本文選題：辨證施護(hù) + 潰瘍性結(jié)腸炎��； 參考：《青島大學(xué)》2017年碩士論文

【摘要】：目的探討中醫(yī)辨證施護(hù)對(duì)潰瘍性結(jié)腸炎患者負(fù)性情緒、健康促進(jìn)行為及生活質(zhì)量的影響,以期為護(hù)理人員對(duì)潰瘍性結(jié)腸炎患者進(jìn)行中醫(yī)辨證施護(hù)提供參考依據(jù)。方法本試驗(yàn)為類試驗(yàn)性研究。采用目的抽樣法,根據(jù)納入標(biāo)準(zhǔn)選取某三級(jí)甲等中醫(yī)院脾胃病科住院的潰瘍性結(jié)腸炎患者62例作為研究對(duì)象。根據(jù)研究對(duì)象首次入院的先后時(shí)間順序進(jìn)行分組,將2014年11月至2015年10月入院的研究對(duì)象作為對(duì)照組,2015年11月至2016年10月入院的研究對(duì)象作為試驗(yàn)組,對(duì)照組30例,試驗(yàn)組32例。對(duì)照組患者接受常規(guī)護(hù)理,試驗(yàn)組患者在常規(guī)護(hù)理的基礎(chǔ)上,接受中醫(yī)辨證施護(hù)。采用醫(yī)院焦慮抑郁情緒測(cè)定表(HAD)、健康促進(jìn)生活方式量表(HPLPII)和健康調(diào)查簡(jiǎn)表(SF-36),調(diào)查兩組患者于入院時(shí)、出院時(shí)及出院后3個(gè)月時(shí)的焦慮抑郁情況、健康促進(jìn)行為和生活質(zhì)量。應(yīng)用SPSS19.0軟件包對(duì)試驗(yàn)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)學(xué)分析。結(jié)果1.最終對(duì)照組29例、試驗(yàn)組30例患者完成本次研究。2.入院時(shí),兩組患者的一般資料比較無統(tǒng)計(jì)學(xué)意義(P0.05)。3.兩組患者在入院時(shí)、出院時(shí)和出院后3個(gè)月時(shí)的焦慮和抑郁評(píng)分經(jīng)多因素重復(fù)測(cè)量方差分析結(jié)果顯示:時(shí)間效應(yīng)、組間效應(yīng)的影響均具有統(tǒng)計(jì)學(xué)意義(P0.05),交互效應(yīng)的影響無統(tǒng)計(jì)學(xué)意義(P0.05)。單因素重復(fù)測(cè)量方差分析結(jié)果顯示:(1)試驗(yàn)組在出院時(shí)和出院后3個(gè)月時(shí)的焦慮評(píng)分均低于入院時(shí)(P0.01),但出院后3個(gè)月和出院時(shí)的焦慮評(píng)分比較無統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組患者在3個(gè)時(shí)間點(diǎn)的抑郁評(píng)分為出院后3個(gè)月出院時(shí)入院時(shí);(2)對(duì)照組患者在3個(gè)時(shí)間點(diǎn)的焦慮評(píng)分的差異無統(tǒng)計(jì)學(xué)意義(P0.05);對(duì)照組患者出院時(shí)和出院后3個(gè)月的抑郁評(píng)分均低于入院時(shí)(P0.01),但在出院時(shí)與出院后3個(gè)月的抑郁評(píng)分比較無統(tǒng)計(jì)學(xué)意義(P0.05)。多變量方差分析顯示:兩組患者在入院時(shí)和出院時(shí)的焦慮、抑郁評(píng)分比較均無統(tǒng)計(jì)學(xué)意義(P0.05),但試驗(yàn)組患者在出院后3個(gè)月的焦慮、抑郁評(píng)分低于對(duì)照組(P0.01)。4.兩組患者在3個(gè)時(shí)間點(diǎn)的健康促進(jìn)行為6個(gè)維度得分經(jīng)多因素重復(fù)測(cè)量方差分析結(jié)果顯示:時(shí)間效應(yīng)、組間效應(yīng)的影響均具有統(tǒng)計(jì)學(xué)意義(P0.05,P0.01),交互效應(yīng)的影響無統(tǒng)計(jì)學(xué)意義(P0.05)。單因素重復(fù)測(cè)量方差分析結(jié)果顯示:(1)試驗(yàn)組患者出院時(shí)的人際關(guān)系、營(yíng)養(yǎng)、健康職責(zé)、壓力管理得分高于入院時(shí)(P0.05,P0.01);出院后3個(gè)月時(shí)的健康促進(jìn)行為6個(gè)維度得分均高于入院時(shí)(P0.05,P0.01);出院后3個(gè)月時(shí)運(yùn)動(dòng)鍛煉、壓力管理得分均高于出院時(shí)(P0.05,P0.01);(2)對(duì)照組患者出院時(shí)的人際關(guān)系、營(yíng)養(yǎng)得分高于入院時(shí)(P0.05,P0.01),出院后3個(gè)月時(shí)人際關(guān)系得分高于入院時(shí)(P0.01),出院后3個(gè)月時(shí)自我實(shí)現(xiàn)得分高于出院時(shí)(P0.01)。多變量方差分析顯示:兩組患者在入院時(shí)的健康促進(jìn)行為6個(gè)維度得分比較均無統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組患者出院時(shí)的營(yíng)養(yǎng)、健康職責(zé)、運(yùn)動(dòng)鍛煉、自我實(shí)現(xiàn)得分均高于對(duì)照組(P0.05,P0.01);試驗(yàn)組患者在出院后3個(gè)月的健康促進(jìn)行為6個(gè)維度得分均高于對(duì)照組(P0.05,P0.01)。5.兩組患者在3個(gè)時(shí)間點(diǎn)的生活質(zhì)量8個(gè)維度得分評(píng)分經(jīng)多因素重復(fù)測(cè)量方差分析結(jié)果顯示:時(shí)間效應(yīng)、組間效應(yīng)的影響均具有統(tǒng)計(jì)學(xué)意義(P0.05),交互效應(yīng)的影響無統(tǒng)計(jì)學(xué)意義(P0.05)。單因素重復(fù)測(cè)量方差分析結(jié)果顯示:(1)試驗(yàn)組患者出院時(shí)和出院后3個(gè)月的生活質(zhì)量8個(gè)維度得分均高于入院時(shí)(P0.05,P0.01),出院后3個(gè)月時(shí)的總體健康、機(jī)體疼痛、社會(huì)功能得分均高于出院時(shí)(P0.05,P0.01);(2)對(duì)照組患者出院時(shí)的機(jī)體疼痛、社會(huì)功能、精神健康得分高于入院時(shí)(P0.05,P0.01),出院后3個(gè)月總體健康、機(jī)體疼痛、社會(huì)功能、精神健康得分高于入院時(shí)(P0.01);出院后3個(gè)月總體健康、機(jī)體疼痛、社會(huì)功能得分高于出院時(shí)(P0.05,P0.01)。多變量方差分析顯示:兩組患者在入院時(shí)的生活質(zhì)量8個(gè)維度得分比較均無統(tǒng)計(jì)學(xué)意義(P0.05);試驗(yàn)組患者出院時(shí)的生理職能、機(jī)體疼痛、社會(huì)功能、精神健康均高于對(duì)照組(P0.05,P0.01);除生理職能外試驗(yàn)組患者出院后3個(gè)月其余7個(gè)生活質(zhì)量維度得分均高于對(duì)照組(P0.05,P0.01)。結(jié)論中醫(yī)辨證施護(hù)可有效減輕潰瘍性結(jié)腸炎患者的焦慮、抑郁情緒,促進(jìn)患者的健康行為,提高其生活質(zhì)量。中醫(yī)辨證施護(hù)為潰瘍性結(jié)腸炎患者提供了一種個(gè)體化的安全、可靠、有效的護(hù)理方法,能更好地發(fā)揮中醫(yī)護(hù)理的優(yōu)勢(shì),為臨床潰瘍性結(jié)腸炎患者的護(hù)理干預(yù)提供參考依據(jù)。
