【摘要】 目的：评价基于中医“脾胃为后天之本”理论构建的综合护理模式在老年慢性共病患者中的应用效果。方法：选取2023年1月至2023年6月在西安市第九医院就诊的120例老年慢性共病患者为研究对象，按随机数字表法分为干预组与对照组，各60例。对照组患者接受常规慢病管理，干预组患者在对照组基础上接受“培后天之本”综合护理模式干预。比较两组患者干预前后中医证候积分、老年综合评估（CGA）得分、生活质量及营养指标。结果：干预12周后及干预后3个月，干预组患者中医证候积分显著低于对照组，血清前白蛋白水平高于对照组（P<0.05）；干预12周后，干预组患者CGA量表中躯体功能、营养状况维度得分和健康状况调查简表（SF–36）中生理机能、精力维度得分均高于对照组（P<0.05）。结论：基于“脾胃为后天之本”理论的综合护理模式不仅能有效改善老年慢性共病患者的中医证候和营养状态，还能提高患者躯体功能及生活质量。更多还原

【Abstract】 Objective To evaluate the application effect of a comprehensive nursing model based on the theory of "Spleen and Stomach as the Root of Acquired Constitution" in traditional Chinese medicine for elderly patients with chronic comorbidities. Methods A total of 120 elderly patients with chronic comorbidities who visited Xi’an Ninth Hospital from January 2023 to June 2023 were selected as the research subjects and randomly divided into an intervention group and a control group, with 60 cases in each group. The control group received routine chronic disease management, while the intervention group received the "Nurturing the Root of Acquired Constitution" comprehensive nursing model intervention on the basis of the control group. The scores of traditional Chinese medicine syndrome, comprehensive geriatric assessment(CGA), quality of life, and nutritional indicators before and after intervention of the two groups were compared. Results After 12 weeks of intervention and 3 months after intervention, the traditional Chinese medicine syndrome scores of the intervention group were significantly lower than those of the control group, and the levels of serum prealbumin were higher than those of the control group(P < 0.05). After 12 weeks of intervention, the scores of the physical function and nutritional status dimensions in the CGA scale and the physical functioning and vitality dimensions in the 36–item short form health survey(SF-36) of the intervention group were higher than those of the control group(P < 0.05). Conclusion The comprehensive nursing model based on the theory of "Spleen and Stomach as the Root of Acquired Constitution" can not only effectively improve the traditional Chinese medicine syndrome and nutritional status of elderly patients with chronic comorbidities, but also enhance their physical function and quality of life.更多还原