辨证施护对冠心病焦虑抑郁状态及患者自我护理能力的影响
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摘要
目的探究中医辨证施护改善冠心病焦虑抑郁状态及其对患者自我护理能力的影响。方法选取2015年12月-2016年12月于我院就诊的冠心病患者90例,采用随机数字表随机分为试验组和对照组,各45例,采用调查问卷方式,了解2组的自我护理能力现况。对照组采用常规护理疗法,试验组实施2个月的中医辨证施护,对其进行自我护理宣教培训,并对培训后的患者再次进行自我护理能力测定,评估效果。结果护理后2组临床症状均有明显改善,试验组有效率91.11%,对照组73.33%(P<0.05);护理后2组自我护理能力比较,试验组为75.6%,对照组的为28.9%(P<0.05);护理后2组焦虑、抑郁症状比较,对照组护理前后SDS评分(57.81±12.01)和(46.72±9.65),SAS评分(53.86±10.88)和(43.66±8.89),试验组护理前后SDS评分(56.64±11.43)和(32.44±7.31),SAS评分(54.27±11.39)和(33.91±7.52),与对照组比较,差异具有统计学意义(P<0.05)。结论辨证施护可明显减轻冠心病所引起的各种临床症状,显著提高患者自我护理能力,减轻患者焦虑、抑郁症状。
Objective To explore the effect of dialectical nursing on anxiety and depression status and self-care ability of patients with coronary heart disease.Methods 90 patients with coronary heart disease in our hospital from December 2015 to December 2016 were randomly divided into the experimental group and the control group,45 cases in each group.Questionnaire survey was used to understand the self-care ability of 2 groups of patients with coronary heart disease.The control group was treated with conventional nursing,and the experimental group was treated with traditional Chinese medicine syndrome differentiation and nursing care for 2 months,the self nursing education and training were carried out,and the self-care agency of the patients after training was measured again.Results After nursing,the clinical symptoms of the 2 groups were significantly improved,the effective rate of the experimental group was 91.11%,and that of the control group was 73.33%(P<0.05);the self-care ability of the 2 groups was 75.6% in the experimental group and 28.9% in the control group(P<0.05);after nursing,the anxiety and depression symptoms of the 2 groups were compared.The SDS score of the control group before and after nursing was(57.81±12.01) and(46.72±9.65),and the SAS score was(53.86±10.88) and(43.66±8.89);The SDS score(56.64±11.43) and(32.44±7.31),SAS score(54.27±11.39) and(33.91±7.52) before and after nursing in the experimental group were significantly different from those in the control group(P<0.05).Conclusion Dialectical nursing can significantly reduce the clinical symptoms caused by coronary heart disease,significantly improve the self-care ability of patients,reduce the anxiety and depression symptoms of patients.
Objective To explore the effect of dialectical nursing on anxiety and depression status and self-care ability of patients with coronary heart disease.Methods 90 patients with coronary heart disease in our hospital from December 2015 to December 2016 were randomly divided into the experimental group and the control group,45 cases in each group.Questionnaire survey was used to understand the self-care ability of 2 groups of patients with coronary heart disease.The control group was treated with conventional nursing,and the experimental group was treated with traditional Chinese medicine syndrome differentiation and nursing care for 2 months,the self nursing education and training were carried out,and the self-care agency of the patients after training was measured again.Results After nursing,the clinical symptoms of the 2 groups were significantly improved,the effective rate of the experimental group was 91.11%,and that of the control group was 73.33%(P<0.05);the self-care ability of the 2 groups was 75.6% in the experimental group and 28.9% in the control group(P<0.05);after nursing,the anxiety and depression symptoms of the 2 groups were compared.The SDS score of the control group before and after nursing was(57.81±12.01) and(46.72±9.65),and the SAS score was(53.86±10.88) and(43.66±8.89);The SDS score(56.64±11.43) and(32.44±7.31),SAS score(54.27±11.39) and(33.91±7.52) before and after nursing in the experimental group were significantly different from those in the control group(P<0.05).Conclusion Dialectical nursing can significantly reduce the clinical symptoms caused by coronary heart disease,significantly improve the self-care ability of patients,reduce the anxiety and depression symptoms of patients.
引文
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[12]黄汝明,吴丽阳,董锦红,等.自我护理教育对冠心病心绞痛病人自我护理能力的影响[J].现代医院,2009,9(1):205-206.
[13]黄炜.39例心绞痛患者辨证施护疗效观察[J].山西中医,2010,26(11):55-56.
[14]张欣,安丽萍,丁承华,等.慢性稳定性心绞痛的护理及中医辨证施护干预[J].医学信息,2015(3):133-134.
[15]夏黄英,罗菲菲.基于中西医结合的冠心病心绞痛辨证施护[J].光明中医,2016,31(7):1016-1017.
[16]李会琼.胸痹心痛的中医辨证施护[J].云南中医中药杂志,2010,31(6):79-80.
[17]郑艺.中医辨证护理在心绞痛患者中的应用[J].齐鲁护理杂志,2014(19):46-47.
[18]陈雪云,黄映华,余凤嫦.跨理论模式健康教育在冠心病患者自我护理能力和生活质量中的应用[J].护理实践与研究,2016,13(5):1-4.
[2]耿昌娥.冠心病心绞痛的辨证施护[J].中国中医急症,2013,22(3):511-512.
[3]陆炎,王璟.老年冠心病心绞痛的中西医结合护理[J].中国中医急症,2013,22(11):1989-1990.
[4]齐素霞.冠状动脉粥样硬化性心脏病心绞痛的辨证施护[J].河北中医,2011,33(8):1252.
[5]赵辉,姜海燕,张仲慧,等.预见性护理对不稳定型心绞痛患者的临床效果分析[J].国际护理学杂志,2015(5):633-635.
[6]严雪荣.辨证施护老年冠心病心绞痛的临床效果[J].中国中医药现代远程教育,2014(21):123-125.
[7]龚佳青.冠心病心绞痛的辨证施护[J].甘肃中医,2011,24(1):44-45.
[8]李婷婷,赵玉兰.冠心病心绞痛病人辨证施护效果评价[J].护理研究,2013,27(19):1983-1984.
[9]国际心脏病学会和协会及世界卫生组织临床命名标准化联合专题组织.缺血性心脏病的命名及诊断标准[J].中华心血管病杂志,1981,9(l):75.
[10]郑筱萸.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002.
[11]张俊丽,马添宏.胸痹心痛患者中医辨证施护体会[J].光明中医,2015(9):2006-2007.
[12]黄汝明,吴丽阳,董锦红,等.自我护理教育对冠心病心绞痛病人自我护理能力的影响[J].现代医院,2009,9(1):205-206.
[13]黄炜.39例心绞痛患者辨证施护疗效观察[J].山西中医,2010,26(11):55-56.
[14]张欣,安丽萍,丁承华,等.慢性稳定性心绞痛的护理及中医辨证施护干预[J].医学信息,2015(3):133-134.
[15]夏黄英,罗菲菲.基于中西医结合的冠心病心绞痛辨证施护[J].光明中医,2016,31(7):1016-1017.
[16]李会琼.胸痹心痛的中医辨证施护[J].云南中医中药杂志,2010,31(6):79-80.
[17]郑艺.中医辨证护理在心绞痛患者中的应用[J].齐鲁护理杂志,2014(19):46-47.
[18]陈雪云,黄映华,余凤嫦.跨理论模式健康教育在冠心病患者自我护理能力和生活质量中的应用[J].护理实践与研究,2016,13(5):1-4.