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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

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【作者】 谢玉英叶淑华向东方梁雪芳程兰王永霞

【Author】 Xie Yuying;Ye Shuhua;Xiang Dongfang;Liang Xuefang;Cheng Lan;Wang Yongxia;Gynecology Department, Guangdong Hospital of Traditional Chinese Medicine;

【通讯作者】 叶淑华;

【机构】 广东省中医院妇科

【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。

【Abstract】 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.

【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)
  • 【文献出处】 护理学杂志 ,Journal of Nursing Science , 编辑部邮箱 ,2024年07期
  • 【分类号】R473.71
  • 【下载频次】174
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