中医辨证施护对溃疡性结肠炎患者情绪、健康行为及生活质量的影响

发布时间：2018-05-24 19:50

本文选题：辨证施护 + 溃疡性结肠炎　；参考：《青岛大学》2017年硕士论文

【摘要】：目的探讨中医辨证施护对溃疡性结肠炎患者负性情绪、健康促进行为及生活质量的影响,以期为护理人员对溃疡性结肠炎患者进行中医辨证施护提供参考依据。方法本试验为类试验性研究。采用目的抽样法,根据纳入标准选取某三级甲等中医院脾胃病科住院的溃疡性结肠炎患者62例作为研究对象。根据研究对象首次入院的先后时间顺序进行分组,将2014年11月至2015年10月入院的研究对象作为对照组,2015年11月至2016年10月入院的研究对象作为试验组,对照组30例,试验组32例。对照组患者接受常规护理,试验组患者在常规护理的基础上,接受中医辨证施护。采用医院焦虑抑郁情绪测定表(HAD)、健康促进生活方式量表(HPLPII)和健康调查简表(SF-36),调查两组患者于入院时、出院时及出院后3个月时的焦虑抑郁情况、健康促进行为和生活质量。应用SPSS19.0软件包对试验数据进行统计学分析。结果1.最终对照组29例、试验组30例患者完成本次研究。2.入院时,两组患者的一般资料比较无统计学意义(P0.05)。3.两组患者在入院时、出院时和出院后3个月时的焦虑和抑郁评分经多因素重复测量方差分析结果显示:时间效应、组间效应的影响均具有统计学意义(P0.05),交互效应的影响无统计学意义(P0.05)。单因素重复测量方差分析结果显示:(1)试验组在出院时和出院后3个月时的焦虑评分均低于入院时(P0.01),但出院后3个月和出院时的焦虑评分比较无统计学意义(P0.05);试验组患者在3个时间点的抑郁评分为出院后3个月出院时入院时;(2)对照组患者在3个时间点的焦虑评分的差异无统计学意义(P0.05);对照组患者出院时和出院后3个月的抑郁评分均低于入院时(P0.01),但在出院时与出院后3个月的抑郁评分比较无统计学意义(P0.05)。多变量方差分析显示:两组患者在入院时和出院时的焦虑、抑郁评分比较均无统计学意义(P0.05),但试验组患者在出院后3个月的焦虑、抑郁评分低于对照组(P0.01)。4.两组患者在3个时间点的健康促进行为6个维度得分经多因素重复测量方差分析结果显示:时间效应、组间效应的影响均具有统计学意义(P0.05,P0.01),交互效应的影响无统计学意义(P0.05)。单因素重复测量方差分析结果显示:(1)试验组患者出院时的人际关系、营养、健康职责、压力管理得分高于入院时(P0.05,P0.01);出院后3个月时的健康促进行为6个维度得分均高于入院时(P0.05,P0.01);出院后3个月时运动锻炼、压力管理得分均高于出院时(P0.05,P0.01);(2)对照组患者出院时的人际关系、营养得分高于入院时(P0.05,P0.01),出院后3个月时人际关系得分高于入院时(P0.01),出院后3个月时自我实现得分高于出院时(P0.01)。多变量方差分析显示:两组患者在入院时的健康促进行为6个维度得分比较均无统计学意义(P0.05);试验组患者出院时的营养、健康职责、运动锻炼、自我实现得分均高于对照组(P0.05,P0.01);试验组患者在出院后3个月的健康促进行为6个维度得分均高于对照组(P0.05,P0.01)。5.两组患者在3个时间点的生活质量8个维度得分评分经多因素重复测量方差分析结果显示:时间效应、组间效应的影响均具有统计学意义(P0.05),交互效应的影响无统计学意义(P0.05)。单因素重复测量方差分析结果显示:(1)试验组患者出院时和出院后3个月的生活质量8个维度得分均高于入院时(P0.05,P0.01),出院后3个月时的总体健康、机体疼痛、社会功能得分均高于出院时(P0.05,P0.01);(2)对照组患者出院时的机体疼痛、社会功能、精神健康得分高于入院时(P0.05,P0.01),出院后3个月总体健康、机体疼痛、社会功能、精神健康得分高于入院时(P0.01);出院后3个月总体健康、机体疼痛、社会功能得分高于出院时(P0.05,P0.01)。多变量方差分析显示:两组患者在入院时的生活质量8个维度得分比较均无统计学意义(P0.05);试验组患者出院时的生理职能、机体疼痛、社会功能、精神健康均高于对照组(P0.05,P0.01);除生理职能外试验组患者出院后3个月其余7个生活质量维度得分均高于对照组(P0.05,P0.01)。结论中医辨证施护可有效减轻溃疡性结肠炎患者的焦虑、抑郁情绪,促进患者的健康行为,提高其生活质量。中医辨证施护为溃疡性结肠炎患者提供了一种个体化的安全、可靠、有效的护理方法,能更好地发挥中医护理的优势,为临床溃疡性结肠炎患者的护理干预提供参考依据。
[Abstract]:Objective to explore the effect of TCM syndrome differentiation on negative emotion, health promotion behavior and quality of life in patients with ulcerative colitis, so as to provide reference basis for nursing staff to carry out TCM Syndrome Differentiation for ulcerative colitis. Methods this experiment is a kind of experimental study. The sampling method is used to select a certain three grade nail according to the inclusion criteria. 62 cases of ulcerative colitis hospitalized in the spleen and stomach disease department of Chinese medicine hospital were used as the research object. According to the sequence of the first admission time in the hospital, the subjects were taken as the control group, the subjects of the study in the hospital from November 2015 to October 2016 were used as the experimental group, and the control group 30 cases were tested. The patients in the control group were treated with conventional nursing, and the patients in the experimental group were treated with traditional Chinese medicine on the basis of conventional nursing. The anxiety and depression of the hospital (HAD), the Health Promotion Lifestyle Scale (HPLPII) and the health survey simple table (SF-36) were used to investigate the anxiety and depression of the two groups at the time of admission, discharge and 3 months after discharge. Depression, health promotion behavior and quality of life. SPSS19.0 software package was used to carry out statistical analysis of experimental data. Results 1. final control group 29 cases, 30 patients in the test group completed this study.2. admission, the general data of two groups of patients were not statistically significant (P0.05).3. two patients at admission, discharge and 3 months after discharge The results of the time effect and intergroup effect were all statistically significant (P0.05), and the effect of interaction was not statistically significant (P0.05). The results of variance analysis of single factor repeated measurements showed: (1) the scores of anxiety in the experimental group were both at discharge and 3 months after discharge. It was lower than admission (P0.01), but the anxiety score of 3 months after discharge and discharge was not statistically significant (P0.05); the depression score of the test group at 3 time points was 3 months after discharge to hospital; (2) there was no statistical difference between the control group and the 3 time points (P0.05); the control group was discharged from discharge and out of hospital. The depression score of 3 