Current situation and prospect of TCM nursing in symptom group management of patientswith hematologic malignancies
中医护理在恶性血液病患者症状群管理中的应用现状及展望

摘要

恶性血液病危险且难治，目前临床治疗上仍存在症状复杂多变、药物副作用大、治疗预后不佳等问题。随着医疗技术的发展，以及人们对整体卫生管理的要求越来越高，中医在恶性血液病患者症状群管理中的作用日益引起重视。本文从中医对恶性血液病的认识出发，提出了“气血不畅、阴阳不调”的核心概念，并对“肝肾阴虚”、“脾肾阳虚”、“热度炽盛型”和“气阴两虚”四大症型进行了系统性的护理论述，并强调了情志护理的重要性。在此基础上，对如何制定个体化的治疗方案，发挥中西医结合的优势，加强整体调理和预防护理进行了展望，以期可以进一步提高患者的治疗疗效和生存质量。

Abstract

Hematologic malignancies are dangerous and difficult to treat. At present, there are still some problems in clinical treatment, such as complicated and changeable symptoms, great side effects of drugs and poor prognosis. With the development of medical technology and people's higher demand for overall health management, the role of TCM in symptom group management of patients with malignant hematological diseases has been paid more and more attention. Based on the understanding of malignant blood diseases in Chinese medicine, this paper puts forward the core concept of "Qi and blood insufficiency, Yin and Yang imbalance", and systematically discusses the four syndroms of "liver and kidney Yin deficiency", "spleen and kidney Yang deficiency", "heat type" and "Qi and Yin deficiency", and emphasizes the importance of emotional nursing. On this basis, how to make individual treatment plan, give full play to the advantages of integrated Chinese and western medicine, strengthen the overall conditioning and preventive nursing were prospected, in order to further improve the therapeutic effect and quality of life of patients.