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基于三级甲等公立中医院脑病科住院患者视角的中医护理适宜技术应用现状与需求调查研究

Investigation on the Application Status and Demand of Appropriate Traditional Chinese Medicine Nursing Techniques from the Perspective of Inpatients in the Encephalopathy Department of a Class Ⅲ Grade A Public TCM Hospital
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摘要 评估脑病科住院患者对中医护理适宜技术的认知、接受意愿及信息获取渠道,探讨需求分布,为临床推广与整合提供依据。采用回顾性横断面调查,纳入2024年10月1日至2025年4月30日期间在某三甲中医院脑病科住院的428例患者。通过结构化问卷收集患者对刮痧、灸法、穴位贴敷、耳穴压豆、拔罐、腕踝针、中医定向透药等的知晓率、接受率、信息来源及需求,并进行描述性统计与分组分析。结果显示,刮痧(97.66%)、灸法(95.09%)、穴位贴敷(96.73%)、耳穴压豆(91.98%)、拔罐(90.19%)知晓率较高;主要信息来源为就诊(91.12%)、电视/广播(73.83%)、网络平台(53.50%),报刊较低(22.90%)。需求方面,刮痧(92.52%)、穴位贴敷(80.22%)、灸法(74.07%)、拔罐(66.35%)居前,腕踝针及定向透药需求较低。总体而言,患者对传统技术认知度较高,但专项技术存在不足。建议推广中以患者为中心:加强健康教育与宣传,优化传播渠道,提升护理人员技能,并开展多中心、大样本研究,以推动技术在脑病科的规范化与可持续发展。 This study aimed to evaluate encephalopathy department inpatients'awareness,acceptance willingness,and information sources regarding appropriate TCM nursing techniques,explore demand distribution patterns,and provide evidence for clinical promotion and integration.A retrospective cross-sectional survey was conducted among 428 inpatients admitted to the encephalopathy department of a Class Ⅲ Grade A TCM hospital between October 1,2024 and April 30,2025.Structured questionnaires collected data on patients'awareness rates,acceptance rates,information sources,and demands for techniques including gua sha,moxibustion,acupoint application,auricular plaster therapy,cupping,wrist-ankle acupuncture,and TCM directional drug penetration,followed by descriptive statistics and subgroup analysis.Results showed high awareness rates for gua sha(97.66%),moxibustion(95.09%),acupoint application(96.73%),auricular plaster therapy(91.98%),and cupping(90.19%).Primary information sources included hospital visits(91.12%),TV/radio(73.83%),and online platforms(53.50%),while newspapers/magazines showed lower rates(22.90%).Regarding demand,gua sha(92.52%),acupoint application(80.22%),auricular plaster therapy(74.07%),and cupping(66.35%)ranked highest,whereas wrist-ankle acupuncture and constipation massage showed lower demand.Overall,patients demonstrated high awareness of traditional techniques but deficiencies in specialized techniques.We recommend patient-centered promotion strategies:strengthening health education and publicity,optimizing communication channels,enhancing nursing staff skills,and conducting multicenter,large-sample studies to standardize and sustainably develop appropriate TCM nursing techniques in encephalopathy departments.
作者 付晓梅 Fu Xiaomei(Ningbo Hospital of Traditional Chinese Medicine,Ningbo 315200)
机构地区 宁波市中医院
出处 《中国医学科学研究》 2025年第3期53-57,共5页
关键词 中医护理适宜技术 认知水平 需求程度 脑科患者 Appropriate TCM nursing techniques cognitive level degree of demand neurology patients
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