耳穴压豆联合人文关怀干预对下肢动脉硬化闭塞症患者疗效及心理状态的影响  

Effect of ear-point pressing beans combined with humanistic care intervention on curative effect and psychological state of patients with lower extremity arteriosclerosis obliterans

作　　者：苏甜 薛潇丽 史换仁 李亚平[1] 李军[1] 苏智慧 SU Tian;XUE Xiaoli;SHI Huanren;LI Yaping;LI Jun;SU Zhihui(Department of Vascular,Shijiazhuang Hospital of Traditional Chinese Medicine,Hebei Province,Shijiazhuang 050000,China)

机构地区：[1]石家庄市中医院脉管科,河北省石家庄050000

出　　处：《中国医药导报》2023年第22期167-170,192,共5页China Medical Herald

基　　金：河北省中医药管理局科研计划项目(2020342)。

摘　　要：目的探讨耳穴压豆联合人文关怀干预对下肢动脉硬化闭塞症(LEASO)患者疗效及心理状态的影响。方法选取2021年2月至2022年2月石家庄市中医院脉管科诊治的LEASO患者110例,按照随机数字表法将其分为研究组和对照组,各55例。对照组采取常规干预,研究组给予耳穴压豆联合人文关怀干预。干预2周后比较两组临床疗效,并发症发生率,视觉模拟评分法(VAS)评分、心理状态、生活质量、治疗依从性及满意度。结果最终研究组51例,对照组47例完成了研究。研究组临床疗效优于对照组,并发症发生率低于对照组(P<0.05),治疗依从性、有效率和满意度高于对照组(P<0.05)。治疗前,两组VAS、焦虑自评量表(SAS)、抑郁自评量表(SDS)、无痛最大步行距离(PFWD)和健康调查量表36(SF-36)生理和心理健康评分比较,差异无统计学意义(P>0.05);治疗后,两组VAS、SAS和SDS评分较治疗前下降,PFWD、生理和心理健康评分较治疗前升高,且研究组VAS、SAS和SDS评分低于对照组,PFWD、生理和心理健康评分高于对照组(P<0.05)。结论耳穴压豆联合人文关怀干预能有效缓解LEASO患者临床症状,降低并发症风险,改善负性情绪,提高生活质量,且患者依从性及满意度较高,值得推广应用。Objective To explore the effect of ear-point pressing beans combined with humanistic care intervention on the efficacy and psychological status of patients with lower extremity arteriosclerosis obliterans(LEASO).Methods A total of 110 LEASO patients diagnosed and treated in the vascular department of Shijiazhuang Hospital of Traditional Chinese Medicine from February 2021 to February 2022 were selected and they were divided into study group and control group according to random number table method,with 55 patients in each group.The control group was treated with routine therapy,while the study group was treated with ear-point pressing beans combined with humanistic care intervention for two weeks.The clinical efficiency,complication rate,visual analogue scale(VAS),psychological status,quality of life,treatment compliance and satisfaction were compared between the two groups.Results Finally,51 cases in the study group and 47 cases in the control group completed this study.The clinical efficacy of the study group was better than that of the control group,the incidence of complications in the study group was lower than that in the control group(P<0.05).Before treatment,there were no significant differences in VAS,self-rating anxiety scale(SAS),self-rating depression scale(SDS),pain-free maximum walking distance(PFWD),short form 36(SF-36),and physical and mental health scores between the two groups(P>0.05).After treatment,VAS,SAS and SDS scores of the two groups were lower than before treatment,while PFWD,physical and mental health scores were higher than before treatment.VAS,SAS and SDS scores of the study group were lower than those of the control group,and PFWD,physical and mental health scores were higher than those of the control group(P<0.05).Conclusion Ear-point pressing beans combined with humanistic care intervention can effectively alleviate the clinical symptoms of LEASO patients,reduce the risk of complications,amend negative emotions and improve the quality of life,and the patient compliance and satisfac

关 键 词：人文关怀干预 下肢动脉硬化闭塞证 耳穴压豆 生活质量 

分 类 号：R473[医药卫生—护理学]