子午流注理论下的刮痧干预联合情志护理对痰湿壅盛证原发性高血压患者的影响题录

目的探究子午流注理论下的刮痧干预联合情志护理在痰湿壅盛证原发性高血压患者中的应用效果。方法本研究为前瞻性随机对照试验。选取2021年2月至2022年2月在洛阳市中医院就诊的痰湿壅盛证原发性高血压患者110例, 根据入院顺序不同分为2组。对照组55例中男29例, 女26例, 年龄(55.16±3.26)岁;观察组55例中男30例, 女25例, 年龄(55.01±3.68)岁。对照组给予常规干预, 观察组在此基础上给予子午流注理论指导的刮痧干预与情志护理。对比两组血压控制情况, 高血压治疗依从性量表(TASHP)、Spitzer生活质量指数(SQOL)、心境状态量表(POMS)评分及护理满意度。统计学方法采用独立样本t检验、配对t检验、χ2检验。结果护理后观察组收缩压、舒张压分别为(134.25±5.05)mmHg(1 mmHg=0.133 kPa)、(84.56±4.82)mmHg, 均低于对照组的(139.64±5.62)mmHg、(91.06±5.18)mmHg, 差异均有统计学意义(均P<0.001);护理后观察组患者的TASHP评分、SQOL评分均高于对照组(102.86...

Effect of scraping intervention based on the midnight-noon ebb-flow theory combined with emotional nursing on patients with primary hypertension with phlegm-dampness stagnation

Objective　To explore the effect of scraping intervention under the theory of midnight-noon ebb-flow combined with emotional nursing on patients with primary hypertension with phlegm-dampness stagnation. Methods　It was a prospective randomized controlled trial. From February 2021 to February 2022, 110 patients with primary hypertension with phlegm-dampness stagnation in Luoyang Hospital of Traditional Chinese Medicine were selected and were divided into two groups according to the order of admission, with 55 cases in the control group and 55 cases in the observation group. In the control group, there were 29 males and 26 females, aged (55.16±3.26) years; in the observation group, there were 30 males and 25 females, aged (55.01±3.68) years. The control group was given routine intervention, and the observation group was given scrapping intervention guided by the theory of midnight-noon ebb-flow and emotional nursing on this basis. The blood pressure control, scores of Therapeutic Adherence Scale for Hypertensive Patients (TASHP), Spitzer Quality of Life Index (SQOL), and Profile of Mood States (POMS), and nursing satisfaction were compared between the two groups. Independent sample t test, paired t test, and χ² test were used for statistical analysis. Results　After nursing, the systolic blood pressure and diastolic blood pressure in the observation group were (134.25±5.05) mmHg (1 mmHg=0.133 kPa) and (84.56±4.82) mmHg, which were lower than those in the control group (139.64±5.62) mmHg and (91.06±5.18) mmHg], with statistically significant differences (both P<0.001). After nursing, the scores of TASHP and SQOL in the observation group were higher than those in the control group (102.86±5.28) points vs. (83.16±5.73) points, (8.69±0.59) points vs. (7.94±0.67) points], with statistically significant differences (both P<0.001). After nursing, the positive mood state score in the observation group was higher than that in the control group (34.67±2.33) points vs. (30.24±3.28) points], and the negative mood state score was lower than that in the control group (63.76±6.82) points vs. (75.08±6.49) points], with statistically significant differences (both P<0.001). The nursing satisfaction of the observation group was higher than that of the control group 96.36% (53/55) vs. 83.64% (46/55)], with a statistically significant difference between the two groups (χ²=4.950, P=0.026). Conclusion　Scraping intervention under the theory of midnight-noon ebb-flow combined with emotional nursing can improve the mood states in patients with primary hypertension, enhance their compliance behaviors, help them to maintain blood pressure stable, and thus improve their quality of life and satisfaction.