不同中医证型药膳干预在老年功能性消化不良患者中的应用价值
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摘要
目的根据功能性消化不良老年患者不同的中医证型,采用针对性的药膳干预方式进行饮食调节,并观察其在功能性消化不良中的应用效果。方法选取2016年2月—2018年2月浙江省中西医结合医院收治的功能性消化不良老年患者160例,采用数字随机法分为常规干预组和药膳干预组。对常规干预组患者进行常规护理干预,对药膳干预组患者根据其不同中医证型进行辨证的药膳干预,并统计2组患者干预后的总有效率。对2组患者护理后的症状评分进行比较,评价2组患者护理后的睡眠质量,比较2组患者护理前后的焦虑和抑郁程度,统计患者的护理满意程度。结果药膳干预组患者干预后的总有效率显著高于常规干预组(P<0.05);药膳干预组患者干预后的胃脘饱胀、嗳气和胃脘痛症状评分明显低于常规干预组干预后(均P<0.05);药膳干预组患者干预后的睡眠质量各方面评分均显著优于常规干预组(均P<0.05);药膳干预组患者干预后的焦虑、抑郁评分明显低于常规干预组患者(均P<0.05);药膳干预组患者干预后的总满意度明显高于常规干预组(P<0.05)。结论根据功能性消化不良老年患者不同的中医证型进行药膳干预,能够有效缓解患者的临床症状,提高睡眠质量,改善其心理状况,总体效果好,受到广大患者的认可。
Objective According to the different TCM syndromes of elderly patients with functional dyspepsia, targeted dietary intervention was adopted to regulate diet, and the effect of the intervention in the treatment of functional dyspepsia was observed. Methods A total of 160 elderly patients with functional dyspepsia in our hospital from February 2016 to February 2018 were selected and randomly divided into routine intervention group and medicated diet intervention group. The routine nursing intervention group was given routine nursing intervention, and the medicated diet intervention group was given dialectical medicated diet intervention according to their different TCM syndromes, and the total effective rate of the two groups of patients after intervention was counted. The symptom scores of the two groups after nursing were compared, and the sleep quality of the two groups after nursing was evaluated. The anxiety and depression levels of the two groups before and after nursing were compared. Finally, the satisfaction degree of the patients to this nursing was counted. Results The total effective rate of the intervention group was significantly higher than that of the routine intervention group(P<0.05); the symptom scores of epigastric fullness, belching and epigastric pain in the intervention group were significantly lower than those in the routine intervention group(P<0.05); the sleep quality scores of the intervention group were significantly better than those of the normal group(P<0.05). The scores of anxiety and depression in the intervention group were significantly lower than those in the conventional intervention group(P<0.05); the total satisfaction of the intervention group was significantly higher than that of the conventional intervention group(P<0.05). Conclusion According to the different TCM syndromes of elderly patients with functional dyspepsia, medicinal diet intervention can effectively alleviate clinical symptoms, improve sleep quality and improve their psychological status. The overall effect is good, and it is recognized by the majority of patients.
Objective According to the different TCM syndromes of elderly patients with functional dyspepsia, targeted dietary intervention was adopted to regulate diet, and the effect of the intervention in the treatment of functional dyspepsia was observed. Methods A total of 160 elderly patients with functional dyspepsia in our hospital from February 2016 to February 2018 were selected and randomly divided into routine intervention group and medicated diet intervention group. The routine nursing intervention group was given routine nursing intervention, and the medicated diet intervention group was given dialectical medicated diet intervention according to their different TCM syndromes, and the total effective rate of the two groups of patients after intervention was counted. The symptom scores of the two groups after nursing were compared, and the sleep quality of the two groups after nursing was evaluated. The anxiety and depression levels of the two groups before and after nursing were compared. Finally, the satisfaction degree of the patients to this nursing was counted. Results The total effective rate of the intervention group was significantly higher than that of the routine intervention group(P<0.05); the symptom scores of epigastric fullness, belching and epigastric pain in the intervention group were significantly lower than those in the routine intervention group(P<0.05); the sleep quality scores of the intervention group were significantly better than those of the normal group(P<0.05). The scores of anxiety and depression in the intervention group were significantly lower than those in the conventional intervention group(P<0.05); the total satisfaction of the intervention group was significantly higher than that of the conventional intervention group(P<0.05). Conclusion According to the different TCM syndromes of elderly patients with functional dyspepsia, medicinal diet intervention can effectively alleviate clinical symptoms, improve sleep quality and improve their psychological status. The overall effect is good, and it is recognized by the majority of patients.
引文
[1] 刘亚军,沈洪,崔月萍,等.辨证治疗功能性消化不良50例临床研究[J].江苏中医药,2015,47(10):41-43.
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[9] 郑海娟,陈冰,卢小红,等.功能性消化不良患者的精神心理影响因素调查分析与干预对策[J].护理实践与研究,2018,15(9):17-19.
