Effects of Rapid Rehabilitation Nursing Based on the Syndrome Differentiation and Treatment Theory of TCM on Sleep and Life Quality of Patients Undergoing Multi-Endoscope Gallbladder-Preserving Cholecystolithotomy

Author:

Zhao Yanhong1,Wang Chenmei2ORCID,Dai Hong3

Affiliation:

1. First Department of Abdominal Emergency, First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning, China

2. The Second Department of Abdominal Emergency, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning, China

3. Nursing Department, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, Liaoning, China

Abstract

Objective. The current study aimed to explore the effects of rapid rehabilitation nursing based on the syndrome differentiation and treatment theory of Traditional Chinese medicine (TCM) on the sleep and life quality of patients undergoing multi-endoscope gallbladder-preserving cholecystolithotomy (MEGPCL). Methods. 112 patients who underwent MEGPCL were chosen as subjects for this study. These 112 subjects were randomly divided into observational and control groups, with 56 cases in each group. The control group was treated with conventional western medicine rapid rehabilitation nursing intervention, and the observation group was treated with TCM treatment theory of syndrome differentiation rapid rehabilitation nursing intervention. The recovery rates of gastrointestinal function of the two groups werecompared and evaluated. The psychological resilience, pain degree, treatment compliance, self-care ability, sleep quality, and patient’s life quality prior to and following the interventive therapy were determined by the CD-RISC, SF-MPQ, Kolcaba score, BMQ, ESCA, PSQI, and GLQI, respectively. The prevalence of postoperative complications such as different infections and lower limb venous thrombosis during hospitalization were statistically analyzed in the two designed groups. Results. It was revealed that in the observation group, the time span for anus exhaust and anus defecation, bowel sound recovery, feeding, and hospital stay was less than in the control group (all P < 0.05 ). After the intervention, Kolcaba and CD-RISC scores were higher in the observation group as compared to control group, while SF-MPQ scores were less than the control group (all P < 0.05 ). BMQ, ESCA, and GLQI scores were also higher in the observation group, and PSQI score was less than the control group (all P < 0.05 ). It was also observed that the incidence of postoperative complications was lower in the observation group (all P < 0.05 ). Conclusion. The application of TCM syndrome differentiation theory in the rehabilitation nursing of patients undergoing MEGPCL can improve treatment compliance, relieve postoperative pain, promote postoperative gastrointestinal function recovery, restores sleep quality, and improve patients’ life quality.

Publisher

Hindawi Limited

Subject

Complementary and alternative medicine

Reference21 articles.

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2. Observation on the effect of modified double mirror combined with gallbladder preservation and lithotripsy in the treatment of cholecystolithiasis;L. Jiang;Shandong Medicine,2020

3. The effect of equal gallstone preservation and cholecystectomy on postoperative stress response and liver function in elderly patients with cholecystolithiasis;T. Chen;Chinese General Medicine,2018

4. The application of Robocare nursing model in the whole nursing care of Da Vinci robot-assisted laparoscopic radical cancer surgery

5. Consensus opinion on medical diagnosis and treatment of chronic cholecystitis and cholecystolithiasis in China (2018);Editorial Board of Chinese Digestive Journal;Chinese Journal of Digestive Medicine,2019

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