子宫内膜异位症患者的中医慢病护理门诊管理  

TCM chronic disease nursing clinic management in endometriosis outpatients

作　　者：谢玉英[1] 叶淑华[1] 向东方[1] 梁雪芳[1] 程兰[1] 王永霞[1] Xie Yuying;Ye Shuhua;Xiang Dongfang;Liang Xuefang;Cheng Lan;Wang Yongxia(Gynecology Department,Guangdong Hospital of Traditional Chinese Medicine,Guangzhou 510370,China)

机构地区：[1]广东省中医院妇科,广东广州510370

出　　处：《护理学杂志》2024年第7期69-72,共4页Journal of Nursing Science

基　　金：广州市科技计划项目,市校(院)企联合资助专题,(登峰医院)基础研究项目(2023A03J0241);广州市荔湾区科技计划项目(20230716);广州民政科技基金项目(2021MZK34);广东省名老中医药专家传承工作室建设项目(国中医药人教函[2018]134号)。

摘　　要：目的评价中医慢病护理门诊对子宫内膜异位症患者的管理效果。方法采用历史对照法,将2020年1-12月行腹腔镜手术的子宫内膜异位症门诊就诊的痛经患者88例作为对照组,按常规行术后门诊复诊及随访;2021年1-12月行腹腔镜手术的门诊就诊的88例痛经患者为观察组,在对照组基础上实施子宫内膜异位症中医慢病护理;干预3个月。干预后3、6、12个月评估干预效果。结果两组各85例患者完成研究及随访。两组痛经评分、自我管理能力评分及生存质量评分比较,组间效应、时间效应及交互效应差异有统计学意义(均P<0.05)。结论对子宫内膜异位症患者实施中医慢病护理门诊管理,可更有效地改善痛经症状,提高疾病自我管理能力和生存质量。Objective To evaluate the management effect of TCM chronic disease nursing clinic in endometriosis oupatients.Methods The historical control method was used,a total of 88 endometriosis outpatients with dysmenorrhea after laparoscopic surgery from January to December 2020 were regarded as a control group,who received routine postoperative outpatient visit and follow-up,and their counterparts of 88 patients visited from January to December 2021 were taken as an experimental group,who additionally received TCM chronic disease management in a nurse-led clinic for 3 months.The intervention effect was evaluated at 3,6,and 12 months after the intervention.Results Totally 85 patients in each group completed the study and follow-up.When compared the dysmenorrhea score,self-management ability score and quality of life score between the two groups,the intervention effect,time effect and intervention×time effect were statistically significant(all P<0.05).Conclusion The TCM chronic disease nursing cli-nic management in endometriosis outpatients,can more effectively alleviate the symptom of dysmenorrhea,and improve patients′disease self-management ability and quality of life.

关 键 词：子宫内膜异位症 痛经 慢病管理 护理门诊 中医护理 自我管理能力 生存质量 

分 类 号：R473.71[医药卫生—护理学] R271.1[医药卫生—临床医学]