months after hospital was lower than that of admission (P0.01), but there was no statistical significance (P0.05) in the depression score of the hospital and 3 months after discharge. The multivariable analysis of variance analysis showed that there was no statistical significance between the two groups at the time of admission and discharge, and the depression score was not statistically significant (P0.05), but the patients in the test group were in the 3 months after discharge. The score of depression was lower than that of the control group (P0.01) group.4. two. The scores of 6 dimensions of health promotion behavior at 3 time points were analyzed by multiple factor repeated measurements. The results showed that the effect of time effect was statistically significant (P0.05, P0.01), and the effect of interaction was not statistically significant (P0.05). The results of the difference analysis showed that: (1) the scores of interpersonal relationship, nutrition, health responsibility and stress management of the patients in the experimental group were higher than those at admission (P0.05, P0.01); the scores of 6 dimensions of health promotion behavior at 3 months after discharge were all higher than those at admission (P0.05, P0.01), and the scores of exercise and stress management were higher than those at discharge (P0.05, P0.0) at the time of discharge. 1) (2) the interpersonal relationship in the control group was higher than that of admission (P0.05, P0.01), the score of interpersonal relationship was higher than that of admission (P0.01) at 3 months after discharge, and the score of self realization was higher than that of discharge (P0.01) at 3 months after discharge. Multivariate analysis of variance analysis showed that the score of health promotion behavior in the two groups was compared to the 6 dimensions. There was no statistical significance (P0.05). The scores of nutrition, health responsibility, exercise and self realization were higher in the patients in the experimental group than in the control group (P0.05, P0.01). The scores of 6 dimensions of health promotion behavior in the experimental group 3 months after discharge were all higher than those of the control group (P0.05, P0.01).5. two patients in the 3 time points of life quality 8 dimensions. The result of multiple factor repeated measurement of variance analysis showed that the effect of time effect and intergroup effect had statistical significance (P0.05), and the effect of interaction effect was not statistically significant (P0.05). The results of variance analysis of single factor repeated measurement showed that: (1) the quality of life of the patients in the experimental group at discharge and 3 months after discharge was 8 dimensions The scores were higher than that of admission (P0.05, P0.01). The overall health, body pain and social function scores were higher than that of discharge (P0.05, P0.01) at 3 months after discharge. (2) the pain, social function and mental health scores of the control group were higher than those at admission (P0.05, P0.01), and the overall health, body pain, social function, and spirit after discharge were 3 months after discharge. The score of health was higher than that of admission (P0.01); the total health, body pain and social function were higher than that of discharge (P0.05, P0.01) at 3 months after discharge. The multivariate analysis of variance analysis showed that there was no significant difference between the 8 dimensions of the quality of life of the two groups at admission (P0.05); the physiological functions of the patients in the experimental group, the pain of the body, and the society in the experimental group. The function and mental health were higher than that of the control group (P0.05, P0.01), and the other 7 quality of life scores were higher than those of the control group (P0.05, P0.01) in the 3 months after discharge from the physiological function test group. Conclusion the TCM syndrome differentiation can effectively reduce the anxiety, depression, healthy behavior and life of the patients with ulcerative colitis. Quality. TCM syndrome differentiation provides an individualized safe, reliable and effective nursing method for patients with ulcerative colitis. It can give full play to the advantages of traditional Chinese medicine and provide reference for the nursing intervention of patients with ulcerative colitis.
【学位授予单位】：青岛大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R248.1

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