教育-鼓励-工作-运动-评估干预联合补肾调肝法在肾移植术后的应用效果及对生活质量的影响  

Effect of Education Encouragement Work Exercise Evaluation Intervention Combined with Tonifying Kidney and Regulating Liver on Quality of Life after Renal Transplantation

作　　者：王莹莹[1] 王素平[1] 葛亚辉[1] WANG Yingying;WANG Suping;GE Yahui(Zhengzhou People's Hospital,Zhengzhou 450052,Henan,China)

机构地区：[1]郑州人民医院,河南郑州450052

出　　处：《实用中医内科杂志》2023年第2期132-135,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河南省自然科学基金项目(213300410416)

摘　　要：目的研究探讨教育-鼓励-工作-运动-评估干预联合补肾调肝法在肾移植术后的应用效果及对生活质量的影响。方法选取2020年1月—2022年1月医院收治的102例肾移植术患者分为观察组、对照组,每组51例。两组患者均行进行肾移植术,对照组术后以补肾调肝法治疗,观察组以教育-鼓励-工作-运动-评估干预联合补肾调肝法治疗。综合评估两组患者的中医证候积分、负性情绪、康复依从性、生活质量评分、护理满意度等指标。结果干预后,观察组主要中医证候积分包括面浮肢肿、神疲乏力、面色萎黄、食少便溏等积分均低于对照组(P<0.05)。干预后观察组患者负性情绪评分包括汉密尔顿焦虑量表-14(HAMA-14)、汉密尔顿抑郁量表-17(HAMD-17)评分均低于对照组(P<0.05)。干预后观察组康复依从性包括按时服药、规律休息、规律饮食、康复训练、定期复查等比例均高于对照组(P<0.05)。观察组干预后SF-36生活质量、护理满意度高于对照组(P<0.05)。结论教育-鼓励-工作-运动-评估干预联合补肾调肝法在肾移植术后的应用效果显著,能够改善患者主要中医症候,降低患者康复期间的负性情绪,提高患者的康复依从性和生活质量,改善患者的护理满意度。Objective To study the effect of education-encouragement-work-exercise-evaluation intervention combined with tonifying kidney and regulating liver method on the quality of life after kidney transplant.Methods A total of 102 patients with renal transplantation treated in the hospital from January 2020 to January 2022 were randomly divided into observation group and control group,51 cases in each.Both groups were treated with kidney transplantation.The control group was treated with tonifying kidney and regulating liver method,and the observation group was treated with education-encouragement-work-exercise-evaluation intervention combined with tonifying kidney and regulating liver method.The negative emotion,rehabilitation compliance,quality of life score,nursing satisfaction and other indicators of the two groups were comprehensively evaluated.Results After intervention,the scores of main TCM symptoms in the observation group,including facial floating limb swelling,mental fatigue,sallow complexion and loose stools,were lower than those in the control group(P<0.05).After the intervention,the scores of negative emotions including Hamilton Anxiety Scale-14(HAMA-14)and Hamilton Depression Scale-17(HAMD-17)in the observation group were lower than those in the control group(P<0.05).After the intervention,the rehabilitation compliance of the observation group,including regular medication,regular rest,regular diet,rehabilitation training and regular reexamination,was higher than that of the control group(P<0.05).After intervention,the scores of SF-36 quality of life in the observation group were higher than those in the control group(P<0.05).Conclusion The application of education-encouragement-work-exercise-evaluation intervention combined with tonifying kidney and regulating liver method after kidney transplant has a remarkable effect,and can improve the main TCM symptoms,reduce the negative emotions during rehabilitation,improve the rehabilitation compliance and quality of life of patients,and improve the satisfaction

关 键 词：肾移植 补肾调肝法 教育-鼓励-工作-运动-评估 负性情绪 依从性 生活质量 

分 类 号：R248.2[医药卫生—中医临床基础]