[1]杨濡,郝丽,王玉光.基于中医冬病夏治理论探讨早期护理对间质性肺疾病患者的影响[J].西部中医药,2026,39(02):153-157.[doi:10.12174/j.issn.2096-9600.2026.02.30]
　YANG Ru,HAO Li,WANG Yuguang.Effects of Early Nursing Intervention Based on TCM Theory of "Winter Disease Cured in Summer" on Patients with Interstitial Lung Disease[J].Western Journal of Traditional Chinese Medicine,2026,39(02):153-157.[doi:10.12174/j.issn.2096-9600.2026.02.30]
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基于中医冬病夏治理论探讨早期护理对间质性肺疾病患者的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
39
期数:
2026年02期
页码:
153-157
栏目:
临床研究
出版日期:
2026-02-15

文章信息/Info

Title:
Effects of Early Nursing Intervention Based on TCM Theory of "Winter Disease Cured in Summer" on Patients with Interstitial Lung Disease
作者:
杨濡, 郝丽, 王玉光
首都医科大学附属北京中医医院，北京 100010
Author(s):
YANG Ru, HAO Li, WANG Yuguang
Beijing Hospital of TCM Affiliated to Capital Medical University, Beijing 100010, China
关键词:
间质性肺疾病; 心肺功能; 冬病夏治理论; 早期护理; 自我护理能力; 依从性
Keywords:
interstitial lung disease; cardiopulmonary function; TCM theory of "winter diseases cured in summer"; early nursing; self-care ability; compliance
分类号:
R256.1
DOI:
10.12174/j.issn.2096-9600.2026.02.30
文献标志码:
B
摘要:
目的探讨基于中医冬病夏治理论的早期护理干预对间质性肺疾病（interstitial lung disease，ILD）患者心肺功能、自我护理能力、生活质量及依从性的影响。 方法选取492例ILD患者作为研究对象，按随机数字表法分为对照组和观察组，每组246例。对照组予常规护理干预，观察组予基于中医冬病夏治理论的早期护理干预，两组均连续干预1个月。比较两组患者圣乔治呼吸问卷评分、心肺功能［第一秒用力呼气量（forced expiratory volume in one second，FEV1）、最大肺活量（forced vital capacity，FVC）、最大自主通气量（maximum voluntary ventilation，MVV）、肺一氧化碳弥散量（diffusing capacity of the lungs for carbon monoxide，DLCO）］、6 min步行距离（6 minutes walking distance，6 MWD）、自我护理能力评分、生活质量评分以及依从性和护理满意度。 结果干预后，两组患者疾病影响、活动度和呼吸症状评分均降低（P＜0.05），观察组低于对照组（P＜0.05）；两组患者FEV1、FVC、MVV、DLCO均升高（P＜0.05），6 MWD均延长（P＜0.05），且观察组以上指标改善程度优于对照组（P＜0.05）；两组患者健康知识水平、自我概念、自我责任感、自我护理技能、环境领域、社会关系领域、心理领域、生理领域评分均升高（P＜0.05），且观察组高于对照组（P＜0.05）；观察组依从性［95.12%（234/246）］高于对照组［80.49%（198/246）］（P＜0.05）；观察组满意度［67.07%（165/246）］高于对照组［36.18%（89/246）］（P＜0.05）。 结论基于中医冬病夏治理论实施早期护理干预，能够有效改善ILD患者健康状况与心肺功能，增强其自我护理能力和依从性，进而提高生活质量，而且患者对护理的满意度较高。
Abstract:
ObjectiveTo investigate the effects of early nursing intervention based on TCM theory of "winter disease cured in summer" on cardiopulmonary function, self-care ability, quality of life and compliance of patients with interstitial lung disease (ILD). MethodsAll 492 ILD patients were chosen as the research objects, and they were assigned to the control group and the observation group in light of random number table method with 246 cases in each. The control group received conventional nursing intervention, while the early nursing intervention, guided by the TCM theory of "winter diseases cured in summer", was administered to the observation group, both groups received continuous intervention for one month. To compare St. George’s Respiratory Questionnaire (SGRQ) scores, cardiopulmonary function (FEV1, FVC, MVV and DLCO), 6MWD, the scores of self-care ability, the scores of quality of life, the compliance and nursing satisfaction between the two groups. ResultsFollowing the intervention, scores for all SGRQ domains (the impact, activity and symptoms) decreased significantly in both groups (P<0.05), with a greater reduction observed in the observation group compared to the control group (P<0.05); FEV1, FVC, MVV and DLCO increased in the two groups (P<0.05), 6MWD prolonged (P<0.05), and the observation group was better than the control group in the improvements of the above indexes (P<0.05); scores in all assessed domains, including health knowledge, self-concept, self-responsibility, self-care skills, and the environmental, social relationship, psychological, and physiological domains, increased in both groups (P<0.05), and the observation group was higher than the control group (P<0.05); adherence in the observation group was [95.12%(234/246)], higher than [80.49%(198/246)] in the control group (P<0.05); the observation group’s satisfaction was [67.07%(165/246)], higher than [36.18%(89/246)] of the control group (P<0.05). ConclusionThe implementation of early nursing intervention based on TCM theory of "winter disease cured in summer" could effectively optimize ILD patients’ health status and cardiopulmonary function, enhance their self-care ability and compliance, thereby improving quality of life with a high level of satisfaction with the care.

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备注/Memo

备注/Memo:
高层次公共卫生技术人才建设项目（学科带头人-01-16）。杨濡（1990—），女，硕士学位，主管护师。研究方向：呼吸危重症护理及呼吸康复。
更新日期/Last Update: 2026-02-15