杨玉娟

【摘要】 目的：探讨情志护理在三伏天穴位贴敷治疗哮喘中的应用及对患者不良反应发生的影响。方法：选取2015年6月-2016年4月笔者所在医院收治的哮喘患者96例，依据治疗方式的不同将其分成两组，每组48例。对照组应用三伏天穴位贴敷，研究组联合应用情志护理。比较两组中医临床症状及体征总评分、心理状态、不良反应发生情况。结果：干预后，研究组各时间点中医临床症状及体征总评分均显著低于对照组，差异有统计学意义（P<0.05）。研究组不良反应发生率为8.3%，显著低于对照组的20.8%，差异有统计学意义（P<0.05）。结论：穴位贴敷治疗联合情志护理可有效缓解哮喘患者的临床症状，降低患者在治疗过程中发生不良反应的风险。

【关键词】 哮喘; 心理状态; 穴位贴敷; 情志护理

doi：10.14033/j.cnki.cfmr.2019.27.057 文献标识码 B 文章编号 1674-6805（2019）27-0-03

Application of Emotional Nursing in the Treatment of Asthma with Acupoint Application of Sanfutian and Its Influence on the Occurrence of Adverse Reactions in Patients/YANG Yujuan.//Chinese and Foreign Medical Research，2019，17（27）：-134

【Abstract】 Objective：To explore the application of emotional nursing in the treatment of asthma with acupoint application of sanfutian and its influence on the adverse reaction in patients.Method：A total of 96 patients with asthma treated in our hospital from June 2015 to April 2016 were selected and divided into two groups according to different treatment methods，with 48 cases in each group.The control group was treated with sanfutian acupoint application，and the study group was combined with emotional nursing.The total scores of clinical symptoms and signs of TCM，psychological status and adverse reactions of the two groups were compared.Result：After intervention，the total scores of clinical symptoms and signs of TCM in the study group were significantly lower than those in the control group at each time point，the differences were statistically significant（P<0.05）.The incidence of adverse reactions in the study group was 8.3%，which was significantly lower than 20.8% in the control group，the difference was statistically significant（P<0.05）.Conclusion：Acupoint application combined with emotional nursing can effectively relieve the clinical symptoms of asthma patients and reduce the risk of adverse reactions in the course of treatment.

【Key words】 Asthma; Psychological state; Acupoint application; Emotional nursing

First-authors address：Dangyang Traditional Chinese Medicine Hospital，Dangyang 444100，China

哮喘是臨床呼吸科最为常见的一种疾病，发病率较高。患者的临床表现主要为咳嗽、胸闷、呼吸困难及反复的喘息等[1]。西药对哮喘患者的短期疗效十分显著，但是均对机体存在一定的副作用。穴位贴敷治疗哮喘在中医学中的历史十分悠久且效果确切，被临床中医界相关学者及医生所公认。研究表明，导致哮喘患者疾病反复发作的一项重要诱因就是心理因素[2]。而随着临床医学及心理学技术水平的持续进步及发展，已充分认识且公认哮喘患者的精神及心理状态对疾病的转归及预后具有十分重要的影响作用，因此，给予患者实施情志护理非常必要。

1 资料与方法

1.1 一般资料

选取2015年6月-2016年4月笔者所在医院收治的哮喘患者96例，依据治疗方式的不同将其分成两组。对照组48例，男23例，女25例;年龄20～47岁，平均（33.6±0.8）岁;病程1～3年，平均（2.4±0.6）年。研究组48例，男24例，女24例;年龄20～47岁，平均（33.2±0.4）岁;病程1～3年，平均（2.6±0.5）年。……