
浏览全部资源
扫码关注微信
北京中医药大学东方医院 肾病科, 北京, 100078
李玉欣, E-mail: 891668078@qq.com
收稿日期:2025-04-24,
录用日期:2025-07-14,
网络出版日期:2025-08-28,
移动端阅览
胡芳芳, 李梦雅, 李玉欣. 医护一体化模式下1例慢性肾衰竭患者的中医护理查房[DB/OL].中西医结合临床案例库, 2025.
HU Fangfang, LI Mengya, LI Yuxin. Traditional Chinese Medicine Nursing Rounds for a Patient with Chronic Renal Failure under the Integrated Medical-Nursing Model[DB/OL].Clinical archives of integrative medicine, 2025.
胡芳芳, 李梦雅, 李玉欣. 医护一体化模式下1例慢性肾衰竭患者的中医护理查房[DB/OL].中西医结合临床案例库, 2025. DOI: 10.12209/CAIM202504240003.
HU Fangfang, LI Mengya, LI Yuxin. Traditional Chinese Medicine Nursing Rounds for a Patient with Chronic Renal Failure under the Integrated Medical-Nursing Model[DB/OL].Clinical archives of integrative medicine, 2025. DOI: 10.12209/CAIM202504240003.
目的
2
探讨医护一体化模式在慢性肾衰竭患者中医护理查房中的应用效果,优化中医护理方案,提升护理质量及患者满意度。
方法
2
针对1例慢性肾衰竭患者,组建医护一体化查房团队,系统分析患者病因病机,共同制定个性化中医护理计划,重点实施中药膏摩、饮食调护、情志疏导等特色护理措施。通过3周期动态评估,对比护理前后症状改善、睡眠质量及辨证符合率等指标。
结果
2
经医护协同干预,患者乏力、水肿及睡眠质量均所改善,提升患者满意度。
结论
2
医护一体化模式通过强化多学科协作,实现中医辨证精准化与护理措施个体化的有机结合,有效改善慢性肾衰竭患者症状及睡眠质量,显著提升中医护理质量及患者就医体验,为中医特色护理查房的规范化开展提供实践参考。
Objective
2
To explore the efficacy of the integrated medical-nursing model in TCM nursing rounds for chronic renal failure (CRF) patients, aiming to optimize TCM nursing protocols and enhance care quality and patient satisfaction.
Methods
2
A multidisciplinary team conducted systematic rounds for a CRF patient, analyzing disease etiology and pathogenesis, and jointly developed a personalized TCM nursing plan. Key interventions included herbal ointment massage, dietary therapy, and emotional regulation. Symptom improvement, sleep quality, and syndrome differentiation accuracy were dynamically evaluated over three cycles.
Results
2
The integrated approach significantly alleviated fatigue, edema, and sleep disturbances, with improved patient satisfaction.
Conclusion
2
The model synergizes multidisciplinary collaboration with precise TCM syndrome differentiation and tailored nursing, effectively ameliorating CRF symptoms and sleep quality while elevating TCM care standards and patient experience. This study provides a practical reference for standardizing TCM nursing rounds.
王翘楚 . 基于网络药理学和动物实验探讨加减茵陈失笑散方治疗慢性肾衰竭的作用机制 [D]. 天津 : 天津中医药大学 , 2022 .
白兰 , 张燕 , 刘鹏霄 , 等 . 中医药对慢性肾衰竭患者微炎症状态影响的研究现状 [J]. 西部中医药 , 2021 , 34 ( 9 ): 150 - 153 .
BAI L , ZHANG Y , LIU P X , et al . Research status of the influence of TCM on microinflammation in patients with chronic renal failure [J]. West J Tradit Chin Med , 2021 , 34 ( 9 ): 150 - 153 . (in Chinese)
刘旭生 , 皮鹰 , 唐晓娜 . “三法一模式” 在慢性肾衰竭诊治中的特色与优势 [J]. 中国中西医结合肾病杂志 , 2024 , 25 ( 10 ): 847 - 850 .
