神阙穴中药贴敷配合情志护理对胃癌术后患者身心状态的影响
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R248.2;R735.2

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Effect of Chinese Herbal Application at Shenque Point Combined with Emotional Nursing on Physical and Mental Statuses of Patients After Surgery for Gastric Cancer
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    摘要:

    目的:观察神阙穴中药贴敷配合中医情志护理对胃癌术后患者胃肠功能恢复及情绪状态的影响。方法:将80 例患者随机分为对照组和试验组,各40 例。对照组采取常规治疗和护理,试验组在对照组的基础上加用神阙穴中药贴敷及中医情志护理。观察比较术后患者胃肠功能恢复时间,护理前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD) 评分。结果:试验组术后首次排气时间、首次排便时间、进食流质时间、进食半流质时间均短于对照组,差异有统计学意义(P<0.05)。治疗后,2 组HAMA、HAMD 评分均较治疗前明显降低(P<0.05);且试验组两项评分均明显低于对照组(P<0.05)。结论:神阙穴中药贴敷配合中医情志护理可有效促进胃癌术后患者胃肠道蠕动,加快胃肠功能恢复,改善患者焦虑抑郁等不良情绪。

    Abstract:

    Abstract: Objective: To observe the effect of Chinese herbal application at Shenque(CV8) combined with emotional nursing of Chinese medicine on the recovery of gastrointestinal function and emotional state of patients after surgery for gastric cancer. Methods: A total of 80 cases of patients were randomly divided into the control group and the experiment group,40 cases in each group. The control group was given routine treatment and nursing,and the experiment group was additionally given Chinese herbal application at Shenque(CV8) and emotional nursing of Chinese medicine based on the treatment of the control group. The recovery time of gastrointestinal function after surgery as well as the changes in the scores of Hamilton Anxiety Scale(HAMA) and Hamilton Depression Scale(HAMD) before and after nursing were observed and compared. Results: After surgery, the time of first anal exhaust and defecation, the time of liquid- food intake, and the time of semifluid- food intake in the experiment group were shorter than those in the control group, differences being significant(P<0.05). After treatment,the scores of HAMA and HAMD in the two groups were significantly decreased when compared with those before treatment(P<0.05);and the above two scores in the experiment group were significantly lower than those in the control group(P<0.05). Conclusion:The therapy of Chinese herbal application at Shenque(CV8) combined with emotional nursing of Chinese medicine can effectively promote gastrointestinal peristalsis of patients after surgery for gastric cancer, accelerate the recovery of gastrointestinal function, and alleviate their bad mood, such as anxiety and depression.

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刘海燕,张蕾,毛华.神阙穴中药贴敷配合情志护理对胃癌术后患者身心状态的影响[J].新中医,2020,52(21):152-154

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  • 在线发布日期: 2020-11-05
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