摘要
目的探讨中药穴位贴敷联合情志护理干预在功能性便秘中的价值。方法选取福建中医药大学附属人民医院呼吸科2020年3月—2021年6月68例功能性便秘患者,随机分为对照组(采取常规治疗)与研究组(对照组基础上实施中药穴位贴敷联合情志护理干预),每组各34例。观察两组的疗效、便秘症状评分、汉密尔顿焦虑量表评分(Hamilton agitation scale,SAS)及汉密尔顿抑郁量表评分(Hamilton self-rating depression scale,SDS)、胃肠激素及肠动力学指标、便秘患者生活质量量表评分(quality of life scale for constipation patients,PAC-QOL)。结果研究组总效率为94.12%,明显高于对照组的73.53%(P<0.05)。治疗前两组便秘症状评分差异无统计学意义(P>0.05);治疗后研究组便秘症状积分下降程度明显低于对照组(P<0.05)。治疗前两组SAS评分及SDS指标差异无统计学意义(P>0.05);治疗后研究组SAS.SDS评分下降程度明显低于对照组(P<0.05)。治疗前两组胃肠激素及肠动力学指标差异无统计学意义(P>0.05);治疗后研究组生长抑素、直肠最大容量感觉阈值、肛管最大缩榨压、模拟排便肛管压指标均明显低于对照组,P物质及胃动素指标均明显高于对照组(P<0.05)。治疗前两组PAC-QOL评分差异无统计学意义(P>0.05);治疗研究组PAC-QOL下降程度明显低于对照组(P<0.05)。结论中药穴位贴敷联合情志护理干预措施的实施可增强功能性便秘病症治疗疗效果,明显改善患者临床症状及负面情绪,优化胃肠激素及肠动力学,提高生活质量。
Objective To explore the value of traditional Chinese medicine acupoint application combined with emotional nursing intervention in functional constipation.Methods From March 2020 to June 2021,a total of 68 patients from Department of Respiratory Medicine,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine with functional constipation were randomly divided into the control group(receiving conventional treatment)and the study group(receiving TCM acupoint application combined with emotional nursing intervention on the basis of the control group).The observation indicators of two grous of:efficacy,score of constipation symptoms,Hamilton agitation scale(SAS)and Hamilton self-rating depression scale,(SDS),gastrointestinal hormones and enterodynamics indexes,quality of life scale for constipation patients(PAC-QOL).Results The total effective rate of the study group(94.12%)was significantly higher than that of the control group(73.53%)(P<0.05).Before treatment,there was no significant difference in the scores of constipation symptoms between the two groups(P>0.05).After treatment,the decrease of scores of constipation symptoms in the study group was significantly lower than that in the control group(P<0.05).There were no significant differences in SAS and SDS scores between the two groups before treatment(P>0.05).After treatment,the decrease of these SAS.SDS scores in the study group was significantly lower than that in the control group(P<0.05).Before treatment,there were no significant differences in gastrointestinal hormone and intestinal dynamics indexes between the two groups(P>0.05).After treatment,somatostatin,maximum rectal volume sensory threshold,maximum rectal shrinkage pressure and simulated defecation anal pressure indexes in the study group were significantly lower than those in the control group,while substance P and motilin indexes were significantly higher than those in the control group(P<0.05).There was no significant difference in PACQOL scores between the two groups before treatment(P>0.05).The decrease of PAC-QOL in the treatment group was significantly lower than that in the control group(P<0.05).Conclusion The application of traditional Chinese medicine acupoint application combined with emotional nursing intervention can enhance the therapeutic effect of functional constipation,significantly improve the clinical symptoms and negative emotions of patients,optimize gastrointestinal hormones and intestinal dynamics,and improve the quality of life.
作者
詹爱仙
冯木兰
黄德莉
陈水凤
ZHAN Aixian;FENG Mulan;HUANG Deli;CHEN Shuifeng(Department of Respiratory Medicine,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou Fujian 350001,China)
出处
《中国卫生标准管理》
2022年第24期178-183,共6页
China Health Standard Management
基金
福建中医药大学2019年校管课题(X2019050)。
关键词
中药
穴位贴敷
情志护理
功能性便秘
胃肠激素
PAC-QOL评分
Chinese medicine
acupoint application
emotional nursing
functional constipation
gastrointestinal hormone
PAC-QOL score
