本文選題：第三腰椎橫突綜合征　切入點：中藥熏蒸　出處：《黑龍江中醫(yī)藥大學》2016年碩士論文

【摘要】：目的1探討局部中藥熏蒸、局部中藥熏蒸聯(lián)合蠟療對第三腰椎橫突綜合征患者的應用效果,旨在為臨床護理干預提供參考依據(jù)和數(shù)據(jù)支持。2探尋第三腰椎橫突綜合征患者對中醫(yī)護理技術的真實體驗,尤其是其接受度、認可度、需求性以及依從性,為進一步完善中醫(yī)護理技術在臨床中的應用提供借鑒。方法本研究采用量性與質(zhì)性相結(jié)合的研究方法。①量性研究：采取便利抽樣方法,選取哈爾濱市某三級甲等中醫(yī)院骨傷科、符合納入標準的第三腰椎橫突綜合征保守治療患者為研究對象。對照組給予院內(nèi)常規(guī)護理和治療,脫落后剩余32例；試驗組1在對照組基礎上給予局部中藥熏蒸,脫落后剩余33例；試驗組2在試驗組1基礎上給予蠟療,脫落后剩余33例。干預前后分別采用改良后日本骨科協(xié)會下腰痛評分量表、Oswestry功能障礙指數(shù)、生存質(zhì)量測定量表簡表進行評價,并在干預后依據(jù)《中醫(yī)病證診斷療效標準》評價患者療效。數(shù)據(jù)錄入SPSS19.0統(tǒng)計軟件進行處理分析,檢驗水準為a=0.05,P0.05為差異具有統(tǒng)計學意義。②質(zhì)性研究：采取立意抽樣方法,選取試驗組2(局部中藥熏蒸聯(lián)合蠟療組)中具有代表性的患者為研究對象,資料飽和時訪談11例患者,然后根據(jù)Colaizzi現(xiàn)象學七步分析法對訪談資料進行轉(zhuǎn)錄、分析,并提煉出4個主題。結(jié)果1干預前,三組患者一般資料、JOA各維度及總分、ODI評分、生存質(zhì)量各維度及總分各項得分比較差異均無統(tǒng)計學意義(P0.05)。2干預前后組內(nèi)比較,三組患者JOA各維度及總分、ODI評分、生存質(zhì)量各維度及總分各項得分比較差異均有統(tǒng)計學意義(P0.05)。3干預后組間比較,三組患者JOA各維度及總分、ODI評分各項得分比較差異均有統(tǒng)計學意義(P0.05)。生存質(zhì)量生理領域和社會關系領域三組間兩兩比較差異均有統(tǒng)計學意義(P0.05)。但在心理領域和環(huán)境領域試驗組1與試驗組2無統(tǒng)計學意義(P0.05)；生存質(zhì)量總分方面對照組與試驗組1、試驗組1與試驗組2也無統(tǒng)計學意義(P0.05)。4質(zhì)性研究部分歸納為4個主題：(1)疾病認知體驗：疾病認知不足；疾病對患者影響較大；(2)中醫(yī)護理技術認知不足；(3)接受中醫(yī)護理技術態(tài)度及行為體驗：中醫(yī)護理技術前、后患者感受差異較大；中醫(yī)護理技術的接受度和依從性較差；(4)對中醫(yī)護理技術服務需求的體驗：良好服務態(tài)度與工作熱情；強化心理干預與疏導；營造規(guī)�；�、人性化服務環(huán)境。結(jié)論1局部中藥熏蒸、局部中藥熏蒸聯(lián)合蠟療均有助于改善患者的癥狀和體征,提高生存質(zhì)量；2局部中藥熏蒸聯(lián)合蠟療的改善程度要優(yōu)于單純局部中藥熏蒸；3臨床工作中要提高患者疾病認知,積極推廣中醫(yī)護理技術,以提高社會認同,從而不斷完善中醫(yī)護理技術管理。
[Abstract]:Objective 1 to investigate the effect of local Chinese medicine fumigation and local traditional Chinese medicine fumigation combined with wax therapy on the third lumbar vertebrae transverse process syndrome. In order to provide reference and data support for clinical nursing intervention, the purpose of this study was to explore the true experience of the third lumbar vertebrae transverse process syndrome in TCM nursing technology, especially its acceptance, acceptance, demand and compliance. Methods the method of combining quantity and quality was adopted in this study. 1 quantitative study was adopted. Convenience sampling method was adopted to select orthopedics department of Grade 3A traditional Chinese medicine hospital in Harbin. The conservative treatment of the third lumbar transverse process syndrome according to the inclusive criteria was studied. The control group was given routine nursing and treatment in hospital, and the remaining 32 cases were treated with local Chinese medicine fumigation on the basis of the control group. The remaining 33 cases were treated with wax therapy on the basis of trial group 1 and the remaining 33 cases after exfoliation. Oswestry dysfunction index was measured by the modified Japanese Orthopaedic Association low back pain scale before and after intervention. The quality of life (QOL) was evaluated by the summary table of quality of life (QOL). After the intervention, the patients were evaluated according to the criteria for diagnosis and treatment of TCM diseases and syndromes. The data were input into the SPSS19.0 statistical software for processing and analysis. The test level was 0.05% (P 0.05). The difference was statistically significant. 2 qualitative study: the representative patients in test group 2 (local Chinese medicine fumigation combined with wax therapy group) were selected as the study objects. 11 patients were interviewed when the data was saturated. Then the interview data were transcribed and analyzed according to the Colaizzi phenomenological seven step analysis method. Results 1 before intervention, three groups of patients' general data were divided into three groups: each dimension and total score were scored. There was no significant difference in the scores of each dimension and total score of quality of life between the three groups before and after P0.05.2 intervention. The scores of JOA in each dimension and total score of the three groups were significantly higher than those in the control group. The scores of each dimension and total score of quality of life were significantly different between groups after P0.05.3 intervention. There were significant differences in the scores of JOA dimensions and total scores among the three groups (P 0.05). There were significant differences in quality of life (QOL) physiological field and social relationship field (P 0.05) among the three groups, but there were significant differences in psychological field and environment. There was no significant difference between group 1 and group 2 in terms of quality of life (P 0.05); the total score of quality of life in control group and test group 1, and that in group 1 and group 2 had no statistical significance. Experience: lack of understanding of disease; (2) lack of cognition of nursing technology of traditional Chinese medicine (3) attitude and behavior experience of receiving nursing technology of traditional Chinese medicine: before and after nursing technology of TCM, patients' feelings were different; The experience of Chinese medicine nursing technology service demand: good service attitude and work enthusiasm; strengthen psychological intervention and guidance; create scale; Conclusion 1 Local Chinese medicine fumigation and local Chinese medicine fumigation combined with wax therapy can improve the symptoms and signs of the patients. The improvement of local Chinese medicine fumigation combined with wax therapy was better than that of local traditional Chinese medicine fumigation combined with wax therapy. In clinical work, patients' disease cognition should be improved, and traditional Chinese medicine nursing technology should be popularized actively in order to raise social identity. In order to constantly improve the management of traditional Chinese medicine nursing technology.
【學位授予單位】：黑龍江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2016
【分類號】：R248.2

