以循证理论为基础的中医特色护理对股骨头坏死患者生活质量及治疗效果的影响

王水芳; 夏炳江

doi:10.16766/j.cnki.issn.1674-4152.001801

以循证理论为基础的中医特色护理对股骨头坏死患者生活质量及治疗效果的影响

doi: 10.16766/j.cnki.issn.1674-4152.001801

王水芳^1, ,,
夏炳江²

1.
绍兴市中医院四病区，浙江绍兴 312000
2.
绍兴市中医院骨科四病区，浙江绍兴 312000

基金项目:

2018年度浙江省基础公益研究项目计划 LQ18H270006

详细信息

通讯作者:
王水芳，E-mail：wyn789032@163.com

中图分类号: R681.8 R248
计量
- 文章访问数: 87
- HTML全文浏览量: 60
- PDF下载量: 3
- 被引次数: 0
出版历程
- 收稿日期: 2020-10-15
- 网络出版日期: 2022-02-19

Effect of TCM characteristic nursing based on evidence-based theory on the quality of life and therapeutic effect of patients with femoral head necrosis

WANG Shui-fang^{1
, ,},
XIA Bing-jiang²

1.
The Fourth Ward of Shaoxing Hospital of Traditional Chinese Medicine, Shaoxing, Zhejiang 312000, China

摘要

摘要: 目的探讨以循证理论为基础的中医特色护理在股骨头坏死患者治疗中的应用效果。方法选择2019年1月—2019年12月于绍兴市中医院四病区住院治疗的股骨头坏死患者120例为研究对象，将2019年1—6月入院的60例患者设为对照组，2019年7—12月入院的60例患者设为干预组。对照组患者实施常规护理，干预组在对照组的基础上实施以循证理论为基础的中医特色护理干预。分析比较2组患者抑郁焦虑症状评分[焦虑自评量表(SAS)、抑郁自评量表(SDS)]，髋关节功能评分(Harris髋关节评分表)，生活质量评分(简易生活质量量表SF-36)以及并发症发生率。结果干预前，2组患者SAS、SDS评分，Harris以及SF-36评分差异均无统计学意义(均P＞0.05)。干预后，干预组患者SAS、SDS评分明显低于对照组(均P＜0.05)；干预后，干预组患者Harris评分显著高于对照组(P＜0.05)；干预后，干预组患者SF-36评分显著高于对照组(P＜0.05)。住院期间干预组患者并发症发生率为1.66%，显著低于对照组的13.33%(P＜0.05)。结论以循证理论为基础的中医特色护理可以有效提升股骨头坏死患者生活质量及治疗效果。
- 循证理论 /
- 中医特色护理 /
- 股骨头坏死 /
- 生活质量
Abstract: Objective To explore the application effect of TCM characteristic nursing based on evidence-based theory in treating patients with femoral head necrosis. Methods A total of 120 patients with femoral head necrosis who were hospitalised in The Fourth Ward of Shaoxing Hospital of Traditional Chinese Medicine from January to December 2019 were selected as the study subjects. Amongst them, 60 patients admitted from January to June 2019 served as the control group, and 60 admitted from July to December 2019 served as the intervention group. Patients in the control group were given routine nursing, and those in the intervention group was given TCM nursing intervention based on evidence-based theory on the basis of the control group. The depressive anxiety symptom scores (SAS and SDS), hip-joint-function scores (Harris Hip Joint Rating Scale), quality-of-life scores (SF-36), and complication rates of both groups were analysed and compared. Results Before intervention, no significant difference in SAS, SDS scores, Harris, and SF-36 scores was observed between the two groups (all P>0.05). After intervention, the SAS and SDS scores of the intervention group were significantly lower than those of the control group (all P < 0.05). After intervention, the Harris and SF-36 score in the intervention group was significantly higher than that in the control group (all P < 0.05). The complication rate in the intervention group was 1.66%, significantly lower than that in the control group (13.33%, P < 0.05). Conclusion TCM characteristic nursing based on evidence theory can effectively improve the quality of life of patients with femoral head necrosis and has therapeutic value.
- Evidence-based theory /
- Traditional Chinese medicine characteristic nursing /
- Necrosis of femoral head /
- Quality of life

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表 1 2组股骨头坏死患者干预前后SAS、SDS评分比较(x ±s，分)

组别	例数	SAS		t值	P值	SDS		t值	P值
组别	例数	干预前	干预后	t值	P值	干预前	干预后	t值	P值
对照组	60	39.12±3.12	39.56±3.61	0.714	0.477	39.34±3.44	39.76±3.57	0.656	0.513
干预组	60	38.88±3.55	25.02±4.01	20.046	＜0.001	38.25±3.36	25.25±4.12	18.941	＜0.001
t值		0.393	20.874			1.756	20.617
P值		0.695	＜0.001			0.082	＜0.001

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表 2 2组股骨头坏死患者干预前后髋关节功能评分比较(x ±s，分)

