通过访谈法提取气虚证患者自诉的气虚证症状及其对日常生活的影响

发布时间：2018-02-01 18:25

本文关键词： 疗效评价 PRO 生存质量气虚证冠心病心绞痛方法学　出处：《辽宁中医杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的:通过访谈法提取患者自诉的气虚证症状,挖掘气虚证在患者日常生活中各种实实在在的表现,为研制气虚证疗效评价量表提供数据基础。方法:运用深度访谈法,围绕气虚证访谈提纲,对患者进行预访谈和正式访谈以获取访谈资料,直到达到信息饱和。从访谈资料中提取患者自诉的气虚证症状及其对生活质量的影响。结果:共访谈了26例患者,平均年龄(61±23)岁,患者疾病诊断涵盖冠心病心绞痛、2型糖尿病、慢性阻塞性肺病、肾小球肾炎、骨髓增生异常综合征等。所有患者均口述有明显乏、累的表现;21例患者自诉没精神头儿、犯困;17例患者的自述喘气儿不舒服;11例患者口述懒得说话;11例患者发现自己容易出汗;12例患者表现出了不同程度消极情绪;且有12例患者感觉自己体质偏差,抵抗力下降。这些气虚证表现出来的身体不适,对患者日常生活最大的是:走路(16例)、上楼(12例),还影响了患者做家务(4例)、吃饭(4例)、看电视(4例),买菜(3例)、做饭(3例)、聚会(3例)等,13例患者口述需要坐着或躺着休息,8例患者口述情绪烦躁,4例患者因担心疾病造成了心理负担。结论:气虚证患者口诉的气虚证症状包括:乏力、神疲、懒言、气短、自汗、消极情绪等,并出现了易患感冒等抵抗力下降的表现。这些症状对患者的日常生活造成了不同程度的影响,也对患者的工作、社交及家庭造成了影响。
[Abstract]:Objective: to extract the symptoms of qi deficiency syndrome by interview, and to excavate the real manifestations of qi deficiency syndrome in patients' daily life. Methods: the method of in-depth interview was used to conduct pre-interview and formal interview to obtain the interview data around the outline of Qi-deficiency syndrome interview. The symptom of qi deficiency and its influence on quality of life were extracted from the interview data. Results: 26 patients were interviewed with an average age of 61 卤23 years. The diagnosis included coronary heart disease angina pectoris type 2 diabetes, chronic obstructive pulmonary disease, glomerulonephritis, myelodysplastic syndrome and so on. 21 patients had no mental state and were sleepy. 17 cases of self-reported wheezing children were not comfortable; 11 patients were not allowed to speak. 11 patients found that they perspired easily. 12 patients showed different degrees of negative emotion. And there were 12 patients feel their physical deviation, resistance to decline. These qi deficiency symptoms of physical discomfort, the greatest impact on the daily life of the patients are: walking in 16 cases, upstairs 12 cases). There were also 4 cases of household chores, 4 cases of eating, 4 cases of watching TV, 3 cases of buying vegetables, 3 cases of cooking, 3 cases of gathering, etc.) 13 patients said that they needed to sit or lie down to rest. Conclusion: the symptoms of Qi deficiency in patients with Qi deficiency include: fatigue, fatigue, lazy speech, shortness of breath, self-sweating, negative emotion and so on. These symptoms have different effects on patients' daily life, as well as on their work, social and family life.
【作者单位】：辽宁中医药大学附属医院;辽宁中医药大学;
【基金】：国家自然科学基金青年基金项目(81503468)
【分类号】：R255
【正文快照】： 气虚证是中医临床最常见的一个基本证候,临床各个系统疾病均可伴有气虚证表现。随着中医临床疗效评价相关研究的开展,气虚证的客观诊断及量化评价一直是学术界持续关注的焦点。早在上世纪80年代,沈自尹院士等就已制定了气虚证的辨证参考标准[1]。1997年,国家颁布的《中医临床

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