中文摘要
目的：观察本研宄中制定包括情志干预、饮食调护、八段锦练习及刺络拔罐护理4项中医体质护理措施对气郁质银屑病患者的干预效果。
方法：选取2013年12月至2014年12月在湖南中医药大学第二附属医院皮肤科住院的气郁质银肩病患者60例进行研宄。将患者按住院的先后顺序编号，根据完全随机的原则，分为实验组和对照组，对照组给予常规的护理措施，实验组在对照组的基础上实施中医体质护理措施。于入院第1天（实验前观察）、干预后第14天（共干预14天）及出院后第14天3时相点，进行对比。以PASI评分表、SF-36问卷、Ml、气郁质量化积分表及临床疗效观察为指标，对比两种护理措施的护理效果。
结果：两组患者在实验期间均未出现不良反应及意外情况，两组患者3时相点比较，具体结果如下：
1.入院第1天比较：PASI评分、SF-36问卷、BDI、气郁质量化积分表比较经统计学分析，差异具无统计学意义（F>0.05）。
2.千预后第14天及出院后第14天比较：PASI评分、SF-36问卷、BDI、气郁质量化积分表比较及临床疗效观察，实验组优于对照组，经统计学分析，差异有统计学意义（P<0. 05）。
实验组两时相点的SF-36问卷、BDI、气郁质量化积分表、PASI评分表与入院第1天比较，差异有统计学意义（P<0.05）。
结论：
1.本研究的护理方法风险低，副作用小，患者容易接受，存在可行性。
2.通过各指标的对比，表明本研宄中的中医体质护理措施具有减轻气郁质银屑病患者的抑郁程度，提高患者的生活质量，改善患者的体质量化积分，降低PASI评分，提高临床疗效的作用。
关键词：中医体质；银屑病；气郁质；护理
ABSTRACT
Objective: To observe the nursing effect of Traditional Chinese medicineconstitution care measures,such as mental intervention, diet nursing, Baduanjinpractice and ciluobaguan nursing to qiyuzhi psoriatic patients.
Methods: 60 qiyuzhi psoriatic hospitalized patients were Choose from December 2013to January 2015 in the second affiliated hospital of Hunan University Of ChineseMedicine of dermatologist. According to the order of patients' hospitalizationnumber and based on the principle of completely random, the 60 qiyuzhi psoriatichospitalized patients were divided into the experimental group and the controlgroup. The control group were given conventional nursing measures, theexperimental group were given Traditional Chinese medicine constitution caremeasures on the basis of conventional nursing measures. After intervention, usingthe PASI scale, Beck depression seal and SF 一 36 questionnaire and quantizingintegral scale to measure the PASI score, degree of quality of life, depressionscore and the quantizing integral score on three points: the 1st day after inchargehospital, 2 weeks after incharge and 2 weeks after discharge.
Results:No adverse reactions or unexpected events occurred in the two groups.
L On the 1st day, compared the two groups of patients with PASI score, life qualityscore, depression degree score, quantizing integral score, there was nostatistically significant difference CP>0.05）。
2.14 days after incharge hospital and 14 days after discharge, the PASIscore, life quality score, depression degree score, quantizing integral score andthe clinic effect of the experimental group were better than that of the controlgroup （P<0.05）， the difference is statistically significant. The two time pointsof PASI score, life quality score, depression degree score, quantizing integralscore of the experimental group were better than the first incharge day.
Conclusions:
1. The traditional Chinese medicine constitution nursing measures in this studyhas low risk, small side effects, easy to be accepted by patients, so they arefeasibility.
2. the Traditional Chinese medicine constitution care measures can improve theqiyuzhi psoriatic patients' PASI score , clinical curative effect, lifequality, at the same time , can reduce the degree of depression and change thequantizing integral score.
Keywords:Traditional Chinese medicine constitution;Qiyuzhi; Psorias;Nursing.
目录
中文摘要
ABSTRACT
引言
第一部分临床研宄与方法
1.临床研究
1.1病例来源及随机分组
1.2 一般资料
1.3诊断标准
1.4病例纳入标准；
1.5病例排除标准
1.6病例剔除、脱落标准
1.7终止试验标准
2.护理方案
2.1对照组：常规护理
2.2实验组：在常规护理的基础上配合中医体质护理
3.观察指标与方法
3.1抑郁程度比较
3.2生活质量比较
3.3气郁质量化积分比较
3.4PASI 评分
3.5临床疗效比较
4.统计学处理
第二部分结果与分析
1.两组患者BDI评分的比较
2.两组患者SF-36评分的比较
3.气郁质量化积分的比较
4.两组患者PASI评分比较
5临床疗效比较
6.安全性结果
第三部分讨论
1中医体质与银屑病的关系
2.中医体质护理在临床中的应用
3.中医体质护理措施的临床意义
3.1情志调护的意义
3.2饮食调护的意义
3.3八段锦练习的意义
3.4刺络拔罐的意义
4.中医体质护理对气郁质寻常型银屑病的影响
4.1中医体质护理对气郁质寻常型银屑病抑郁程度的影响
4.2中医体质护理干预对寻常型银屑病患者生活质量的影响
4.3中医体质护理对气郁质寻常型银屑病体质量化积分变化的影响
4.4中医体质护理对气郁质寻常型银屑病PASI评分及临床效果的影响
5.不足与展望
第四部分结论
参考文献
