五行音乐隔药饼灸集中创新管理模式可舒缓患者情绪,提高其治疗依从性及护理效果,节省治疗时间,降低烫伤风险,消除医护人员的职业倦怠感,加强医护患之间的信任关系,提升患者满意度,在保障患者安全的同时可避免发生医疗纠纷。
Objective:To discuss the values of clinical application of the centralised innovative management model of five-element music therapy from Seven O′Clock to Nine O′Clock.and herbal cake-separated moxibus-tion to digestive system diseases based on brain-gut axis theory.Methods:A total of 400 patients with digestive system diseases were chosen,and divided into the control group and the study group using random number table method with 200 cases in each group.The control group was given moxibustion on herbal cake,and the study group accepted the centralised innovative management model of five-element music therapy from Seven O′Clock to Nine O′Clock.and herbal cake-separated moxibustion.When the patients were discharged from hospitals,to observe SAS and SDS scores in the two groups,to observe the compliance,satisfaction degrees,nursing effects,the operation time of treatment,scald rate and the incidence of adverse reactions.Results:Compared with the admission time,SAS and SDS scores of the two groups were reduced(P<0.05),and the decrease of the study group was more apparent(P<0.05);the study group was higher than the control group in satisfaction degree and compliance(P<0.05),better than the control group in nursing effects(P<0.05),and the scald rate of the study group was lower than that of the control group(P<0.05),the operation time of treatment was shorter than that of the control group(P<0.05).The incidences of drug hypersensitivity reactions of the study group was[1.5%(3/200)],lower than[2.5%(5/200)]of the control group,but the difference had no statistical meaning(P>0.05).Conclusion:The centralised innovative management model of five-element music therapy from Seven O′Clock to Nine O′Clock.and herbal cake-separated moxibustion could soothe the patients,increase their therapeutic compliance and nursing effects,save the operation time of the treatment,decrease scald risk and eliminate the medical staff's job burnout,enhance the trust between the doctor and the patients,as well as lift the patients'satisfaction degrees,ensuring the patients'safety and avoiding medical disputes.
作者
沙志惠
王捷虹
王倩
SHA Zhihui;WANG Jiehong;WANG Qian(Affiliated Hospital of Shaanxi University of Chinese Medicine,Xianyang 712000,China)
出处
《西部中医药》
2024年第12期157-160,共4页
Western Journal of Traditional Chinese Medicine
基金
国家自然科学基金(81804082)
“十三五”国家重点研发计划项目(2017YFC1703703)
陕西省中医药管理局中医药防治消化道癌前病变重点研究室(陕中医药发〔2019〕9号)
陕西省特支计划区域发展人才(陕中发〔2017〕46号)
陕西中医药大学附属医院科研课题(2020XZ001)。