The Nursing Effect Of Dorsal Part Holographic Meridian Scraping On Chronic Fatigue Syndrome Patients With Yang Deficiency

Objective:Under the guidance of TCM meridian theory,holographic theory and TCM constitution theory,the dorsal part holographic meridian scraping was used to intervene the patients with chronic fatigue syndrome(CFS)of yang deficiency.The changes of clinical symptom score,yang deficiency score,fatigue severity scale(FSS)score,somatic and psychological health report(SPHERE)before and after intervention were compared.To explore and discuss its nursing effect,safety and feasibility,to provide theoretical and clinical basis for caring CFS patients with yang deficiency,and to provide an effective health-care scraping scheme for TCM treatment and nursing.Methods:In this study,76 subjects who met the inclusion criteria and exclusion criteria were recruited in the TCM nursing outpatient department of a Grade III-A Hospital in Harbin by means of making posters,using internet social software and other propaganda means.The subjects were randomly divided into control group(n=38)and experimental group(n=38).Nursing routine was fulfilled in the control group for 6 weeks.On the basis of nursing routine,dorsal part holographic meridian scraping was carried out in the experimental group,and intervened once a week for 6 weeks.The nursing effect was comprehensively evaluated by analyzing the clinical symptom score,FSS score,yang deficiency score,SPHERE and safety aspect.Results:1.Baseline level: Before intervention,the general data,clinical symptom score,yang deficiency score,FSS score and SPHERE score of the two groups were compared,which indicated that the baseline level of the two groups was basically the same and comparable.2.Clinical symptom score and overall curative effect: After nursing intervention in the two groups,the numbers of cured,markedly effective,effective and ineffective cases in the control group were 3,14,10 and 11 respectively,and those in the experimental group were 8,24,2 and 4 respectively.The total effective rate of the control group was 71.1%,and that of the experimental group was 89.5%.According to the results of chi-square test,the difference was significant(P<0.05).At the time before and after nursing intervention,analyze the clinical symptom scores of the two groups found that the differences were significant(P<0.05),and after nursing intervention,the differences were significant between the two groups(P<0.05).3.At the time before and after nursing intervention,analyze the FSS,yang deficiency and SPHERE scores of the two groups found that the differences were significant(P<0.05),and analyze the all scores after nursing intervention,the differences were significant between the two groups(P<0.05).4.Safety evaluation: During the whole study period,there were no related adverse reactions and other abnormal situations in both groups.Conclusions:1.The dorsal part holographic meridian scraping can effectively relieve the clinical symptoms of CFS patients with yang deficiency,reduce fatigue,and it has a better treatment effect.2.The dorsal part holographic meridian scraping can significantly reduce the fatigue severity score of CFS patients with yang deficiency,decrease yang deficiency score and SPHERE score,and improve the quality of life.3.The dorsal part holographic meridian scraping is effective,safe,reliable,green and convenient in the treatment of CFS patients with yang deficiency,which is worth popularizing in clinical application and we should dig it in depth.