前瞻性护理联合中医辨证饮食对老年腹泻患者的影响  

Effect of prospective nursing combined with TCM differential diet on elderly patients with diarrhea

作　　者：娄秀娥[1] 杨焕芝[1] 李静[1] Lou Xiu'e;Yang Huanzhi;Li Jing(Department of Geriatrics,Binzhou Central Hospital,Binzhou 251700,China)

机构地区：[1]滨州市中心医院老年科,251700

出　　处：《国际医药卫生导报》2020年第19期2994-2997,共4页International Medicine and Health Guidance News

摘　　要：目的探究前瞻性护理联合中医辨证饮食对老年腹泻患者水电解质紊乱及生活质量的影响。方法选取2017年9月至2019年7月在本院治疗腹泻的170例老年患者,将患者随机分为常规组及研究组,每组85例。常规组患者行常规护理,研究组患者在常规护理基础上实施前瞻性护理联合中医辨证饮食,比较两组患者水电解质紊乱发生概率、患者症状恢复时间及干预前后生活质量。结果研究组患者水电解质紊乱发生率为2.35%,显著低于常规组的10.59%(P<0.05);研究组患者排便次数恢复时间、体温恢复时间及大便性状恢复时间分别为(1.65±0.57)d、(18.61±4.23)d及(2.57±1.09)d,均显著低于常规组(均P<0.05);干预前,两组患者生活质量各项评分比较差异均无统计学意义(均P>0.05),干预后,研究组患者生活质量各项评分均高于对照组(均P<0.05),生活质量总分显著高于常规组[(89.16±4.82)分比(57.73±5.13)分],两组比较差异有统计学意义(P<0.05)。结论对老年腹泻患者实施前瞻性护理联合中医辨证饮食,能够有效降低水电解质紊乱的发生,同时有助于促进患者症状的恢复及提高患者生活质量,值得推广。Objective To explore the effect of prospective nursing combined with TCM differential diet on disturbance of water and electrolyte and quality of life in elderly patients with diarrhea.Methods A total of 170 elderly patients with diarrhea who were treated in our hospital from September 2017 to July 2019 were randomly divided into the conventional group and the study group.The patients in the conventional group were treated with routine care,and the patients in the study group were treated with prospective nursing combined with TCM differential diet on the basis of routine care.The incidence of disturbance of water and electrolyte,the time of recovery of symptoms,and the quality of life of patients before and after intervention were compared.Results The incidence of disturbance of water and electrolyte in the study group was 2.35%,which was significantly lower than 10.59%in the conventional group(P<0.05).The recovery time of defecation times,temperature,and character of stool in the study group were(1.65±0.57)d,(18.61±4.23)d,(2.57±1.09)d,which were significantly lower than those in the conventional group(all P<0.05).There were no statistically significant differences in quality of life scores between the two groups before the intervention(all P>0.05);after the intervention,the total score of quality of life in the study group was significantly higher than that in the conventional group[(89.16±4.82)points vs.(57.73±5.13)points](P<0.05).Conclusion Prospective nursing combined with TCM differential diet for elderly patients with diarrhea can effectively reduce the incidence of disturbance of water and electrolyte,and at the same time helps to promote the recovery of patients'symptoms and improve the quality of life of patients,which is worth promoting.

关 键 词：前瞻性护理 中医辨证饮食 腹泻 水电解质紊乱 症状改善 生活质量 

分 类 号：R248.1[医药卫生—中医临床基础]