Abstract:

Objective　To analyze the impact of the traditional Chinese medicine (TCM) nursing mode based on the "Theory of TCM Constitution Identification" on the prognosis and quality of life of sub-healthy patients. Methods　This study was a randomized controlled trial. A total of 100 sub-healthy patients admitted to the Preventive Treating Disease Center, Lianyungang Hospital of Traditional Chinese Medicine from April 2021 to April 2023 were prospectively selected as the study objects. The patients were divided into a control group (50 cases) and an observation group (50 cases) by the random number table method. There were 29 males and 21 females in the control group, aged (40.20±2.01) years, and the duration of fatigue symptoms was (6.45±1.43) months. There were 31 males and 19 females in the observation group, aged (39.98±2.40) years, and the duration of fatigue symptoms was (6.37±1.40) months. The control group received routine nursing, and the observation group received TCM nursing mode based on the "Theory of TCM Constitution Identification" for 30 days. The TCM syndrome score and quality of life [EuroQol Five-Dimensional Questionnaire (EQ-5D)] before and after intervention were compared between the two groups. Independent sample t test, paired t test, and χ² test were used. Results　After intervention, the scores of physical fatigue, mental fatigue, pale mouth not thirsty, and poor appetite in the observation group were lower than those in the control group [(1.01±0.30) points vs. (1.25±0.69) points, (1.43±0.22) points vs. (1.66±0.59) points, (1.00±0.35) points vs. (1.29±0.46) points, (0.73±0.22) points vs. (1.04±0.41) points] (all P<0.05). The scores of action ability, self-management ability, activity, pain or discomfort, and anxiety or depression in the observation group were higher than those in the control group [(2.01±0.64) points vs. (1.78±0.14) points, (1.95±0.43) points vs. (1.72±0.34) points, (1.82±0.26) points vs. (1.67±0.27) points, (2.01±0.27) points vs. (1.90±0.12) points, (1.92±0.14) points vs. (1.78±0.30) points] (all P<0.05). Conclusion　The TCM nursing mode based on the "Theory of TCM Constitution Identification" can effectively improve the TCM syndrome score of sub-healthy patients and comprehensively improve their quality of life.

Key words:

Sub-health, Chronic fatigue syndrome, Theory of TCM Constitution Identification, Disease prognosis, Quality of life

摘要：

目的　分析基于中医体质辨识学说的中医护理模式对亚健康患者的影响。方法　本研究为随机对照试验。前瞻性选取2021年4月至2023年4月连云港市中医院治未病中心收治的100例处于亚健康状态患者作为研究对象。采用随机数字表法，将患者分为对照组（50例）和观察组（50例）。对照组男29例，女21例；年龄（40.20±2.01）岁；疲劳症状持续时间（6.45±1.43）个月。观察组男31例，女19例；年龄（39.98±2.40）岁；疲劳症状持续时间（6.37±1.40）个月。对照组采用常规护理，观察组在对照组基础上采用基于中医体质辨识学说的中医护理模式。两组均连续干预30 d。比较两组干预前后中医症候积分、生活质量［欧洲五维生存质量量表（EQ-5D）］。采用独立样本t检验、配对t检验和χ²检验。结果　干预后，观察组中医症候积分中的体倦乏力、神疲懒言、口淡不渴、食少纳呆评分均低于对照组［（1.01±0.30）分比（1.25±0.69）分、（1.43±0.22）分比（1.66±0.59）分、（1.00±0.35）分比（1.29±0.46）分、（0.73±0.22）分比（1.04±0.41）分］（均P<0.05）。观察组EQ-5D中的行动能力、自我管理能力、活动能力、疼痛或不适、焦虑或抑郁评分均高于对照组［（2.01±0.64）分比（1.78±0.14）分、（1.95±0.43）分比（1.72±0.34）分、（1.82±0.26）分比（1.67±0.27）分、（2.01±0.27）分比（1.90±0.12）分、（1.92±0.14）分比（1.78±0.30）分］（均P<0.05）。结论　基于中医体质辨识学说的中医护理模式可改善亚健康患者中医症候积分，提高生活质量。

关键词:

亚健康, 慢性疲劳综合征, 中医体质辨识学说, 疾病转归, 生活质量