| ObjectThe aim is to construct an effective plan by using of the traditional Chinese desire adjustment method in the senile pruritus patients, reduce patients’ scratch behavior and remit itchy symptom, improve negative emotion and sleep quality,increase life quality and self-efficacy,maintain the elderly physical and psychological health.At the same time, providing a new target spot for clinical research,promoting the research of traditional Chinese desire adjustment method,and accelerating the development of TCM psychology.MethodA quasi-experimental study design was used in the study. According to the inclusion criteria of senile pruritus, we conducted the trail from October 2013 through January 2014,60 patients of voluntary participants were screened in this study by using convenient sampling method in dermatological department of Chengdu University of Traditional Chinese Medicine Hospital. The participants were randomly divided into trial and control groups by using a table of random number. Two groups of patients were treated by a dermatologist given Yang xue run fu yin for oral therapy, four courses were treated, each course we gave 200 ml medicine per day of bid for seven days, and Fu peng stop urticant lotion for external use per day of bid or tid. On this basis, the 30 participants in trail group conducted the traditional Chinese emotional desire adjustment method, while other 30 cases in control group conducted the conventionalnursing, both treatment for 12 weeks. All subjects are evaluated for the scratch symptom and quality of life by using the Skin pruritus of comprehensive evaluation scale and Dermatology life quality index (DLQI) before and after 12 weeks intervention. Before and after intervention for 4 weeks,8 weeks,12 weeks, evaluate negative emotion by using Senile negative emotions scale. Assessing the sleep quality by using Pittsburgh sleep quality index (PSQI) before and after 4 weeks,8 weeks,12 weeks intervention. Before and after 12 weeks intervention, evaluating the self-efficacy by using General Self-Efficacy Scale(GSES).ResultA total of 55 cases completed all data collection, with the trail group 27 cases (3 cases lossed), control group 38 cases (2 cases lossed).1.Itchy symptoms evaluation results:after intervention, the total score of Skin pruritus of comprehensive evaluation, itching degree, position dimensions,the difference of frequency after the intervention of the experimental group was significantly lower than that of the control group, the difference was statistically significant (P<0.05)2. Negative emotion evaluation results:after intervention,scores of the Senile negative emotions scale scores of trail group at each time pointwere lower than the control group at the same period, the differences were statistically significant (P< 0.05); the further pairwise comparisons of Senile negative emotions scale scores for each time point before and after the intervention, the differences were statistically significant (P<0.05)3. Sleep quality evaluation results:after the intervention, the PSQI scores of trail group at each time point were lower than the same period in the control group, the differences were statistically significant (P<0.05); and the further pairwise comparisons of PSQI scores for each time point before and after the intervention, the differences were statistically significant (P<0.05)4. Quality of life evaluation results:after the intervention,the total score of DLQI evaluation, symptom, amusement, work or study, Individual activities, treatment five dimensions of the experimental group were significantly lower than that of the control group, the difference was statistically significant (P<0.05); the difference of daily life was no statistically significant (P>0.05)5. Self-efficacy evaluation results:after the intervention the GSES scores of the trail group were higher than the control group, the difference was statistically significant (P<0.05)ConclusionTraditional Chinese desire adjustment method can reduce the scratch behavior, remit the scratch symptom of SP patients, relieve negative emotion and enhance sleep quality, and the effects increased with the increase over time. Meanwile it can improve the quality of life, and increase their self-efficacy. Therefore, traditional Chinese desire adjustment method on SP patients was significantly higher than the conventional nursing, it is worth popularization and application in clinical. |
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