中医特色护理在骨折后排尿困难与创伤性应激障碍中的应用效果

Application Effect ofTraditional Chinese Medicine Characteristic Nursing in Dysuria and Traumatic Stress Disorder after Fracture

目的探究中医特色护理对骨折后排尿困难及应激障碍的作用。方法选取收治的排尿困难及创伤后应激障碍的82例骨折患者作为本研究的观察对象,使用随机数字表法分为常规组与研究组(每组41例),常规组予以常规护理,研究组予以中医特色护理及辨证分型情志护理,对比2组患者的排尿时间、排尿困难复发率、尿管导尿使用率、尿路感染发生率、中医证候积分以及创伤后应激障碍症状(PCL-C)测试量表评分。结果护理后,研究组的治疗总有效率明显高于常规组(P <0. 05);研究组患者的排尿时间、排尿困难复发率、尿管导尿使用率以及尿路感染发生率均显著优于常规组(P <0. 05);研究组的PCL-C得分明显低于常规组(P <0. 05);2组的中医证候积分均显著低于护理前(P <0. 05),且研究组的中医证候积分明显低于常规组(P <0. 05)。结论中医特色护理及辨证分型情志护理干预可显著改善患者骨折后排尿困难的症状,降低创伤后应激障碍水平,因此具备临床推广价值。

Objective To explore the effect of traditional Chinese medicine characteristic nursing on dysuria and stress disorder after fracture.Methods 82 cases of fracture patients with dysuria and post-traumatic stress disorder admitted to our hospital were selected as the object of this study.Random number table method was used to divide them into routine group and research group(with 41 cases in each group).The routine group was given routine nursing,while research group was given traditional Chinese medicine characteristic nursing and syndrome differentiation emotional nursing.The time of micturition,recurrence rate of dysuria and the use of urethral catheterization were compared between the two groups.The incidence of urinary tract infection,TCM syndrome score and PCL-C scale score was compared.Results After nursing,the total effective rate of treatment in the research group was significantly higher than that in the routine group(P<0.05),the time of urination,the recurrence rate of dysuria,the rate of urethral catheterization and the rate of urethral catheterization in the research group.The incidence of urinary tract infection in the research group was significantly higher than that in the routine group(P<0.05),and the PCL-C score in the observation group was significantly lower than that in the control group(P<0.05).Conclusion Traditional Chinese medicine characteristic nursing and syndrome differentiation emotional nursing intervention can significantly improve the symptoms of dysuria after fracture and reduce the level of post-traumatic stress disorder,so it has clinical popularization value.