多元化中医健康教育在稳定期慢性阻塞性肺疾病患者中的应用  

Application of Diversified Traditional Chinese Medicine Health Education in Patients with Stable Chronic Obstructive Pulmonary Disease

作　　者：赵亚[1] 王旭东[1] ZHAO Ya;LIU Qun(Department of Traditional Chinese Medicine,the First People’s Hospital of Nantong City,Nantong Jiangsu 226000,China)

机构地区：[1]南通市第一人民医院中医科,江苏南通226000

出　　处：《四川中医》2020年第11期214-218,共5页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察多元化中医健康教育对稳定期慢性阻塞性肺疾病(COPD)患者中医健康教育内容知晓率、中医养生行为执行率及生活质量的影响。方法:采用简单随机抽样方法抽取2016年4月~2018年3月在江苏省南通市第一人民医院接受治疗的150例稳定期COPD患者作为研究对象,按照住院时间分为观察组(2017年4月~2018年3月)77例和对照组(2016年4月~2017年3月)73例。对照组给予常规中医健康教育,观察组给予多元化中医健康教育。随访6个月,比较2组患者中医健康教育内容知晓率、中医养生行为执行率及生活质量。结果:观察组和对照组各完成随访72例和65例。观察组中医健康理念、COPD病因、COPD证型、治未病总则、中医养生方法、中医技术干预方法知晓率分别为76.39%、80.56%、79.17%、88.89%、87.50%、86.11%、80.56%,均明显高于教育后对照组及自身教育前;观察组生活起居养生、食疗养生、情志养生、运动养生、中医技术养生、呼吸功能锻炼执行率分别为91.67%、79.17%、87.50%、76.39%、76.39%、72.22%,均明显高于教育后对照组及自身教育前;观察组圣乔治呼吸问卷(SGRQ)中,症状评分、活动评分、影响评分及SGRQ总分分别为(40.35±10.87)、(30.11±10.94)、(32.66±13.18)、(33.02±13.76)分,均明显低于对照组,以上差异均具有统计学意义(P<0.05)。结论:多元化中医健康教育可有效提高慢性阻塞性肺疾病患者对中医健康教育内容的理解和掌握程度,促进中医养生行为的养成,从而改善生活质量。Objective:To investigate the effect of diversified traditional chinese medicine(TCM)health education on the awareness rate of TCM health education content,the implementation rate of TCM health behavior and the quality of life in patients with stable chronic obstructive pulmonary disease(COPD).Methods:From April to May 2018,a simple random sampling method was used to select 150 patients with stable COPD who were treated in the First People’s Hospital of Nantong City,Jiangsu Province.According to the length of hospital stay,the patients were divided into a treatment group(from April 2017 to March 2018)with 77 cases and a controlled group(from April 2016 to March 2017)with 73 cases.The controlled group was given regular TCM health education,and the treatment group was given diversified TCM health education.After 6 months of follow-up,the awareness rate of TCM health education content,the implementation rate of TCM health behavior and the quality of life of the two groups were compared.Results:72 patients and 65 patients were followed up in the treatment group and the controlled group.The treatment group’s TCM health concept,COPD etiology,COPD syndrome type,general rule of treatment,TCM health method,and TCM technology intervention method awareness rate were 76.39%,80.56%,79.17%,88.89%,87.50%,86.11%,80.56%,and were significantly higher than the post-education controlled group and before their own education.The treatment group’s living and living health,diet therapy,emotional health,exercise health,TCM technology health,respiratory function exercise implementation rate were 91.67%,79.17%,87.50%,76.39%,76.39%,72.22%,were significantly higher than after education controlled group and before their own education.The St.George’s Respiratory Questionnaire(SGRQ),symptom score,activity score,impact score and SGRQ total score of the treatment group were(40.35±10.87),(30.11±10.94),(32.66±13.18),(33.02±13.76)points,which were significantly lower than those of the controlled group,and the differences have statistics s

关 键 词：慢性阻塞性肺气肿 稳定期 多元化 中医健康教育 

分 类 号：R248.1[医药卫生—中医临床基础]