The Effect Of TCM Syndrome Differentiation And Nursing On Emotion,Health Behavior And Quality Of Life In Patients With Ulcerative Colitis

Objective In order to provide reference for nursing staff on patients with ulcerative colitis,this essay will investigate the effect of TCM syndrome differentiation and nursing on negative emotion,health promotion behavior and quality of life in patients with ulcerative colitis.Methods This experiment is a kind of experimental research and uses purposeful sampling.According to the inclusion criteria,a total of 62 patients with ulcerative colitis in a spleen and stomach disease department in a three level of first-class hospital of traditional Chinese medicine were selected.The research objects were divided into two groups according to their chronological order of the first admission.The research objects hospitalized from November 2014 to October 2015 were as the control group;The research objects from November 2015 to October 2016 were as the experimental group.30 cases were in the control group and 32 cases were in the experimental group.Patients in the control group received routine care while the experimental group received traditional Chinese medicine dialectical nursing on the basis of routine nursing.The experiment used the Hospital Anxiety and Depression scale(HAD)and Health Promoting Lifestyle Profile(HPLPII)and quality of life scale(SF-36)to investigate the condition of anxiety and depression,health promotion behavior and quality of life of two groups of patients on admission,at discharge and 3 months after discharge.SPSS19.0 software package was used to analyze the experimental data.Results 1.Finally,29 patients in the control group and 30 patients in experimental group completed the research.2.General data comparison of two groups of patients on admission have no statistical significance(P> 0.05).3.The score of anxiety and depression of two groups of patients on admission,after discharge and 3 months after discharge measured by multi-factor repeated variance analysis results show that: Both time effect and the influence of the effect of the groups have statistical significance(P< 0.05),and the influence of the interaction effect has no statistical significance(P> 0.05).The single factor repeated variance analysis results show that:(1)The anxiety scores of patients in experimental group in hospital and 3 months after discharge were lower than those on admission(P< 0.01),but the comparison of anxiety scores between discharge and 3 months after discharge has no statistical significance(P> 0.05);The depression scores of patients in experimental group at three time points are 3 months after discharge < at discharge <on admission;(2)The differences of anxiety scores of patients in the control group at three time points have no statistical significance(P> 0.05);The depression scores of patients in control group at discharge and 3 months after discharge are lower than those on admission(P< 0.01),but the comparison between 3 months after discharge and at discharge has no statistical significance(P> 0.05).Multi-factor variance analysis shows that: The comparison of anxiety and depression scores between two groups of patients on admission and at discharge has no statistical significance(P> 0.05),but the anxiety and depression scores of patients in the experimental group at 3 months after discharge is lower than the control group's(P < 0.01).4.The health promotion behavior scores of two groups of patients from 6 dimensions at three time points by multi-factor repeated measurement variance analysis results show that: Both time effect and the influence of the effect of the groups have statistical significance(P< 0.05,P< 0.01),and the influence of the interaction effect has no statistical significance(P> 0.05).The single factor repeated variance analysis results show that:(1)The scores of relationships,nutrition,health responsibility,stress management of patients in experimental group at discharge are higher than those on admission(P< 0.05,P< 0.01);The scores of health promotion behaviors of three months after discharge from 6 dimensions are higher than those on admission(P< 0.05,P< 0.01);The scores of physical exercise and stress management 3 months after discharge are higher than those at discharge(P< 0.05,P< 0.01);(2)The scores of interpersonal relationship,the nutrition of the patients at discharge in the control group are higher than those on admission(P< 0.05,P< 0.01),and the interpersonal relationship scores 3 months after discharge are higher than those on admission(P < 0.01),and the scores of self realization 3 months after discharge are higher than those at discharge(P< 0.01).Multi-factor variance analysis shows that: The score of health promotion behavior from 6 dimensions of two groups of patients on admission has no statistical significance(P>0.05);The scores of nutrition,health responsibility,physical exercise,self-fulfillment of patients at discharge in experimental group are all higher than those of control group(P< 0.05,P < 0.01);The scores of health promotion behavior of discharged patients in experimental group after 3 months from 6 dimensions are higher than those in the control group(P< 0.05,P< 0.01).5.The scores of quality of life of the two groups of patients from 8 dimensions at 3 time points by multi-factor repeated measurement variance analysis results show that: Both time effect and the influence of the interaction effect of the groups have statistical significance(P < 0.05),and the influence of the groups have no statistical significance(P> 0.05).The single factor repeated variance analysis results show that:(1)The scores of the quality of life of patients in experimental group at discharge and after discharge from 8 dimensions are higher than on admission(P< 0.05,P< 0.01),the scores of general health,bodily pain,social function 3 months after discharge are higher than those of the discharge(P< 0.05,P< 0.01);(2)The scores of general health,bodily pain,social function and mental health of patients in control group are higher than those on admission(P< 0.05,P< 0.01),and the scores of general health,bodily pain,social function,mental health are higher than those on admission after 3 months(P< 0.01);The scores of general health,bodily pain,social function at discharge after 3 months are higher than those on admission(P< 0.05,P< 0.01).Multi-factor variance analysis shows that: The scores of the quality of life from 8 dimensions of two groups of patients on admission have no statistical significance(P> 0.05);The scores of the bodily pain and the social function,and mental health are all higher than those of the control group(P< 0.05,P< 0.01);In addition to social functions of patients in the experimental group 3 months after discharge and the scores of the quality of life from 7 dimensions were higher than those of the control group(P< 0.05,P< 0.01).Conclusions TCM syndrome differentiation and nursing can effectively reduce the anxiety and depression of patients with ulcerative colitis,promote the health behavior of patients and improve their quality of life.TCM nursing for patients with ulcerative colitis provides a kind of individualized safe,reliable and effective nursing methods,which can take good advantage of Chinese medicine caring and provide guidance for clinical health education for patients with ulcerative colitis.