中西医结合护理干预对腰椎间盘突出症术后患者胃肠功能、心理情绪和疼痛的影响  

Effect of traditional Chinese medicine-based nursing intervention on gastrointestinal function,psychological mood, and pain in patients after surgery for lumbar disc herniation

作　　者：傅淑君 季向荣[1] Shu-Jun Fu Xiang-Rong Ji(Central Hospital of Yiwu City, Yiwu 322000, Zhejiang Province, Chin)

机构地区：[1]义乌市中心医院,浙江省义乌市322000

出　　处：《世界华人消化杂志》2017年第25期2296-2300,共5页World Chinese Journal of Digestology

基　　金：吴阶平医学基金会临床科研专项基金;No.320-2745-16-173~~

摘　　要：目的观察中医护理干预对腰椎间盘突出症术后患者胃肠功能、心理情绪和疼痛的影响分析.方法选取2015-02/2017-04在义乌市中心医院住院的腰椎间盘突出症术后患者80例,按照住院顺序编号,采用随机数字表法随机分为对照组和观察组各40例,对照组进行常规护理.观察组在对照组基础上进行中医护理干预.结果干预后观察组腹胀时间、排气时间和排便时间均短于对照组,差异有统计学意义(P<0.05).与干预前比较,2组焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating Depression Scale,SDS)评分均明显降低,差异有统计学意义(P<0.05);且观察组干预后SAS、SDS评分明显低于对照组(P<0.05).干预1、2 wk视觉模拟评分均较干预前明显下降(P<0.05);观察组干预1、2 wk后明显优于对照组(P<0.05).结论中医护理干预能改善腰椎间盘突出症椎间孔镜治疗术后患者的腹胀、排气、排便情况,降低患者焦虑、抑郁心理变化和术后疼痛评分.AIM To observe the effect of traditional Chinese medicine（TCM）-based nursing intervention on gastrointestinal function, psychological mood,and pain in patients after surgery for lumbar disc herniation.METHODS Eighty patients who underwent surgery for lumbar disc prolapse from February 2015 to April 2017 at the Central Hospital of Yiwu City were selected and randomly divided into a control group and an observation group, with 40 cases in each group. Both groups were given routine nursing, and the observation group was additionally given TCM-based nursing intervention.RESULTS Times to disappearance of abdominal distention, anal exhaust, and defecation were significantly shorter in the observation group than in the control group（P〈0.05）. Compared with the scores before intervention, the Self-rating Anxiety Scale（SAS） and Selfrating Depression Scale（SDS） scores were significantly lower after intervention in both groups（P〈0.05）. After intervention, SAS and SDS scores were significantly lower in the observation group than in the control group（P〈0.05）. Compared with the scores before intervention, Visual Analogue Scale（VAS） scores at 1 and 2 wk after intervention were significantly lower in both groups（P〈0.05）, and the decrease was significantly better in the observation group than in thecontrol group（P〈0.05）.CONCLUSION TCM-based nursing intervention can improve gastrointestinal function, and reduce anxiety,depression, and postoperative pain in patients after surgery for lumbar disc herniation.

关 键 词：中医护理干预 腰椎间盘突出症 胃肠功能 心理评分 疼痛评分 

分 类 号：R473.6[医药卫生—护理学]