中医护理方案在心系病种的临床应用与效果评价  

Application and effectiveness of traditional Chinese medicine based nursing scheme in cardiac diseases

作　　者：赵经营[1] 张广清[1] 陈笑银[1] 林小丽[1] 

机构地区：[1]广东省中医院心血管科,广东广州510120

出　　处：《护理学杂志》2016年第5期12-14,共3页Journal of Nursing Science

基　　金：国家中医药管理局"十二五"重点专科培育项目(国中医药医政发[2012]2号)

摘　　要：目的了解中医护理方案在心系病种中的应用现状,为优化、规范中医护理方案在心系病种的应用提供参考。方法调查心血管科4个优势病种(眩晕、心衰、胸痹和促脉症)2 225例患者中医护理技术的开展率、疗效、满意度及依从性。结果 4个优势病种实施中医护理方案的效果均较好,尤其是心衰病种中喘促,眩晕病种中眩晕、头痛疗效较好;各病种的中医护理技术开展率、依从性及满意度均较高的是穴位按摩,相对均较低的是中药封包、艾灸、离子导入。结论 4个优势病种中中医护理技术开展率相对较低,中医护理方案尚需不断完善,优化护理技术,增添突显专科中医特色且简单易行的项目,提高护理疗效。Objective To describe the level of traditional Chinese medicine（TCM）based nursing scheme used in cardiac diseases,and to optimize and standardize TCM care.Methods The implementation and efficacy of TCM techniques used in 4main heart diseases including vertigo（primary hypertension）,heart failure,chest tightness,and tachycardia（paroxysmal atrial fibrillation）,were evaluated in 2 225 patients,and patient satisfaction and compliance with these techniques were also measured.Results Efficacy of TCM techniques was satisfactory,especially for relief of symptoms of tachypnea in heart failure and headache in vertigo.The most used technique,with relatively higher patient compliance and satisfaction,was acupoint compression therapy,whereas the fewerused,lower-satisfied,less-compliant actions were packet therapy,moxa-moxibustion therapy and iontophoresis.Conclusion The implementation of TCM techniques in 4main heart diseases was relatively low.TCM nursing scheme should be perfected by optimizing nursing skills and adding easily-operated techniques to enhance effectiveness of care.

关 键 词：中医护理方案 心系病 眩晕病 心力衰竭 胸痹 促脉症 

分 类 号：R248[医药卫生—中医临床基础] R473.5[医药卫生—中医学]