摘要
【目的】观察穴位贴敷联合辨体质调护对社区阳虚质围绝经期妇女生活质量的影响。【方法】将108例患者随机分为观察组和对照组,每组各54例,对照组给予围绝经期健康宣教,观察组在对照组基础上采用穴位贴敷联合辨体质施护,即根据患者个人喜好制定个性化的健康处方,包含膳食疗法、听音乐及运动锻炼,连续治疗6个月。每3个月进行1次随访,共随访2次。治疗6个月后,比较治疗前及治疗3、6个月后患者女性更年期综合征自我诊断评定表--Kupperman指数(KI)评分,以及绝经期生活质量量表(MENQOL)评分的变化情况。【结果】(1)研究过程中,观察组失访4例,对照组失访4例,最终观察组50例患者纳入统计;对照组50例纳入统计。(2)治疗3、6个月后,2组患者的KI评分均明显改善(P<0.05),且观察组在改善KI评分方面均明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,2组患者的生活质量总分、血管舒缩症状评分、心理社会状态评分均明显改善(P<0.05),且观察组在改善生活质量总分、血管舒缩症状评分、心理社会状态评分方面均明显优于对照组,差异均有统计学意义(P<0.05)。治疗后,2组患者在生理状态评分和性生活评分方面均有改善,但差异无统计学意义(P>0.05)。【结论】穴位贴敷联合辨体质调护能有效预防或减轻社区阳虚体质妇女围绝经期综合征症状的发生,提高患者的生活质量。
Objective To observe the effect of acupoint application combined with constitution differentiation nursing on quality of life of perimenopausal women with yang deficiency constitution in community. Methods A total of 108 patients were randomly divided into observation group and control group,54 cases in each group. The two groups received perimenopausal health education, additionally, the observation group received acupoint application combined with constitution differentiation nursing including reasonable diet, listening to music and exercise training according to personal preference, the treatment lasting 6 continuous months, one follow-up every 3 months. After 6 weeks, the scores of Kupperman index(KI) for female climacteric syndrome and menopause-specific quality of life questionnaire(MENQOL)were compared in the two groups before treatment,and after 3,6 months. Results(1)During the trial,4 cases dropped out in the observation group and control group,respectively. Ultimately,50 cases in the observation group and 50 cases in the control group were included in the trial.(2)After 3,6 months,the KI score in the two groups was improved(P<0.05),and the improvement in KI score of the observation group was superior to that of the control group,the difference being significant(P<0.05).(3)After treatment, the total score of quality of life and the scores of vasomotion symptoms and psychological status were improved in the two groups(P<0.05),and the improvement in the total score of quality of life and the scores of vasomotion symptoms and psychological status of the observation group was superior to that of the control group(P<0.05). After treatment,the scores of physical status and sexual life were improved in the two groups, but the difference was insignificant(P>0.05). Conclusion Acupoint application combined with constitution differentiation nursing is effective for preventing or alleviating the symptoms of perimenopausal syndrome of women with yang deficiency constitution in community,and enhancing their quality of life.
作者
文希
黄绮华
温明华
WEN Xi;HUANG Qi-Hua;WEN Ming-Hua(Dept.of Gynecology,University Town Hospital,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510006 Guangdong,China;Dept.of Gynecology,Dade Road General Hospital,the Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2020年第6期1081-1085,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广东省科技厅专项基金资助项目(编号:2015KT1816)
广东省中医院治未病和护理专项资助项目(编号:YN2018HL10)
关键词
穴位贴敷
围绝经期妇女
社区
阳虚质
生活质量
acupoint application
perimenopausal women
community
yang deficiency
quality of life