LIU X S , PI Y , TANG X N . Characteristics and advantages of “three methods and one model” in the diagnosis and treatment of chronic renal failure [J]. Chin J Integr Tradit West Nephrol , 2024 , 25 ( 10 ): 847 - 850 . (in Chinese)
玛依努尔·吐尔逊 . 中医护理应用于慢性肾衰竭患者的临床效果 [J]. 新疆中医药 , 2024 , 42 ( 5 ): 112 - 115 .
TursunMaynuur . Clinical effect of traditional Chinese medicine nursing on patients with chronic renal failure [J]. Xinjiang J Tradit Chin Med , 2024 , 42 ( 5 ): 112 - 115 . (in Chinese)
PALMER S , LAYLAND J , ADAMS H , et al . Measurement of microvascular function in patients presenting with thrombolysis for ST elevation myocardial infarction, and PCI for non-ST elevation myocardial infarction [J]. Cardiovasc Revascularization Med , 2018 , 19 ( 8 ): 917 - 922 .
蒋红梅 . 医护一体化康复护理干预对老年糖尿病肾病腹膜透析患者生活质量的影响分析 [J]. 基层医学论坛 , 2021 , 25 ( 3 ): 387 - 388 .
JIANG H M . Analysis of the Impact of Integrated Medical-Nursing Rehabilitation Care Intervention on the Quality of Life of Elderly Diabetic Nephropathy Patients Undergoing Peritoneal Dialysis [J]. Med Forum , 2021 , 25 ( 3 ): 387 - 388 . (in Chinese)
冯嘉文 , 鲁海珍 . 医护一体化查房模式在临床护理服务中的实施效果观察 [J]. 世界最新医学信息文摘(连续型电子期刊) , 2021 , 21 ( 10 ): 340 - 341 .
FENG J W , LU H Z . Observation on the iplementation efect of mdical care iegrated ward round mode in clinical nursing service [J]. World Latest Med Inf , 2021 , 21 ( 10 ): 340 - 341 . (in Chinese)
郑筱萸 . 中药新药临床研究指导原则试行 [M]. 北京 : 中国医药科技出版社 , 2002 .
周鹏 , 孙妲男 , 李勇 , 等 . 中医药治疗肾性水肿的研究进展 [J]. 时珍国医国药 , 2024 , 35 ( 4 ): 960 - 964 .
ZHOU P , SUN D N , LI Y , et al . Research progress on treatment of renal edema with traditional Chinese medicine [J]. Lishizhen Med Mater Med Res , 2024 , 35 ( 4 ): 960 - 964 . (in Chinese)
徐鹏 , 何继红 , 徐建华 . 癫痫患者匹兹堡睡眠质量指数量表评分与多导睡眠监测参数、脑功能状态指标相关性分析 [J]. 中国初级卫生保健 , 2022 , 36 ( 12 ): 113 - 115 .
XU P , HE J H , XU J H . Correlation analysis between PSQI, PSG parameters and brain functional status indexes in patients with epilepsy [J]. Chin Prim Health Care , 2022 , 36 ( 12 ): 113 - 115 . (in Chinese)
蒲秋霞 , 李红伟 , 宏亚丽 . 国外布里斯托大便分类法的应用现状及其启示 [J]. 护理研究 , 2019 , 33 ( 9 ): 1552 - 1555 .
PU Q X , LI H W , HONG Y L . Application status quo and enlightenment of the Bristol Stool Form Scale in foreign countries [J]. Chin Nurs Res , 2019 , 33 ( 9 ): 1552 - 1555 . (in Chinese)
许爱群 , 余熙萍 , 李瑾 , 等 . 基于IMB模型的延续性护理对慢性肾衰竭血液透析患者的干预效果 [J]. 中国医药导报 , 2021 , 18 ( 17 ): 189 - 192, 196 .
XU A Q , YU X P , LI J , et al . Intervention effect of continuous nursing based on IMB model in hemodialysis patients with chronic renal failure [J]. China Med Her , 2021 , 18 ( 17 ): 189 - 192, 196 . (in Chinese)
陈晓丹 . 优质护理干预在慢性肾衰竭血液透析患者护理中的应用分析 [J]. 中国医药指南 , 2022 , 20 ( 4 ): 45 - 48 .
