Chinese Journal of Nursing Education >
The traditional Chinese medicine health management program for patients with acute pancreatitis
Objective To explore the effects of TCM health management program in patients with acute pancreatitis. Methods Fifty-eight acute pancreatitis patients were selected by convenient sampling in a tertiary hospital in Tianjin from January 2017 to May 2018. The TCM health management program included information gathering,documents building up,health assessment,intervention,follow-ups,and interactive evaluation. Results After the TCM health management program,the scores of the health practices abilities and all sub-dimensions were increased than those before the intervention（P<0.05）. There were 53 patients returning to the hospital for check-ups,6 patients had complications,and 4 patients had disease recurrence. The complication rate（10.3%） was lower than the 37.5%（P<0.05） of those who did not implement a TCM health management program during the same period. Conclusion TCM health management program can improve health practices abilities. With the time going on,the healthy behavior ability of patients shows a gradual increasing trend.
Key words： SYNDROME DIFFER NURSING; Pancreatitis; Healthy Behaviours
Xuan YANG , Yu-ling WANG , Hui-ying WANG , Wen-rui WANG . The traditional Chinese medicine health management program for patients with acute pancreatitis[J]. Chinese Journal of Nursing Education, 2020 , 17(1) : 36 -40 . DOI: 10.3761/j.issn.1672-9234.2020.01.007
| [1] | Yadav D, Whitcomb DC . The role of alcohol and smoking in pancreatitis[J]. Nat Rev Gastroenterol Hepatol, 2010,7(3):131-145. |
| [2] | Roberts SE, Akbari A, Thorne K , et al. The incidence of acute pancreatitis:impact of social deprivation,alcohol consumption,seasonal and demographic factors[J]. Aliment Pharmacol Ther, 2013,38(5):539-548. |
| [3] | 李文婷, 党彤 . 复发性急性胰腺炎病因的研究进展[J]. 胃肠病学, 2018,23(6):378-381. |
| [4] | Dubagunta S, Still CD, Komar MJ . Acute pancreatitis[J]. J Am Osteopath Assoc, 2001,101(4 Suppl Pt 1):S6-S9. |
| [5] | Banks PA, Bollen TL, Dervenis C , et al. Classification of acute pancreatitis-2012:revision of the Atlanta classification and definitions by international consensus[J]. Gut, 2013,62(1):102-111. |
| [6] | 张瑜 . 复发性急性胰腺炎致病高危因素及预后分析[D]. 太原:山西医科大学, 2013. |
| [7] | 李灿东 . 中医健康管理学[M]. 北京: 中国中医药出版社, 2018. |
| [8] | 杨玄, 王会英, 王玉玲 , 等. 急性胰腺炎患者健康管理干预策略的研究进展[J]. 护士进修杂志, 2018,33(8):713-716. |
| [9] | 彭莉, 彭燕, 汤小伟 , 等. 1990年-2017年国际胰腺病学领域最具影响力的100篇文献分析[J]. 临床肝胆病杂志, 2019,35(5):1027-1031. |
| [10] | 中华中医药学会脾胃病分会. 急性胰腺炎中医诊疗专家共识意见(2017)[J]. 临床肝胆病杂志, 2017,33(11):2052-2057. |
| [11] | 班猛猛, 史炼钢, 王东 , 等. 复发性急性胰腺炎危险因素研究进展[J]. 大连医科大学学报, 2018,40(2):171-175,180. |
| [12] | Becker H, Stuifbergen A, Oh HS , et al. Self-rated abilities for health practices:a health self-efficacy measure[J]. Health Values:The Journal of Health Behavior,Education & Promo, 1993,17(5):42-50. |
| [13] | 毛晓群, 尤黎明, 古素娥 , 等. 老年人自我效能和健康行为的相关性研究[J]. 护理研究, 2007,21(6A):1437-1439. |
| [14] | 胡蕴绮, 周兰姝 . 中文版健康行为能力自评量表的信效度研究[J]. 中华护理杂志, 2012,47(3):261-262. |
| [15] | 谢萍, 张灿, 王静 . 健康教育对急性胰腺炎患者心理状况和健康行为能力的影响[J]. 中华护理教育, 2015,12(11):852-857. |
| [16] | 周兰英, 李元元, 罗碧玲 , 等. 老年人健康行为能力现状及影响因素的调查[J]. 现代临床护理, 2013,12(7):1-4. |
| [17] | 郝文女, 李晓静, 李新霞 . 延续护理干预对急性胰腺炎病人复发率影响的系统评价[J]. 护理研究, 2017,31(11B):4114-4118. |
| [18] | 贾云飞, 杨晋翔, 贾玉 , 等. 急性胰腺炎的中医证候特点临床研究[J]. 现代中西医结合杂志, 2018,27(4):343-346,356. |
| [19] | 王杰 . 中医辅助治疗肝胆湿热型急性胆源性胰腺炎的临床疗效观察[D]. 北京:北京中医药大学, 2018. |
| [20] | 杜乐勋 . 2009医疗卫生绿皮书——中国医疗卫生发展报告(NO.5)(2009版)附光[M]. 北京: 社科文献出版社, 2009. |
| [21] | Pavlidis TE, Pavlidis ET, Sakantamis AK . Advances in prognostic factors in acute pancreatitis:a mini-review[J]. HBPD Int, 2010,9(5):482-486. |
| [22] | 陈建 . 复发性急性胰腺炎的病因及临床特征分析[D]. 昆明:昆明医科大学, 2018. |
| [23] | 闫炫炫 . 复发性急性胰腺炎的临床高危因素分析[D]. 兰州:兰州大学, 2018. |
| [24] | 樊伟红, 汤培凤, 刘薇群 , 等. 远程管理对胰腺炎患者饮食依从性和疾病复发的影响[J]. 现代临床护理, 2016,15(2):46-49. |
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