摘要
目的探讨辨证论治五行理念下中医情志疗法对宫腔镜手术患者围手术期的影响。方法选取云浮市中医院妇产科2020年6月至2021年6月行宫腔镜手术患者110例作为研究对象,依据随机数字表法分为研究组(n=55)与对照组(n=55),研究组实施辨证论治五行理念下中医情志疗法护理;对照组实施常规护理,记录比较两组术中及术后情况(包括术中出血量、手术时间、胃肠恢复时间、首次排气时间、住院时间)、出院时评价两组患者护理舒适度、创伤性应激障碍情况。结果研究组胃肠恢复时间、首次排气时间及住院时间短于对照组,差异有统计学意义(P<0.05);研究组生理、心理、社会及环境维度评分高于对照组,差异有统计学意义(P<0.05);研究组PTSD-SS量表中5个维度得分低于对照组,差异有统计学意义(P<0.05)。结论辨证论治五行理念下中医情志疗法可促进宫腔镜手术患者恢复,提高护理舒适度,减少创伤性应激障碍。
Objective To explore the effect of traditional Chinese medical(TCM)emotional therapy on perioperative period of patients undergoing hysteroscopic surgery under the concept of treating five elements based on syndrome differentiation.Methods A total of 110 patients who underwent hysteroscopic surgery in the Department of Obstetrics and Gynecology at Yunfu Hospital of Traditional Chinese Medicine from June 2020 to June 2021 were selected as study subjects and divided into the study group(n=55)and the control group(n=55)according to the random number table method.The study group were given TCM emotional nursing under the concept of treating five elements based on syndrome differentiation,while the control group were given conventional nursing.The intraoperative and postoperative cond itions(including intraoperative bleeding volume,operation duration,gastrointestinal recovery time,first venting time and hospitalization time)were recorded and compared between the two groups,and the nursing comfort level and traumatic stress disorder of the two groups were evaluated at discharge.Results The gastrointestinal recovery time,first venting time and hospitalization time in the study group were shorter than those in the control group,with statistically significant differences(P<0.05).The scores in physical,psychological,social and environmental dimensions in the study group were higher than those in the control group,with statistically significant differences(P<0.05).The scores of five dimensions in the post-traumatic stress disorder self-rating scale(PTSD-SS)in the study group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion TCM emotional therapy under the concept of treating five elements based on syndrome differentiation can promote recovery,improve nursing comfort level and reduce the occurrence of traumatic stress disorder in patients undergoing hysteroscopic surgery.
作者
严秋月
孔美然
YAN Qiuyue;KONG Meiran(Department of Obstetrics and Gynecology,the Second Affiliated Hospital of Guangdong Pharmaceutical University,Yunfu Hospital of Traditional Chinese Medicine,Guangdong,Yunfu 527300,China)
出处
《中国医药科学》
2022年第5期118-121,共4页
China Medicine And Pharmacy
基金
广东省云浮市医学科学技术研究立项(2021B032)。
关键词
宫腔镜
围手术期
辨证论治
五行理念
中医情志疗法
Hysteroscopic
Perioperative period
Treatment based on syndrome differentiation
Concept of five elements
Traditional Chinese medical emotional therapy
