摘要
目的探讨综合性中医护理干预措施对肝郁脾虚型溃疡性结肠炎患者感知病耻感、生活质量及免疫功能的影响。方法选取2017年1月-2018年12月在我院进行治疗的肝郁脾虚型溃疡性结肠炎患者90例作为研究对象,采用随机数字法分为对照组和干预组,各45例。对照组采用常规护理措施,干预组在此基础上采取综合性中医护理干预措施。干预3周后,比较2组炎症性肠病感知病耻感量表(PSS-IBD)评分、炎症性肠病患者生活质量量表(IBDQ)评分及T淋巴细胞亚群的情况。结果干预3周后,2组PSS-IBD评分均低于入院前,且干预组低于对照组(P<0.05);2组IBDQ各项评分均高于入院前,且干预组高于对照组(P<0.05);2组CD3^(+)、CD4^(+)浓度及CD4^(+)/CD8^(+)均低于入院前,CD8^(+)浓度高于入院前(P<0.05),且干预组优于对照组(P<0.05)。结论对肝郁脾虚型溃疡性结肠炎患者进行针对性情志护理、饮食护理、骨骼肌放松训练和内、外景想象训练,可以有效改善患者感知病耻感,提高患者的生存质量和免疫功能。
Objective To explore the effect of comprehensive nursing intervention of traditional Chinese medicine(TCM)on perceived stigma,quality of life and immune function of patients with ulcerative colitis typical of liver depression and spleen deficiency.Methods 90 patients with ulcerative colitis typical of liver depression and spleen deficiency,treated in our hospital from January 2017 to December 2018,were selected as the study subjects and randomly divided into control group and intervention group,with 45 cases in each group.The control group adopted routine nursing,and the intervention group received comprehensive TCM nursing intervention based on the regular nursing.After 3 weeks,the scores of Perceived Stigma Scale in IBD(PSS-IBD),Inflammatry Bowel Disease Questionnaire(IBDQ)and T lymphocyte subsets were compared between the two groups.Results After 3 weeks of intervention,the scores of PSS-IBD in the two groups were significantly lower than those before admission,and those in the intervention group were significantly lower than those in the control group(P<0.05).The scores of IBDQ in the two groups were significantly higher than those before admission,and those in the intervention group were significantly higher(P<0.05).The concentrations of CD3^(+),CD4^(+)and CD4^(+)/CD8^(+)in the two groups were lower than those before admission,while the concentration of CD8^(+)was higher than that before admission(P<0.05),and the intervention group was significantly higher than the control group(P<0.05).Conclusion For patients with ulcerative colitis of liver depression and spleen deficiency type,targeted emotional care,diet care,skeletal muscle relaxation training,interior and exterior imagery training can effectively improve patients’perception of stigma,improve their quality of life and immune function.
作者
徐丽娜
林旭榕
李雪
席男
刘姝
XU Lina;LIN Xurong;LI Xue;XI Nan;LIU Shu(Department of Internal Medicine,Fushun Traditional Chinese Medicine Hospital,Fushun 113008,China)
出处
《长春中医药大学学报》
2021年第1期186-188,共3页
Journal of Changchun University of Chinese Medicine
基金
辽宁省中医药临床专科能力建设项目(201601721)。
关键词
溃疡性结肠炎
中医护理
感知病耻感
生活质量
免疫功能
ulcerative colitis
nursing of traditional Chinese medicine
perceived stigma
quality of life
immune function
作者简介
徐丽娜(1975—),女,副主任护师,主要从事消化内科护理方面的研究。