CHEN X D . Application analysis of high-quality nursing intervention in the nursing of patients with chronic renal failure hemodialysis [J]. Guide China Med , 2022 , 20 ( 4 ): 45 - 48 . (in Chinese)
郑参参 . 系统化护理对慢性肾衰竭患者生存质量的影响 [J]. 护理实践与研究 , 2020 , 17 ( 21 ): 52 - 54 .
ZHENG C S . Effect of systematic nursing on quality of life of patients with chronic renal failure [J]. Nurs Pract Res , 2020 , 17 ( 21 ): 52 - 54 . (in Chinese)
赵楠 , 李雁 , 李静 , 等 . 中医五行音乐疗法护理培训师工作室的建立与实践 [J]. 广西医学 , 2022 , 44 ( 6 ): 674 - 677 .
ZHAO N , LI Y , LI J , et al . Establishment and practice of traditional Chinese medicine five elements music therapy nursing trainer studio [J]. Guangxi Med J , 2022 , 44 ( 6 ): 674 - 677 . (in Chinese)
廖娟 , 李静 , 蔡晓青 , 等 . 揿针联合中医五行音乐改善晚期肿瘤相关抑郁状态随机对照临床研究 [J]. 世界科学技术-中医药现代化 , 2020 , 22 ( 8 ): 2702 - 2709 .
LIAO J , LI J , CAI X Q , et al . Effectiveness of thumbtack needle with traditional Chinese medicine five elements music in relieving cancer related depression: a randomized controlled trial [J]. Mod Tradit Chin Med Mater Med World Sci Technol , 2020 , 22 ( 8 ): 2702 - 2709 . (in Chinese)
唐泽永 , 谭秦湘 , 谭教旺 , 等 . 中医外治法对慢性肾衰竭患者住院时间及医保住院费用的影响 [J]. 中国现代医生 , 2022 , 60 ( 12 ): 155 - 158, 162 .
TANG Z Y , TAN Q X , TAN J W , et al . The effects of external treatment of traditional Chinese medicine on length of stay and hospitalization costs by medical insurance in patients with chronic renal failure [J]. China Mod Dr , 2022 , 60 ( 12 ): 155 - 158, 162 . (in Chinese)
连妍洁 , 周明学 , 刘红旭 , 等 . 基于网络药理学和分子对接技术探讨“桑白皮-茯苓皮-香加皮” 治疗心力衰竭的作用机制 [J]. 中西医结合心脑血管病杂志 , 2023 , 21 ( 13 ): 2321 - 2331 .
LIAN Y J , ZHOU M X , LIU H X , et al . Mechanism of “cortex Mori radicis-poria peels-periploca sepium” in the treatment of heart failure based on network pharmacology and molecular docking [J]. Chin J Integr Med Cardio Cerebrovasc Dis , 2023 , 21 ( 13 ): 2321 - 2331 . (in Chinese)
张琳琳 , 燕艳 , 李修洋 . 陈皮、莱菔子、大腹皮治疗胃动力功能障碍经验: 仝小林三味小方撷萃 [J]. 吉林中医药 , 2023 , 43 ( 2 ): 153 - 155 .
ZHANG L L , YAN Y , LI X Y . Professor Tong Xiaolin’s experience in the treatment of gastric motility dysfunction with the three minor prescriptions of dried tangerine peel, radish seed and areca peel [J]. Jilin J Chin Med , 2023 , 43 ( 2 ): 153 - 155 . (in Chinese)
张腾腾 , 张小倩 , 胡云飞 , 等 . 生姜皮质量控制方法研究进展 [J]. 中成药 , 2021 , 43 ( 11 ): 3104 - 3108 .
ZHANG T T , ZHANG X Q , HU Y F , et al . Research progress on quality control methods of ginger peel [J]. Chin Tradit Pat Med , 2021 , 43 ( 11 ): 3104 - 3108 . (in Chinese)
(明)李时珍 . 本草纲目-第一册校点本 [M]. 北京 : 人民卫生出版社 , 1975 : 1620 - 1622 .
0
浏览量
0
下载量
0
CSCD
关联资源
相关文章
相关作者
相关机构
京公网安备11010802024621