中医体质辨证护理改善老年透析病人疲乏及生活质量的研究

doi:10.3969/j.issn.1003-9198.2024.06.002

Abstract

Abstract: Objective To explore the effects of traditional Chinese medicine constitution dialectical nursing on fatigue and quality of life in the elderly patients receiving maintenance hemodialysis. Methods A total of 146 patients who underwent maintenance hemodialysis at two blood purification centers of Zhongda Hospital Southeast University from June to December 2022 and met the inclusion and exclusion criteria were randomly divided into the control group and the observation group, with 73 patients in each group. The control group received routine nursing, while the observation group received traditional Chinese medicine constitution dialectical nursing, including traditional Chinese medicine dietary adjustment and acupoint massage, on the basis of routine nursing. The intervention lasted for 24 weeks. The revised Piper Fatigue Scale (RPFS) and the 36 item short form health survey (SF-36) were assessed and compared between the two groups before and after nursing intervention. Results After 24 weeks of intervention, the scores of cognitive dimension, emotional dimension and sensory dimension, and total score of RPFS in the observation group were significantly lower than those in the control group (P<0.05), the scores of sensory dimension, cognitive dimension, emotional dimension and total score of RPFS in the observation group were significantly lower than those before intervention (P<0.05), while the fatigue level in the control group was not significantly improved after intervention (P>0.05). The physiological function, overall health, energy, social function, emotional function, and total score of SF-36 in the observation group were significantly higher than those in the control group and those before intervention (P<0.05), while there was no significant change in SF-36 score in the control group after intervention (P>0.05). Conclusions Dialectical nursing of traditional Chinese medicine constitution has positive significance in improving the fatigue state and quality of life of the elderly patients undergoing maintenance hemodialysis.

Key words: traditional Chinese medicine constitution dialectical nursing, hemodialysis, aged, fatigue, quality of life

CLC Number:

R473

HU Yangyang, WANG Yue, XIE Qinglei. Effects of traditional Chinese medicine constitution dialectical nursing on fatigue and quality of life in elderly patients receiving dialysis[J]. Practical Geriatrics, 2024, 38(6): 545-548.

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Effects of traditional Chinese medicine constitution dialectical nursing on fatigue and quality of life in elderly patients receiving dialysis

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