中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
19期
2238-2241
,共4页
经络推按%药膳疗法%冠心病心绞痛%生活质量
經絡推按%藥膳療法%冠心病心絞痛%生活質量
경락추안%약선요법%관심병심교통%생활질량
Meridian push press%Medicinal food therapy%Angina%Quality of life
目的 探讨中医经络推按配合药膳疗法对冠心病心绞痛患者生活质量的影响.方法 采用随机平行对照临床研究,将122例冠心病心绞痛患者分为四组:经络推按组31例、药膳组30例、经络推按配合药膳组31例、对照组30例.对照组常规西药治疗及护理,其余三组在常规西药治疗及护理的基础上,给予经络推按、药膳疗法、经络推按配合药膳疗法,各组治疗3个疗程,每个疗程2周.通过西雅图心绞痛量表(SAQ)、健康调查简表(SF-36)、硝酸甘油用量评价冠心病心绞痛患者的生活质量.结果 四组患者3个疗程后西雅图心绞痛量表的躯体活动受限程度维度得分分别为经络推按组(65.77±8.55)分,药膳组(66.17±8.31)分,经络推按配合药膳组得分(74.68±4.28)分,对照组(62.63±8.45)分,四组比较差异有统计学意义(F=14.15,P＜0.01);四组在SAQ、SF-36、硝酸甘油用量方面比较,差异均有统计学意义(F分别为8.55,7.53,8.46;P＜0.01).结论 中医经络推按配合药膳疗法能提高患者的疗效及生活质量,为冠心病心绞痛患者中医护理提供依据,同时可以将研究成果在社区护理中推广,以起到二级预防的作用.
目的 探討中醫經絡推按配閤藥膳療法對冠心病心絞痛患者生活質量的影響.方法 採用隨機平行對照臨床研究,將122例冠心病心絞痛患者分為四組:經絡推按組31例、藥膳組30例、經絡推按配閤藥膳組31例、對照組30例.對照組常規西藥治療及護理,其餘三組在常規西藥治療及護理的基礎上,給予經絡推按、藥膳療法、經絡推按配閤藥膳療法,各組治療3箇療程,每箇療程2週.通過西雅圖心絞痛量錶(SAQ)、健康調查簡錶(SF-36)、硝痠甘油用量評價冠心病心絞痛患者的生活質量.結果 四組患者3箇療程後西雅圖心絞痛量錶的軀體活動受限程度維度得分分彆為經絡推按組(65.77±8.55)分,藥膳組(66.17±8.31)分,經絡推按配閤藥膳組得分(74.68±4.28)分,對照組(62.63±8.45)分,四組比較差異有統計學意義(F=14.15,P＜0.01);四組在SAQ、SF-36、硝痠甘油用量方麵比較,差異均有統計學意義(F分彆為8.55,7.53,8.46;P＜0.01).結論 中醫經絡推按配閤藥膳療法能提高患者的療效及生活質量,為冠心病心絞痛患者中醫護理提供依據,同時可以將研究成果在社區護理中推廣,以起到二級預防的作用.
목적 탐토중의경락추안배합약선요법대관심병심교통환자생활질량적영향.방법 채용수궤평행대조림상연구,장122례관심병심교통환자분위사조:경락추안조31례、약선조30례、경락추안배합약선조31례、대조조30례.대조조상규서약치료급호리,기여삼조재상규서약치료급호리적기출상,급여경락추안、약선요법、경락추안배합약선요법,각조치료3개료정,매개료정2주.통과서아도심교통량표(SAQ)、건강조사간표(SF-36)、초산감유용량평개관심병심교통환자적생활질량.결과 사조환자3개료정후서아도심교통량표적구체활동수한정도유도득분분별위경락추안조(65.77±8.55)분,약선조(66.17±8.31)분,경락추안배합약선조득분(74.68±4.28)분,대조조(62.63±8.45)분,사조비교차이유통계학의의(F=14.15,P＜0.01);사조재SAQ、SF-36、초산감유용량방면비교,차이균유통계학의의(F분별위8.55,7.53,8.46;P＜0.01).결론 중의경락추안배합약선요법능제고환자적료효급생활질량,위관심병심교통환자중의호리제공의거,동시가이장연구성과재사구호리중추엄,이기도이급예방적작용.
Objective To explore the effect of meridian push press cooperating with medicinal food therapy on the quality of life in patients with angina disease. Methods Random parallel controlled clinical research was used in this research. 122 patients with angina disease were divided into four groups: 31 in the meridian push press group, 30 in the medicinal food therapy group. 31 in the meridian push press cooperating with medicinal food therapy group, and 30 in the control group. The control group was treated with the conventional treatment and nursing, the other three groups were treated with not only the conventional treatment and nursing, but also the meridian push press treatment, medicinal food therapy and meridian push press cooperating with medicinal food therapy. There were 3 courses of treatment and each course of the treatment was lasted in 2 weeks. The quality of life in patients with angina disease was evaluated by the Seattle Angina Questionnaire (SAQ), the MOS item short from health survey (SF-36) and the nitroglycerin consumption.Results Degree of physical activity limitation scores in Seattle Angina Questionnaire for four groups were different[(65.77 ±8.55), (66. 17 ±8.31), (74.68 ±4.28) and (62.63 ±8.45)], with a statistical significance( F = 14. 15 ,P ＜ 0. 01 ). Four groups of patients after 3 courses of treatment in the Seattle Angina Questionnaire, the MOS item short from health survey and the nitroglycerin consumption were significantly different by analysis of variance (F=8.55,7.53,8.46;P＜0. 01). Conclusions The meridian push press cooperating with medicinal food therapy can improve the curative effect and quality of life in patients with angina disease. It will provide the basis for TCM nursing and the research results can be promote to the community nursing to play a role of secondary prevention.