[Abstract]:Objective to explore the effect of TCM syndrome differentiation on negative emotion, health promotion behavior and quality of life in patients with ulcerative colitis, so as to provide reference basis for nursing staff to carry out TCM Syndrome Differentiation for ulcerative colitis. Methods this experiment is a kind of experimental study. The sampling method is used to select a certain three grade nail according to the inclusion criteria. 62 cases of ulcerative colitis hospitalized in the spleen and stomach disease department of Chinese medicine hospital were used as the research object. According to the sequence of the first admission time in the hospital, the subjects were taken as the control group, the subjects of the study in the hospital from November 2015 to October 2016 were used as the experimental group, and the control group 30 cases were tested. The patients in the control group were treated with conventional nursing, and the patients in the experimental group were treated with traditional Chinese medicine on the basis of conventional nursing. The anxiety and depression of the hospital (HAD), the Health Promotion Lifestyle Scale (HPLPII) and the health survey simple table (SF-36) were used to investigate the anxiety and depression of the two groups at the time of admission, discharge and 3 months after discharge. Depression, health promotion behavior and quality of life. SPSS19.0 software package was used to carry out statistical analysis of experimental data. Results 1. final control group 29 cases, 30 patients in the test group completed this study.2. admission, the general data of two groups of patients were not statistically significant (P0.05).3. two patients at admission, discharge and 3 months after discharge The results of the time effect and intergroup effect were all statistically significant (P0.05), and the effect of interaction was not statistically significant (P0.05). The results of variance analysis of single factor repeated measurements showed: (1) the scores of anxiety in the experimental group were both at discharge and 3 months after discharge. It was lower than admission (P0.01), but the anxiety score of 3 months after discharge and discharge was not statistically significant (P0.05); the depression score of the test group at 3 time points was 3 months after discharge to hospital; (2) there was no statistical difference between the control group and the 3 time points (P0.05); the control group was discharged from discharge and out of hospital. The depression score of 3 months after hospital was lower than that of admission (P0.01), but there was no statistical significance (P0.05) in the depression score of the hospital and 3 months after discharge. The multivariable analysis of variance analysis showed that there was no statistical significance between the two groups at the time of admission and discharge, and the depression score was not statistically significant (P0.05), but the patients in the test group were in the 3 months after discharge. The score of depression was lower than that of the control group (P0.01) group.4. two. The scores of 6 dimensions of health promotion behavior at 3 time points were analyzed by multiple factor repeated measurements. The results showed that the effect of time effect was statistically significant (P0.05, P0.01), and the effect of interaction was not statistically significant (P0.05). The results of the difference analysis showed that: (1) the scores of interpersonal relationship, nutrition, health responsibility and stress management of the patients in the experimental group were higher than those at admission (P0.05, P0.01); the scores of 6 dimensions of health promotion behavior at 3 months after discharge were all higher than those at admission (P0.05, P0.01), and the scores of exercise and stress management were higher than those at discharge (P0.05, P0.0) at the time of discharge. 