慢性荨麻疹穴位埋线治疗临床中医护理干预(1)
[摘要] 目的 观察采取穴位埋线治疗慢性荨麻疹的临床中医护理干预分析。方法 方便选取在该院皮肤科2017年3月—2019年3月时期收治慢性荨麻疹为诊断的患者总计100例，随机数字法分成对照组(50例)与护理组(50例)，对照组采取常规护理干预，护理组患者采取中医护理干预。对照两组患者干预前、后负性情绪评分(抑郁评分SDS、焦虑评分SAS)，临床护理效果、护理满意率，干预前、后生活质量评分。 结果 护理组在护理干预后SDS、SAS评分明显低于对照组，临床护理效果护理组与对照组为(96.00% vs 82.00%)，护理满意度为(100.00% vs 86.00%)，护理后护理组WHOQOL-BREF调查评分明显优于对照组，差异有统计学意义。 结论 在慢性荨麻疹患者穴位埋线的治疗中，采取临床中医护理干预，可明显减少患者干预后负性情绪，提高临床护理效果与护理满意率，改善患者护理后生活质量，效果理想。
[关键词] 慢性荨麻疹;穴位埋线;临床中医护理;治疗分析
[中图分类号] R248.9 [文献标识码] A [文章编号] 1674-0742(2019)05(c)-0153-03
[Abstract] Objective To observe the clinical nursing intervention of chronic urticaria treated by acupoint embedding. Methods A total of 100 patients with chronic urticaria diagnosed in the recent dermatology department of our hospital (from March 2017 to March 2019) were randomly divided into the control group (50 cases) and the nursing group (50 cases). The control group received routine nursing intervention， and the nursing group patients took Chinese medicine nursing intervention. The pre- and post-intervention negative emotional scores (depression score SDS， anxiety score SAS)， clinical nursing effect， nursing satisfaction rate， and quality of life before and after intervention were compared between the two groups. Results The SDS and SAS scores of the nursing group were significantly lower than those of the control group after the nursing intervention. The clinical nursing effect nursing group and the control group were (96.00% vs 82.00%)， the nursing satisfaction was (100.00% vs 86.00%)， and the nursing care group WHOQOL- BREF survey score was significantly better than the control group， and the difference was statistically significant. Conclusion In the treatment of acupoint embedding in patients with chronic urticaria， adopting clinical TCM nursing intervention can significantly reduce the negative emotions after patient intervention， improve the clinical nursing effect and nursing satisfaction rate， and improve the quality of life after patient care.
[Key words] Chronic urticaria; Acupoint embedding; Clinical Chinese medicine nursing; Treatment analysis
多種因素共同诱发慢性荨麻疹，病因复杂，尚无十分明确其发生诱因，迁延而不愈，多伴瘙痒，临床上将病程>6周定义为慢性荨麻疹[1]。局部瘙痒、麻刺感，进而迅速蔓延全身，出现全身不适等症，严重影响身心健康[2]。穴位埋线治疗，无明显不良反应，对患者而言，相对安全[3]。但是在治疗过程中，如配合相关护理，可明显改善护理效果。将在该院皮肤科2017年3月—2019年3月时期收治临床中医护理干预的100例慢性荨麻疹患者，分析其相关护理情况，旨在为临床此类患者的护理中，提供更好的护理方法。报道如下。
1 资料与方法
1.1 一般资料
纳入标准[4]：慢性荨麻疹诊断明确;临床资料完整;可配合穴位慢线治疗。排除标准[5]：精神异常;埋线禁忌症;严重皮肤疾病;认知、沟通障碍者。方便选取在该院皮肤科收治慢性荨麻疹为诊断的患者总计100例，随机数字法分成对照组(50例)男27例(54.00%)，女23例(46.00%)，病程6.1～15.9周，平均(7.9±0.9)周，年龄26～77岁，平均(42.7±4.3)岁。护理组(50例)男27例(54.00%)，女23例(46.00%)，病程5.9～14.8周，平均(8.2±0.8)周，年龄27～78岁，平均(43.6±4.7)岁。对照资料差(P>0.05)，可比。该组研究入组患者，在入组前均完善健康宣教，患者对该研究方式、方法及可能发生的后果表知情，并签署知情同意书。并经该院医学伦理委员会批注后，实施。, 百拇医药(梁小沙 孔丽丽 王琼娜 何少敏 林嫦清)
[关键词] 慢性荨麻疹;穴位埋线;临床中医护理;治疗分析
[中图分类号] R248.9 [文献标识码] A [文章编号] 1674-0742(2019)05(c)-0153-03
[Abstract] Objective To observe the clinical nursing intervention of chronic urticaria treated by acupoint embedding. Methods A total of 100 patients with chronic urticaria diagnosed in the recent dermatology department of our hospital (from March 2017 to March 2019) were randomly divided into the control group (50 cases) and the nursing group (50 cases). The control group received routine nursing intervention， and the nursing group patients took Chinese medicine nursing intervention. The pre- and post-intervention negative emotional scores (depression score SDS， anxiety score SAS)， clinical nursing effect， nursing satisfaction rate， and quality of life before and after intervention were compared between the two groups. Results The SDS and SAS scores of the nursing group were significantly lower than those of the control group after the nursing intervention. The clinical nursing effect nursing group and the control group were (96.00% vs 82.00%)， the nursing satisfaction was (100.00% vs 86.00%)， and the nursing care group WHOQOL- BREF survey score was significantly better than the control group， and the difference was statistically significant. Conclusion In the treatment of acupoint embedding in patients with chronic urticaria， adopting clinical TCM nursing intervention can significantly reduce the negative emotions after patient intervention， improve the clinical nursing effect and nursing satisfaction rate， and improve the quality of life after patient care.
[Key words] Chronic urticaria; Acupoint embedding; Clinical Chinese medicine nursing; Treatment analysis
多種因素共同诱发慢性荨麻疹，病因复杂，尚无十分明确其发生诱因，迁延而不愈，多伴瘙痒，临床上将病程>6周定义为慢性荨麻疹[1]。局部瘙痒、麻刺感，进而迅速蔓延全身，出现全身不适等症，严重影响身心健康[2]。穴位埋线治疗，无明显不良反应，对患者而言，相对安全[3]。但是在治疗过程中，如配合相关护理，可明显改善护理效果。将在该院皮肤科2017年3月—2019年3月时期收治临床中医护理干预的100例慢性荨麻疹患者，分析其相关护理情况，旨在为临床此类患者的护理中，提供更好的护理方法。报道如下。
1 资料与方法
1.1 一般资料
纳入标准[4]：慢性荨麻疹诊断明确;临床资料完整;可配合穴位慢线治疗。排除标准[5]：精神异常;埋线禁忌症;严重皮肤疾病;认知、沟通障碍者。方便选取在该院皮肤科收治慢性荨麻疹为诊断的患者总计100例，随机数字法分成对照组(50例)男27例(54.00%)，女23例(46.00%)，病程6.1～15.9周，平均(7.9±0.9)周，年龄26～77岁，平均(42.7±4.3)岁。护理组(50例)男27例(54.00%)，女23例(46.00%)，病程5.9～14.8周，平均(8.2±0.8)周，年龄27～78岁，平均(43.6±4.7)岁。对照资料差(P>0.05)，可比。该组研究入组患者，在入组前均完善健康宣教，患者对该研究方式、方法及可能发生的后果表知情，并签署知情同意书。并经该院医学伦理委员会批注后，实施。, 百拇医药(梁小沙 孔丽丽 王琼娜 何少敏 林嫦清)