健康教育护理干预柴金饮治疗痰浊阻肺型慢性阻塞性肺疾病急性加重期临床疗效  

Effect of Health Education and Nursing Intervention on Clinical Efficacy of Chaijinyin in Treatment of Phlegm and Turbid Type of AECOPD and Its Effect on Patients Compliance

作　　者：罗蓉晖 林云青[1] 曾艳花 钱桂影 陈琴 刘红宇[1] LUO Ronghui;LIN Yunqing;ZENG Yanhua;QIAN Guiying;CHEN Qin;LIU Hongyu(Department of Pulmonolog,Guangzhou Hospital of TCM,Guangzhou 510130,Guangdong,China)

机构地区：[1]广州市中医医院肺病科,广东广州510130

出　　处：《实用中医内科杂志》2020年第7期56-58,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：广东省中医药局科研项目(20192074)。

摘　　要：目的探究健康教育护理干预对柴金饮治疗痰浊阻肺型慢性阻塞性肺疾病急性加重期(AECOPD)的临床疗效及对患者治疗依从性的影响,为临床提供一定的理论参考。方法选取医院2018年1月-2019年10月收治的60例行柴金饮治疗的痰浊阻肺型AECOPD患者作为研究对象,根据数字随机表法将全部患者分为观察组和对照组各30例。对照组采用常规护理干预,观察组在对照组的基础上联合健康教育干预。比较两组临床疗效情况,以及疾病认知水平、自我管理行为和治疗依从性评分。结果观察组临床治疗总有效率高于对照组(P<0.05)。干预前,两组疾病认知水平、自我管理行为和治疗依从性评分相比较,差异无统计学意义(P>0.05);护理干预后,两组疾病认知水平、自我管理行为和治疗依从性评分均高于护理干预前,且观察组高于对照组(P<0.05)。结论健康教育护理干预的应用,可提升柴金饮治疗痰浊阻肺型AECOPD的临床疗效和提患者的疾病认知水平,同时还能提升患者的自我管理能力和治疗依从性,有利于患者病情的稳定和疾病的康复,值得临床广泛推广应用。Objective To explore the clinical effect of health education and nursing intervention of Chaijinyin in the treatment of chronic exacerbation of chronic obstructive pulmonary disease(AECOPD)with phlegm and turbidity and its effect on patients compliance,and provide a certain theoretical reference for the clinic.Methods Sixty patients with phlegm and turbidity type of AECOPD treated with Chaijinyin in our hospital from January 2018 to October 2019 were selected as the research subjects.All patients were divided into observation group and control group according to the digital random table method,30 cases in each group.The control group used routine nursing intervention,and the observation group combined health education intervention on the basis of the control group.The clinical efficacy of the two groups were compared.The levels of disease awareness,self-management behavior and treatment compliance scores were observed and compared.Results The total effective rate of clinical treatment in the observation group was higher than that of the control group(P<0.05).Before the nursing intervention,there was no significant difference in the levels of disease awareness,self-management behavior or treatment compliance score between the two groups(P>0.05).After the nursing intervention,the disease awareness level,self-management behavior and treatment compliance of the two groups were higher than those before the nursing intervention,and the observation group’s was higher than that of the control group(P<0.05).Conclusion The application of health education and nursing intervention can improve the clinical efficacy of Chaijinyin in treating AECOPD with phlegm and turbidity and improve the patients’disease cognition.It can also improve the patients’self-management ability and compliance,which is beneficial to the patients’condition.The stability and rehabilitation of the disease deserves widespread clinical application.

关 键 词：慢性阻塞性肺疾病急性加重期 痰浊阻肺型 中医柴金饮治疗 健康教育 疗效 认知水平 自我管理能力 依从性 

分 类 号：R256.1[医药卫生—中医内科学]