1) (2) the interpersonal relationship in the control group was higher than that of admission (P0.05, P0.01), the score of interpersonal relationship was higher than that of admission (P0.01) at 3 months after discharge, and the score of self realization was higher than that of discharge (P0.01) at 3 months after discharge. Multivariate analysis of variance analysis showed that the score of health promotion behavior in the two groups was compared to the 6 dimensions. There was no statistical significance (P0.05). The scores of nutrition, health responsibility, exercise and self realization were higher in the patients in the experimental group than in the control group (P0.05, P0.01). The scores of 6 dimensions of health promotion behavior in the experimental group 3 months after discharge were all higher than those of the control group (P0.05, P0.01).5. two patients in the 3 time points of life quality 8 dimensions. The result of multiple factor repeated measurement of variance analysis showed that the effect of time effect and intergroup effect had statistical significance (P0.05), and the effect of interaction effect was not statistically significant (P0.05). The results of variance analysis of single factor repeated measurement showed that: (1) the quality of life of the patients in the experimental group at discharge and 3 months after discharge was 8 dimensions The scores were higher than that of admission (P0.05, P0.01). The overall health, body pain and social function scores were higher than that of discharge (P0.05, P0.01) at 3 months after discharge. (2) the pain, social function and mental health scores of the control group were higher than those at admission (P0.05, P0.01), and the overall health, body pain, social function, and spirit after discharge were 3 months after discharge. The score of health was higher than that of admission (P0.01); the total health, body pain and social function were higher than that of discharge (P0.05, P0.01) at 3 months after discharge. The multivariate analysis of variance analysis showed that there was no significant difference between the 8 dimensions of the quality of life of the two groups at admission (P0.05); the physiological functions of the patients in the experimental group, the pain of the body, and the society in the experimental group. The function and mental health were higher than that of the control group (P0.05, P0.01), and the other 7 quality of life scores were higher than those of the control group (P0.05, P0.01) in the 3 months after discharge from the physiological function test group. Conclusion the TCM syndrome differentiation can effectively reduce the anxiety, depression, healthy behavior and life of the patients with ulcerative colitis. Quality. TCM syndrome differentiation provides an individualized safe, reliable and effective nursing method for patients with ulcerative colitis. It can give full play to the advantages of traditional Chinese medicine and provide reference for the nursing intervention of patients with ulcerative colitis.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R248.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 孫振曉;劉化學(xué);焦林瑛;周濤;楊洛寧;范金云;;醫(yī)院焦慮抑郁量表的信度及效度研究[J];中華臨床醫(yī)師雜志(電子版);2017年02期

