“一证一品”联合医护一体化模式在骨质疏松症脾肾两虚兼血瘀证患者护理中的应用  

Application of“One syndrome and One Product”combined with medical care integration model for osteoporotic patients with spleen-kidney deficiency and blood stasis syndrome

作　　者：张元春[1] 黄砚萍[2] 张洁祎 谢晓磊 赵翠萍[1] 张海燕 韩京晶 刘继宁 李静[1] ZHANG Yuanchun;HUANG Yanping;ZHANG Jieyi;XIE Xiaolei;ZHAO Cuiping;ZHANG Haiyan;HAN Jingjing;LIU Jining;LI Jing(Department of Gerontology,Xiyuan Hospital China Academy of Chinese Medical Sciences,Beijing,100091;Department of Spleen and Stomach Disease,Xiyuan Hospital China Academy of Chinese Medical Sciences,Beijing,100091)

机构地区：[1]中国中医科学院西苑医院老年病科,北京100091 [2]中国中医科学院西苑医院脾胃病科,北京100091

出　　处：《中西医结合护理》2021年第7期51-56,共6页Chinese Journal of Integrative Nursing

摘　　要：目的探讨“一病一品”联合医护一体化在模式提高骨质疏松症脾肾两虚兼血瘀证护理质量中的效果。方法60例骨质疏松症脾肾两虚兼血瘀证患者按照随机数字法分为对照组和观察组,各30例。对照组实施常规护理常规干预,观察组在对照组基础上实施“一证一品”联合医护一体化护理模式。比较2组干预后健康知识掌握情况、疼痛、护理满意度及生活自理能力评分变化。结论干预后,观察组健康知识掌握情况优于对照组,疼痛VAS评分低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。干预后,2组Barthel指数评分高于干预前(P<0.01),且观察组高于对照组,差异有统计学意义(P<0.01)。结论骨质疏松症脾肾两虚兼血瘀证护理中,应用“一证一品”联合医护一体化模式能有效改善患者健康知识认知程度,有助于骨质疏松症疼痛控制及提升日常生活能力,从而提高护理满意度。Objective To investigate the effect of"One syndrome and One Product"com⁃bined with medical care integration mode in improving the quality of nursing care for osteoporotic patients with spleen-kidney deficiency and blood stasis syndrome.Methods Totally 60 osteopo⁃rotic patients with spleen-kidney deficiency and blood stasis syndrome were randomly divided into control group and observation group,with 30 cases in each group.The control group was given routine nursing intervention,and the observation group was given nursing intervention based on"One syndrome and One Product"combined with medical care integration mode.The patient’s level of knowledge on disease,degree of pain,nursing satisfaction and activity of daily living were measured and compared between two groups.Results After intervention,patients in the ob⁃servation group achieved a higher level of knowledge on disease,lower score of pain assessment and higher score of nursing satisfaction compared with those in the control group(P<0.05).Af⁃ter intervention,Barthel Index in both groups was higher than that before intervention(P<0.01),and Barthel Index of observation group was higher than that of control group(P<0.05).Conclu⁃sion In nursing management of osteoporotic patients with spleen-kidney deficiency and blood stasis syndrome,the"One syndrome and One Product"combined with medical care integration mode can effectively improve the patient’s disease-related knowledge awareness,contribute to pain control and improve the ability of daily living,so as to improve nursing satisfaction.

关 键 词：骨质疏松 疼痛 医护一体化 辨证施护 中医护理 

分 类 号：R473.5[医药卫生—护理学]