【相似文獻】

相關期刊論文 前10條

1 趙慧蘭,趙敏;中醫(yī)護理技術的發(fā)展與展望[J];山東醫(yī)藥;2003年02期

2 馬勤;;繼承和發(fā)揚中醫(yī)護理技術的思路和方法[J];中國醫(yī)藥導報;2007年04期

3 王俊杰;汪麗娟;邊雪梅;;中醫(yī)護理技術優(yōu)勢與展望[J];中醫(yī)藥管理雜志;2009年07期

4 高利蓉;張玉蓮;;中醫(yī)護理技術的臨床應用探討[J];內(nèi)蒙古中醫(yī)藥;2009年07期

5 孫丹;孫強;張輝;董曉紅;;中醫(yī)護理技術教學現(xiàn)狀與優(yōu)化策略[J];齊魯護理雜志;2010年09期

6 孫丹;孫強;雷霞;徐紅丹;;《中醫(yī)護理技術》實踐教學現(xiàn)狀調(diào)查[J];護理研究;2010年26期

7 劉霞;;中醫(yī)護理技術在手術患者中的應用[J];光明中醫(yī);2011年12期

8 黃瑾華;;積極推行中醫(yī)護理技術操作在臨床使用的體會[J];醫(yī)學理論與實踐;2011年24期

9 許秀華;;我院中醫(yī)護理技術操作的現(xiàn)狀與分析[J];臨床合理用藥雜志;2011年36期

10 唐娟;;影響我院實施中醫(yī)護理技術的問題與對策[J];內(nèi)蒙古中醫(yī)藥;2011年21期

相關會議論文 前7條

1 趙先玲;;中醫(yī)護理技術的臨床實踐[A];中華護理學會全國中醫(yī)、中西醫(yī)結(jié)合護理學術交流暨專題講座會議論文匯編[C];2009年

2 趙先玲;;中醫(yī)護理技術在骨傷科的臨床應用[A];河南省中醫(yī)、中西醫(yī)結(jié)合護理暨中西醫(yī)骨傷護理研討觀摩交流會議論文集[C];2009年

3 王曄琳;;中醫(yī)護理技術—貼敷的應用進展[A];全國中醫(yī)、中西醫(yī)護理學術交流暨專題講座會議論文匯編[C];2008年

4 姚艷絨;;中醫(yī)護理技術操作標準的制定及臨床應用效果評價[A];全國中醫(yī)、中西醫(yī)結(jié)合護理學術交流會議、全國社區(qū)護理學術交流會議論文匯編[C];2012年

5 王雪蘭;;中醫(yī)護理技術在優(yōu)質(zhì)護理工作中的應用[A];甘肅省中醫(yī)藥學會2012年學術年會論文匯編[C];2012年

6 趙先玲;;中醫(yī)護理技術在骨傷科的臨床應用[A];中華護理學會全國中醫(yī)、中西醫(yī)結(jié)合護理學術交流暨專題講座會議論文匯編[C];2009年

7 吳艷青;安惠霞;樓晨雁;;60例慢性結(jié)腸炎的中醫(yī)護理技術指導[A];全國中醫(yī)、中西醫(yī)結(jié)合護理學術交流會議論文匯編[C];2011年

相關重要報紙文章 前3條

1 嚴國進;應鼓勵基層醫(yī)院使用中醫(yī)護理技術[N];中國醫(yī)藥報;2013年

2 記者 胡彬;鼓勵臨床護士使用中醫(yī)護理技術[N];中國中醫(yī)藥報;2013年

3 陳玉;中醫(yī)護理技術逐步走向規(guī)范化[N];中國醫(yī)藥報;2004年

相關碩士學位論文 前1條

1 李思慕;局部中藥熏蒸聯(lián)合蠟療對第三腰椎橫突綜合征患者的臨床應用研究[D];黑龍江中醫(yī)藥大學;2016年

，

本文編號：1673530