2 李海燕;席中原;裴月輝;;穴位貼敷結(jié)合放松療法在潰瘍性結(jié)腸炎患者中的護(hù)理療效[J];醫(yī)療裝備;2016年24期

3 吳畫夢(mèng);周樊華;甘霖;;中醫(yī)辨證施護(hù)對(duì)潰瘍性結(jié)腸炎患者生活質(zhì)量的影響[J];中西醫(yī)結(jié)合研究;2016年06期

4 賀倩倩;;健康教育在潰瘍性結(jié)腸炎患者中的護(hù)理效果探析[J];中國(guó)衛(wèi)生產(chǎn)業(yè);2016年31期

5 金玲;;水療聯(lián)合穴位按摩加中藥灌腸治療腸炎的研究[J];當(dāng)代護(hù)士(上旬刊);2016年11期

6 張俊;;中醫(yī)特色護(hù)理在具有負(fù)性情緒的潰瘍性結(jié)腸炎患者中的聯(lián)合應(yīng)用[J];世界最新醫(yī)學(xué)信息文摘;2016年65期

7 李毅;劉艷;劉力;;潰瘍性結(jié)腸炎的中醫(yī)辨證分型統(tǒng)計(jì)分析[J];中醫(yī)藥導(dǎo)報(bào);2016年11期

8 許珊珊;黎軍;;五行學(xué)說指導(dǎo)下的中醫(yī)健康教育在潰瘍性結(jié)腸炎患者護(hù)理中的應(yīng)用[J];護(hù)理實(shí)踐與研究;2016年04期

9 陳晨;戴新娟;徐中芹;黎軍;邢敬;施琪;許珊珊;;延續(xù)性中醫(yī)護(hù)理應(yīng)用于潰瘍性結(jié)腸炎患者的實(shí)踐[J];中國(guó)護(hù)理管理;2016年02期

10 黎軍;許珊珊;馬美琴;;五音療法聯(lián)合穴位按摩在潰瘍性結(jié)腸炎患者心理干預(yù)中的應(yīng)用[J];中國(guó)護(hù)理管理;2016年01期

相關(guān)會(huì)議論文 前2條

1 張芳;柴玉瓊;沙圓;;潰瘍性結(jié)腸炎(UC)的中醫(yī)辨證分型及中醫(yī)治療進(jìn)展[A];甘肅省中醫(yī)藥學(xué)會(huì)2012年學(xué)術(shù)年會(huì)論文匯編[C];2012年

2 劉平;;家庭護(hù)理對(duì)潰瘍性結(jié)腸炎患者生活質(zhì)量的影響[A];中華護(hù)理學(xué)會(huì)全國(guó)內(nèi)科護(hù)理學(xué)術(shù)交流暨專題講座會(huì)議論文匯編[C];2009年

相關(guān)碩士學(xué)位論文 前6條

1 郭燕萍;中藥蒲及湯保留灌腸治療脾虛濕蘊(yùn)型潰瘍性結(jié)腸炎的臨床療效評(píng)價(jià)[D];山東中醫(yī)藥大學(xué);2015年

2 呂培華;延續(xù)性護(hù)理對(duì)腦卒中患者健康行為的影響[D];鄭州大學(xué);2015年

3 李冰冰;賦能教育對(duì)潰瘍性結(jié)腸炎術(shù)后患者生活質(zhì)量及肛門功能的作用研究[D];天津醫(yī)科大學(xué);2014年

4 單秋菊;電話隨訪式延續(xù)性護(hù)理對(duì)PCI術(shù)后患者健康促進(jìn)生活方式的影響[D];鄭州大學(xué);2014年

5 楊坤;穴位按摩結(jié)合情志護(hù)理對(duì)潰瘍性結(jié)腸炎患者護(hù)理效果的研究[D];黑龍江中醫(yī)藥大學(xué);2013年

6 張義榮;中醫(yī)情志療法對(duì)癌癥患者生活質(zhì)量影響的療效觀察[D];廣州中醫(yī)藥大學(xué);2009年

，

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