基于治未病思想的中西医结合护理模式在冠心病患者二级预防中的应用OA
Application of an integrated traditional Chinese and western medicine nursing model based on preventive treatment of disease in the secondary prevention of patients with coronary heart disease
目的 探讨"治未病"思想指导的中西医结合护理模式在冠状动脉粥样硬化性心脏病(简称"冠心病")患者二级预防中的应用价值.方法 选取 2023 年 1 月至2025 年12 月石河子大学附属中医医院收治的120 例冠心病患者,随机数字表法分为对照组、观察组,各 60 例.对照组予以常规护理模式,观察组实施基于治未病思想的中西医结合护理模式.比较 2 组临床症状、心功能、运动耐量、二级预防知识水平、自我管理行为.结果 护理后,观察组临床症状评分均低于对照组,CHD 自我管理行为量表(CSMS)评分、左室射血分数(LVEF)、心搏出量(SV)、心脏指数(CI)水平、6 分钟步行距离(6MWT)、二级预防知识水平均高于对照组(P 均<0.05).结论 基于"治未病"思想的中西医结合护理模式在冠心病患者二级预防中效果显著,能有效改善患者心功能,提升二级预防知识水平及自我管理能力.
Objective To explore the application value of an integrated traditional Chinese and western medicine nursing model guided by the concept of preventive treatment of disease in the secondary prevention of patients with coronary heart disease.Methods This study enrolled 120 patients with coronary heart disease admitted to the Affiliated Traditional Chinese Medicine Hospital of Shihezi University between January 2023 and December 2025.Using a random number table,the patients were divided into a control group and an observation group,each comprising 60 patients.The control group received a conventional nursing model,while the observation group received an integrated traditional Chinese and western medicine nursing model based on the concept of preventive treatment of disease.A comparison was made between the two groups regarding clinical symptoms,cardiac function,exercise tolerance,knowledge of secondary prevention,and self-management behaviors.Results Following nursing intervention,the clinical symptom scores in the observation group were lower than those in the control group,while the Coronary Heart Disease Self-Management Scale(CSMS)score,left ventricular ejection fraction(LVEF),stroke volume(SV),cardiac index(CI),6-min walk test(6MWT)level,and knowledge level of secondary prevention were all higher than those in the control group(P<0.05).Conclusion A nursing model of integrating traditional Chinese and western medicine based on the concept of preventive treatment of disease has demonstrated significant efficacy in the secondary prevention of coronary heart disease.It effectively improves the cardiac function of patients and enhances their knowledge of secondary prevention and self-management behaviors.
范思思;梁雪;王晓云
石河子大学附属中医医院,新疆 石河子,832000石河子大学附属中医医院,新疆 石河子,832000石河子大学附属中医医院,新疆 石河子,832000
医药卫生
治未病思想中西医结合护理二级预防知识水平心功能
concept of preventive treatment of diseaseintegrated traditional Chinese and western medicine nursingknowledge of secondary preventioncardiac function
《中西医结合护理(中英文)》 2026 (6)
44-48,5
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