中医情志护理法在肛肠手术患者中应用评价.docVIP

中医情志护理法在肛肠手术患者中的应用评价 　　【摘要】 目的：研究中医情志护理法在肛肠手术患者中的应用评价。方法：选取2013年1月-2014年5月在本院接受肛肠手术治疗的120例患者，按照随机数字表法将其分为试验组和对照组，每组60例。对照组患者采用常规的手术、护理和常规的药物治疗，试验组在常规手术及药物治疗的基础上采用中医情志护理法治疗。统计并比较两组中疼痛体验、恐惧焦虑、认知情况、消极心态、积极心态以及配合态度的患者数量，同时以调查问卷的形式评定患者的满意情况。结果：试验组患者中疼痛体验、恐惧焦虑、消极心态的比例均明显低于对照组，认知情况、积极心态与配合态度的比例均明显高于对照组，差异均有统计学意义（P0.05）。试验组患者的总满意率为93.33%，明显高于对照组的80.00%，差异有统计学意义（u=2.4834，P=0.0130）。结论：通过本次试验可以发现，患者在常规手术和药物治疗的基础上，使用中医的情志护理法，可有效地减弱其疼痛体验和恐惧焦虑症状，提高患者的认知情况，使患者能够更好地配合治疗，并且保持积极的心态，对于患者的身体状况有较大的改善，患者的满意程度也相对较高。该方法可行性强，在临床上具有很高的应用价值，值得推广与借鉴。 　　【关键词】 中医情志； 护理； 肛肠手术 　　【Abstract】 Objective：To study the application evaluation of traditional Chinese medicine（TCM） mental nursing in patients with anorectal surgery.Method：One hundred and twenty patients with anorectal surgery in our hospital from January 2013 to May 2014 were selected，they were divided into the experimental group and the control group according to the random number table method，60 cases in each group.The control group was treated with routine operation，care and drug.But the experimental group was treated with TCM mental nursing on the basis of routine operation and drug treatment.The number of pain experience，fear and anxiety，cognitive status，negative attitude，positive attitude and coordination attitude in the two groups were recorded and compared.At the same time，the satisfaction of patients between the two groups were assessed by questionnaire.Result：The proportion of pain experience，fear and anxiety，negative attitude in the experimental group were significantly lower than the control group，and the proportion of cognitive status，positive attitude and coordination attitude in the experimental group were significantly higher than the control group，the differences were statistically significant（P0.05）.The satisfaction rate of the experimental group was 93.33%，which was significantly higher than 80.00% of the control group，the difference was statistically significant（u=2.4834，P=0.0130）.Conclusion：Through the experiment，on t