组别	例数	干预前	干预后	t值	P值
对照组	60	40.25±7.24	66.37±6.75	20.485	＜0.001
干预组	60	40.43±7.21	86.75±6.12	37.939	＜0.001
t值		0.136	17.326
P值		0.892	＜0.001

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表 3 2组股骨头坏死患者SF-36评分比较(x ±s，分)

组别	例数	精神健康	情感职能	活力	社会功能	躯体功能	生理功能	生理职能	总体健康
对照组	60	65.14±4.88	66.17±5.47	62.27±4.38	63.25±4.22	64.78±4.22	64.25±5.02	65.52±5.73	65.79±5.31
干预组	60	84.36±6.33	85.08±6.75	87.24±6.24	86.66±6.55	85.61±6.24	87.24±6.57	85.87±6.67	86.25±6.36
t值		18.627	16.859	25.370	23.273	21.419	21.538	17.926	19.128
P值		＜0.001	＜0.001	＜0.001	＜0.001	＜0.001	＜0.001	＜0.001	＜0.001

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参考文献(16)

[1]	庄至坤, 郭金花, 赵岩, 等. 股骨头坏死髋关节疼痛和活动度与ARCO分期的相关性分析[J]. 中医正骨, 2020, 32(1): 21-24. doi: 10.3969/j.issn.1001-6015.2020.01.007
[2]	范亚楠, 李文龙, 张颖, 等. 不同病因股骨头坏死的ARCO分期和中日友好医院分型特征研究[J]. 中医正骨, 2020, 32(1): 25-27. doi: 10.3969/j.issn.1001-6015.2020.01.008
[3]	许珂, 宇文星, 宋梦歌, 等. 股骨头坏死全髋关节置换术患者的人群特征与临床特点分析[J]. 中医正骨, 2020, 32(1): 51-55. doi: 10.3969/j.issn.1001-6015.2020.01.015
[4]	雷志强, 曾平, 陈卫衡, 等. 股骨头坏死流行病学特点分析[J]. 中医正骨, 2020, 32(1): 4-6. doi: 10.3969/j.issn.1001-6015.2020.01.002
[5]	朱梦薇, 李娟, 王田. 系统性功能锻炼联合无痛护理对股骨头坏死全髋关节置换患者关节功能的影响[J]. 国际护理学杂志, 2020, 39(13): 2404-2406. doi: 10.3760/cma.j.cn221370-20190116-00746
[6]	王祖梅, 陈希. 系统化康复护理对早期股骨头坏死患者的康复效果[J]. 国际护理学杂志, 2020, 39(6): 1090-1092. doi: 10.3760/cma.j.cn221370-20181221-00334
[7]	杨琪, 杜炯, 孙继高, 等. 股骨头坏死中医证型分析[J]. 中医正骨, 2020, 32(1): 14-17. doi: 10.3969/j.issn.1001-6015.2020.01.005
[8]	陈伟, 孙雅妮, 何丹. 循证护理方法在酒精性股骨头坏死患者保髋术后的应用[J]. 实用临床医药杂志, 2017, 21(18): 165-168. doi: 10.7619/jcmp.201718057
[9]	中国医师协会骨科医师分会显微修复工作委员会. 成人股骨头坏死临床诊疗指南(2016)[J]. 中华骨科杂志, 2016, 36(15): 945-954. doi: 10.3760/cma.j.issn.0253-2352.2016.15.001
[10]	王莹, 刘海霞. 优质护理对基层医院冠状动脉粥样硬化心脏病患者SAS与SDS评分的影响[J]. 中国临床研究, 2019, 32(1): 139-141. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK201901073.htm
[11]	陈君兰, 严涌珍. 目标设置结合镜像训练对股骨干骨折康复训练效果的影响[J]. 中国基层医药, 2020, 27(22): 2809-2812.
[12]	李娅, 王洪坤, 贾淑贤. 护理程序方案干预对老年冠心病介入术患者自我管理能力及生活质量的影响[J]. 齐鲁护理杂志, 2020, 26(10): 99-101. doi: 10.3969/j.issn.1006-7256.2020.10.035
[13]	张晓慧. 综合护理干预在股骨头坏死全髋关节置换手术患者中的应用[J]. 护理实践与研究, 2018, 15(17): 47-48. doi: 10.3969/j.issn.1672-9676.2018.17.018
[14]	赵双利, 王世轩, 李洪涛, 等. 活骨清瘀汤、愈骨膏联合体外冲击波治疗非创伤性股骨头坏死的临床研究[J]. 现代中西医结合杂志, 2020, 29(10): 1027-1030, 1077. doi: 10.3969/j.issn.1008-8849.2020.10.001
[15]	杨津津, 雷琼, 刘丹. 基于循证理论的中医特色护理在股骨头坏死患者中的应用[J]. 齐鲁护理杂志, 2019, 25(22): 99-101. doi: 10.3969/j.issn.1006-7256.2019.22.035
[16]	李海燕, 左瑶瑶, 陈守强. 中医护理对冠心病兼焦虑抑郁患者疗效的Meta分析[J]. 中华全科医学, 2020, 18(3): 492-495. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202003041.htm