国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2011年
11期
1617-1620
,共4页
吴玉娟%钟印勤%席蓉%贾院春
吳玉娟%鐘印勤%席蓉%賈院春
오옥연%종인근%석용%가원춘
慢性浅表性胃炎%辨证施护%中医护理%生存质量%SF - 36量表
慢性淺錶性胃炎%辨證施護%中醫護理%生存質量%SF - 36量錶
만성천표성위염%변증시호%중의호리%생존질량%SF - 36량표
Chronic superficial gastritis%Syndrome differentiation - based nursing%Chinese medical nursing%Life quality%SF-36 scale
目的 探讨辨证施护对慢性浅表性胃炎患者临床疗效及生存质量的影响.方法 将77例患者随机分为观察组39例和对照组38例.对照组采用常规护理；观察组在常规护理的基础上给予辨证施护,连续观察4周.对比两组的临床疗效；采用SF - 36量表评价两组患者护理前后生存质量状况.结果 两组疗效比较,观察组总有效率89.7％；对照组总有效率68.4％,观察组优于对照组(P＜0.05).两组患者护理前后生存质量状况比较,两组护理后生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康八个维度的积分,均有显著改善(P＜0.01).观察组在生理职能、躯体疼痛、情感职能、精神健康四个维度的积分改善较对照组更明显(P＜0.05).两组护理后健康效用值,与护理前相比,均有极显著性差异(P＜0.01).护理后两组的健康效用值相比有极显著性差异(P＜0.01),观察组对生存质量整体的改善较对照组明显.结论 辨证施护不仅能显著改善慢性浅表性胃炎患者的临床症状,而且还能提高患者的生存质量.
目的 探討辨證施護對慢性淺錶性胃炎患者臨床療效及生存質量的影響.方法 將77例患者隨機分為觀察組39例和對照組38例.對照組採用常規護理；觀察組在常規護理的基礎上給予辨證施護,連續觀察4週.對比兩組的臨床療效；採用SF - 36量錶評價兩組患者護理前後生存質量狀況.結果 兩組療效比較,觀察組總有效率89.7％；對照組總有效率68.4％,觀察組優于對照組(P＜0.05).兩組患者護理前後生存質量狀況比較,兩組護理後生理機能、生理職能、軀體疼痛、一般健康狀況、精力、社會功能、情感職能、精神健康八箇維度的積分,均有顯著改善(P＜0.01).觀察組在生理職能、軀體疼痛、情感職能、精神健康四箇維度的積分改善較對照組更明顯(P＜0.05).兩組護理後健康效用值,與護理前相比,均有極顯著性差異(P＜0.01).護理後兩組的健康效用值相比有極顯著性差異(P＜0.01),觀察組對生存質量整體的改善較對照組明顯.結論 辨證施護不僅能顯著改善慢性淺錶性胃炎患者的臨床癥狀,而且還能提高患者的生存質量.
목적 탐토변증시호대만성천표성위염환자림상료효급생존질량적영향.방법 장77례환자수궤분위관찰조39례화대조조38례.대조조채용상규호리；관찰조재상규호리적기출상급여변증시호,련속관찰4주.대비량조적림상료효；채용SF - 36량표평개량조환자호리전후생존질량상황.결과 량조료효비교,관찰조총유효솔89.7％；대조조총유효솔68.4％,관찰조우우대조조(P＜0.05).량조환자호리전후생존질량상황비교,량조호리후생리궤능、생리직능、구체동통、일반건강상황、정력、사회공능、정감직능、정신건강팔개유도적적분,균유현저개선(P＜0.01).관찰조재생리직능、구체동통、정감직능、정신건강사개유도적적분개선교대조조경명현(P＜0.05).량조호리후건강효용치,여호리전상비,균유겁현저성차이(P＜0.01).호리후량조적건강효용치상비유겁현저성차이(P＜0.01),관찰조대생존질량정체적개선교대조조명현.결론 변증시호불부능현저개선만성천표성위염환자적림상증상,이차환능제고환자적생존질량.
Objective To observe the influence of syndrome differentiation - based nursing on the clinical efficacy and life quality of patients with chronic superficial gastritis.Methods A total of 77 cases were divided into the observation group ( n =39) and the control group ( n =38).The control group was received routine nursing while the observation group was received syndrome differentiation - based nursing.And the cases were subjected to continual observation for 4 weeks,in which clinical efficacy was compared between the two groups and SF -36 scale was adopted to evaluate the life quality before and after nursing.Results The effective rate was 89.7％ in the observation group and 68.4％ in the control group; there was significant difference between the two groups ( P ＜ 0.05 ).A comparison of life quality before and after nursing showed that there was significant improvement ( P ＜ 0.01 ) of scores in eight concepts including physiological functioning,role limitations because of physical health problems,bodily pain,general health perceptions,vitality,social functioning,role limitations because of emotional problems,and general mental health.The improvement of 4 concepts including role limitations because of emotional problems,bodily pain,role limitations because of physical problems,and general mental health,was more significant in the observation group than those in the control group (P ＜ 0.05).The health utility in both groups after nursing was higher than that before nursing.There was very significant difference of health utility after nursing between the two groups ( P ＜ 0.01 ).Conclusion Syndrome differentiation - based nursing not only significantly improves the clinical symptoms of chronic superficial gastritis,but also increases the life quality of patients.
