“治未病”理论在脑卒中的应用  

The application of “prevention of disease” theory in treating cerebral apoplexy

作　　者：汤瑞珠 傅晓芸[1] 梁少琴[1] 陈凤兰[1] 陈少贞 

机构地区：[1]东莞市人民医院,广东东莞523000

出　　处：《中医临床研究》2018年第12期37-39,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨"治未病"理论在脑卒中的应用效果。方法:随机选取我院在2015年6月-2016年6月期间收治的脑卒中患者共计64例,按照随机数字表法分为观察组(n=32)和对比组(n=32),对比组患者实施常规干预,观察组患者予以"治未病"理论干预,对比分析不同组别患者自我管理能力、用药依从性和满意度。结果:观察组患者在遵循医嘱用药、坚持运动、检测血压、血糖,健康饮食等自我管理能力方面均优于对比组,组间对比差异显著(P<0.05);观察组患者用药依从率为84.37%,对比组患者用药依从率为40.62%,观察组患者用药依从性高于对比组,经统计学对比分析有意义(P<0.05);观察组患者总满意率为93.75%,对比组患者总满意率为71.87%,观察组患者满意度高于对比组,统计学对比分析有差异(P<0.05)。结论:"治未病"理论下对脑卒中患者进行治疗的效果更好,能够在有效提高自我管理能力的同时,提高用药依从性,最终实现提高患者满意度的目的,最大限度上避免医疗纠纷的发生概率,可在临床实践中进行广泛推广,临床应用价值较高。Objective： To explore the effect of ＂prevention of disease＂ theory in preventing stroke. Methods： A total of 64 patients with hypertensive cerebral apoplexy admitted to and treated in our hospital from June 2015 to June 2016 were selected and divided into the observation group（n=32） and the control group（n=32） by using the random number table method. The control group received routine intervention, while the observation group patients received ＂prevention of disease＂ intervention. The self management ability, medication compliance and satisfaction in two groups were compared and analyzed. Results： Self-management ability, such as prescribed medication, exercise, blood pressure, blood glucose and healthy diet in the observation group were better than the control group, and the difference between the groups was significant（P〈0.05）. The compliance rate in the observation group was 84.37%, and the compliance rate in the control group was 40.62%. The compliance in the observation group was higher than that in the control group, which was statistically significant（P〈0.05）. The total satisfaction rate in the observation group was 93.75%, and the total satisfaction rate in the comparison group was 71.87%. The satisfaction in the observation group was higher than the comparison group, and the statistical analysis was different（P〈0.05）. Conclusion： Intervention under the ＂Prevention of disease＂ theory had better effects on cerebral apoplexy, could effectively improve the ability of self management, increase medication compliance, ultimately improve patient satisfaction, avoid the risk of medical dispute to the maximum, and could be widely applied in the clinical practice, which was of high clinical value.

关 键 词：脑卒中 “治未病”理论 自我管理能力 

分 类 号：R255.2[医药卫生—中医内科学]