耳穴压豆配合情志护理联合常规医护措施干预Graves 病效果分析
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R248.1;R581.1

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宁波市市级医疗卫生品牌学科中医内分泌诊疗中心项目(ppxk2018-07)


Effect Analysis on Auricular Point Pressing with Beans and Emotional Nursing Combined with Routine Medical Measures Intervening Graves Disease
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    摘要:

    目的:观察在常规医护措施基础上加用耳穴压豆配合情志护理干预Graves 病患者的效果。方法:将100 例Graves 病患者随机分为对照组和观察组各50 例。2 组患者均服用甲巯咪唑片,并接受健康宣教、生活方式调整指导、饮食护理和心理护理等综合护理措施。观察组加用耳穴压豆配合情志护理措施。2 组疗程均为8 周。治疗前、治疗8 周后评定高代谢症状评分、不良情绪症状评分、焦虑自评量表(SAS) 评分、抑郁自评量表(SDS) 评分及健康调查量表36(SF-36) 评分,治疗8 周后评价护理满意度。结果:治疗后,2 组高代谢症状评分、不良情绪症状评分、SAS 评分及SDS 评分均较治疗前降低(P<0.01),观察组4 项评分均低于对照组(P<0.01)。2 组SF-36 量表健康状况、精力、社会功能、情感职能、心理健康、生理机能、生理职能、躯体疼痛8 个维度的评分均较治疗前升高(P<0.01),观察组各维度评分均高于对照组(P<0.01)。观察组护理满意度高于对照组(P<0.05)。结论:在甲巯咪唑片治疗和常规护理措施基础上给予耳穴压豆联合情志护理措施干预,可减轻Graves 病患者的高代谢症状和焦虑、抑郁等不良情绪症状,提高患者的生活质量及对护理措施的满意度。

    Abstract:

    Abstract:Objective:To observe the intervention effect of auricular point pressing with beans and emotional nursing on patients with Graves disease on a basis of routine medical measures. Methods:A total of 100 cases of patients with Graves disease were randomly divided into the control group and the observation group,50 cases in each group. Both groups were given thiamazole tablets, health education, guidance on adjusting life style, dietary nursing, mental nursing and other comprehensive nursing measures. The observation group was additionally given auricular point pressing with beans and emotional nursing based on the nursing of the control group. Both groups were treated for eight weeks. Before treatment and after eight-week treatment,the symptom scores of hypermetabolism and unhealthy emotion,as well as the scores of Selfrating Anxiety Scale(SAS),Self- rating Depression Scale(SDS) and short form 36(SF- 36) were evaluated. After eight- week treatment, nursing satisfaction was evaluated. Results: After treatment, the symptom scores of hypermetabolism and unhealthy emotion, as well as the scores of SAS and SDS in the two groups were decreased when compared with those before treatment(P<0.01),and the four scores in the observation group were lower than those in the control group(P<0.01). The scores of general healthy, vitality, social functioning, role emotional, mental health, physical functioning, role physical and bodily pain in SF- 36 scale in the two groups were increased when compared with those before treatment(P< 0.01),and each score in the observation group was higher than that in the control group(P<0.01). The nursing satisfaction in the observation group was higher than that in the control group(P<0.05). Conclusion: Based on thiamazole tablets and routine nursing measures,the additional intervention of auricular point pressing with beans and emotional nursing can relieve hypermetabolism symptoms, anxiety and depression in patients with Graves diseases, improve their quality of life and nursing satisfaction.

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何海燕.耳穴压豆配合情志护理联合常规医护措施干预Graves 病效果分析[J].新中医,2020,52(21):145-148

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  • 在线发布日期: 2020-11-05
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