[10] SUN R,HONG X,GUO J,et al.The central mechanism of acupuncture treatment with a long-lasting effect for functional dyspepsia: study protocol for a randomized controlled trial[J].Trials,2018,19(1):373.
[11] 赵婷,张春梅,岑发丽,等.个性化健康护理模式对功能性消化不良患者临床症状的影响[J].护理实践与研究,2018,15(5):31-32.
[12] 刘燕,于晓峰,童依丽,等.饮食因素在功能性胃肠病发病机制中的作用[J].中华消化杂志,2015,35(7):495-497.
[13] 王洁.功能性消化不良患者心理特征及护理干预效果[J].检验医学与临床,2015,12(2):267-269.
[14] 张福娟.功能性消化不良患者的整体护理体会[J].中国卫生标准管理,2015,6(5):184-185.
[15] 尹白鸽.对功能性消化不良患者实施饮食教育的效果[J].中国保健营养,2017,27(12):313-314.
[16] 黄红艳,李善玲,钱新毅,等.作业疗法对老年功能性消化不良患者症状及情绪的影响[J].护理学杂志,2015,30(11):27-29.
[17] 吴莹.试论对功能性消化不良患者进行饮食教育对其临床疗效的影响[J].当代医药论丛,2015,13(13):147-149.
[18] 张娇健.针对性护理干预对功能性消化不良患者症状及睡眠质量的影响[J].现代中西医结合杂志,2015,24(11):1240-1242.
[19] 王肖萍,李金花.综合护理干预对功能性消化不良患者焦虑抑郁的影响[J].河北中医,2015,37(7):1082-1084.
[20] 刘捷.研究护理干预对功能性消化不良患者抑郁、焦虑心理的影响分析[J].中国现代药物应用,2016,10(7):244-245.
[2] 陈婷,唐旭东,王凤云,等.功能性消化不良中西医临床诊断分型的思考[J].中医杂志,2016,57(7):563-566.
[3] SINGH V,SINGH M,SCHURMAN J V,et al.Histopathological changes in the gastroduodenal mucosa of children with functional dyspepsia[J].Pathol Res Pract,2018,214(8):1173-1178.
[4] 王焕英,吴华清,贾春娟,等.寿光市功能性消化不良的危险因素与饮食教育干预对功能性消化不良治疗的影响[J].临床医药文献电子杂志,2017,4(3):508-509.
[5] 古巧燕,张军.功能性消化不良伴睡眠障碍患者的临床特征[J].胃肠病学,2015,20(7):417-420.
[6] 刘红玉,李志婷.功能性消化不良患者焦虑、抑郁状态与胃窦黏膜GAS及SS表达的关系[J].山东医药,2016,56(18):57-58.
[7] 崔二丽,王智昊,王丽波,等.功能性消化不良的诊治进展[J].中国老年学杂志,2015,35(9):2564-2568.
[8] ARO P,TALLEY N J,RONKAINEN J,et al.Anxiety is associated with uninvestigated and functional dyspepsia (Rome Ⅲ criteria) in a Swedish population-based study[J].Gastroenterology,2014,137(1):94-100.
[9] 郑海娟,陈冰,卢小红,等.功能性消化不良患者的精神心理影响因素调查分析与干预对策[J].护理实践与研究,2018,15(9):17-19.
[10] SUN R,HONG X,GUO J,et al.The central mechanism of acupuncture treatment with a long-lasting effect for functional dyspepsia: study protocol for a randomized controlled trial[J].Trials,2018,19(1):373.
[11] 赵婷,张春梅,岑发丽,等.个性化健康护理模式对功能性消化不良患者临床症状的影响[J].护理实践与研究,2018,15(5):31-32.
[12] 刘燕,于晓峰,童依丽,等.饮食因素在功能性胃肠病发病机制中的作用[J].中华消化杂志,2015,35(7):495-497.
[13] 王洁.功能性消化不良患者心理特征及护理干预效果[J].检验医学与临床,2015,12(2):267-269.
[14] 张福娟.功能性消化不良患者的整体护理体会[J].中国卫生标准管理,2015,6(5):184-185.
[15] 尹白鸽.对功能性消化不良患者实施饮食教育的效果[J].中国保健营养,2017,27(12):313-314.
[16] 黄红艳,李善玲,钱新毅,等.作业疗法对老年功能性消化不良患者症状及情绪的影响[J].护理学杂志,2015,30(11):27-29.
[17] 吴莹.试论对功能性消化不良患者进行饮食教育对其临床疗效的影响[J].当代医药论丛,2015,13(13):147-149.
[18] 张娇健.针对性护理干预对功能性消化不良患者症状及睡眠质量的影响[J].现代中西医结合杂志,2015,24(11):1240-1242.
[19] 王肖萍,李金花.综合护理干预对功能性消化不良患者焦虑抑郁的影响[J].河北中医,2015,37(7):1082-1084.
[20] 刘捷.研究护理干预对功能性消化不良患者抑郁、焦虑心理的影响分析[J].中国现代药物应用,2016,10(7):244-245.