摘要
目的:探讨互动达标理论在气滞痰凝型甲状腺功能亢进合并低钾性周期性麻痹患者中的应用效果。方法:选取2021年12月—2023年10月于乌鲁木齐市中医医院就诊的92例气滞痰凝型甲状腺功能亢进合并低钾性周期性麻痹患者作为研究对象,依照随机数表法将92例患者分为对照组和观察组,各46例。两组均给予常规甲状腺功能亢进、低钾性周期性麻痹治疗,对照组给予常规护理,观察组在对照组基础上按照互动达标理论进行干预。比较两组甲状腺功能、中医症候积分、血钾水平、认知程度、依从性及生活质量。结果:干预后,两组促甲状腺素(TSH)、血钾水平及躯体功能、心理功能、社会功能、物质生活状况评分高于干预前,且观察组高于对照组,两组中医症候积分、血清游离三碘甲状腺原氨酸(FT3)、游离四碘甲状腺原氨酸(FT4)低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);观察组干预后低钾性周期性麻痹认知程度评分、自我护理知识掌握情况评分及饮食控制、用药依从性、运动情况及复查情况评分高于对照组,差异有统计学意义(P<0.05)。结论:互动达标理论应用于气滞痰凝型甲状腺功能亢进合并低钾性周期性麻痹患者可有效促进甲状腺功能恢复,稳定血钾水平,还可以帮助患者更好地了解疾病,掌握自我护理知识,从而提高生活质量。
Objective:To explore the application effect of interactive compliance theory in patients with hyperthyroidism of Qi stagnation and phlegm coagulation type and hypokalemic periodic paralysis.Method:A total of 92 patients with hyperthyroidism of Qi stagnation and phlegm coagulation type and hypokalemic periodic paralysis who treated in Urumqi Hospital of Traditional Chinese Medicine from December 2021 to October 2023 were selected as the research objects,92 patients were divided into control group and observation group according to the random number table method,with 46 cases in each group.Two groups were treated with conventional hyperthyroidism and hypokalemic periodic paralysis,the control group was given routine nursing,the observation group was intervened according to the interactive compliance theory on the basis of the control group.The thyroid function,traditional Chinese medicine symptom score,serum potassium level,cognitive level,compliance and quality of life were compared between two groups.Result:After intervention,the levels of thyrotropin(TSH)and blood potassium,scores of physical function,psychological function,social function,and material life status in two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the traditional Chinese medicine symptom scores,free triiodothyronine(FT3)and free tetraiodothyronine(FT4)of two groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05);the scores of low potassium periodic paralysis cognition,self-care knowledge,diet control,medication compliance,exercise and review in the observation group after intervention were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The application of interactive compliance theory in patients with hyperthyroidism of Qi stagnation and phlegm coagulation type complicated with hypokalemic periodic paralysis can effectively promote the recovery of thyroid function,stabilize blood potassium level,and help patients better understand the disease and master self-care knowledge,thereby improve the quality of life.
作者
陈芳芳
王艳茹
关艳梅
邱枫
靳艳丽
CHEN Fangfang;WANG Yanru;GUAN Yanmei;QIU Feng;JIN Yanli(Urumqi Hospital of Traditional Chinese Medicine,Urumqi 830000,China;不详)
出处
《中外医学研究》
2024年第28期153-157,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
互动达标理论
气滞痰凝型
甲状腺功能亢进
低钾性周期性麻痹
血钾
Interactive compliance theory
Qi stagnation and phlegm coagulation type
Hyperthyroidism
Hypokalemic periodic paralysis
Blood potassium
