Application of traditional Chinese medicine nursing in patients with headache and its effect analysis on pain relief
中医护理在头痛患者中的应用及其对疼痛缓解的效果分析

摘要

目的 头痛是临床常见病症，严重影响患者身心健康与生活质量。当前西医治疗虽能缓解部分症状，但存在不良反应多、易复发等问题。中医护理作为传统医学的重要组成部分，在多种疾病护理中展现出独特优势。本研究旨在深入探讨中医护理在头痛患者中的具体应用方式，并系统分析其对患者疼痛缓解的疗效，为临床头痛护理提供新的科学依据与实践方案。方法 选取2022年1月至2024年12月期间于我院就诊的120例头痛患者作为研究对象。采用随机数字表法将患者分为对照组（60例）和实验组（60例）。对照组患者接受常规护理，包括病情观察、用药指导、生活护理等。实验组患者在常规护理基础上，增加中医护理干预措施，具体涵盖辨证施护，依据患者不同体质与证型制定个性化护理方案；针灸推拿，选取特定穴位进行操作以疏通经络、调和气血；中药调理，根据辨证结果开具中药方剂进行内服或外用；情志护理，通过心理疏导、音乐疗法等缓解患者不良情绪。采用视觉模拟评分法（VAS）评估患者疼痛程度，并记录头痛发作频率、持续时间，同时运用生活质量量表（SF-36）评价患者生活质量，采用自制护理满意度调查表评估患者对护理工作的满意度。结果 实验组总有效率为93.33%，显著高于对照组的76.67%（P<0.05）。实验组患者头痛发作频率、疼痛强度（VAS评分）及持续时间均较对照组显著降低（P<0.05）。生活质量方面，实验组患者在生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能及精神健康等维度评分均显著高于对照组（P<0.05）。护理满意度调查显示，实验组患者对护理工作的满意度达95.00%，明显高于对照组的80.00%（P<0.05）。结论 中医护理在头痛患者中的应用，能够显著缓解患者疼痛症状，降低头痛发作频率与持续时间，提高患者生活质量，同时提升患者对护理工作的满意度，具有较高的临床应用价值与推广前景[1]。

Abstract

Objective Headache is a common clinical disease, which seriously affects the physical and mental health and quality of life of patients. Although current Western medicine treatment can relieve some symptoms it has many adverse reactions and is prone to recurrence. As an important part of traditional medicine, traditional Chinese medicine nursing has shown unique advantages in nursing of various diseases. This study to deeply explore the specific application ways of traditional Chinese medicine nursing in patients with headache and systematically analyze its curative effect on pain relief of patients, so as to provide new scientific basis practice scheme for clinical nursing of headache.
Methods A total of 120 patients with headache who visited our hospital from January 2022 to December 204 were selected as the research objects. The patients were divided into control group (60 cases) and experimental group (60 cases) by random number table method. The control patients received routine nursing, including condition observation, medication guidance, life nursing, etc. The experimental group patients were given routine nursing based on TCM nursing intervention measures, which specifically covered-differentiated nursing, the formulation of personalized nursing programs according to the different constitution and syndrome types of patients; acupuncture and massage, selecting specific acupoints for to unblock the meridians and harmonize the qi and blood; Chinese medicine conditioning, prescribing traditional Chinese medicine prescriptions for oral administration or external use according to the syndrome results; emotional nursing, through psychological counseling, music therapy and other measures to relieve the adverse emotions of patients. Visual Analogue Scale (VAS) was used to assess the of pain in patients, and the frequency and duration of headache attacks were recorded, and the quality of life of patients was evaluated by the Short Form Health Survey (SF-36, and the satisfaction of patients with nursing work was evaluated by a self-made nursing satisfaction survey.
Results The total effective rate of the experimental group was 93.3%, which was significantly higher than that of the control group (76.67%) (P < 0.05). The frequency of headache attacks, the of pain (VAS score) and the duration of the experimental group patients were significantly lower than those of the control group (P < 0.05). In terms quality of life, the scores of the experimental group patients in the dimensions of physical function, physical function, somatic pain, general health, vitality, social function, emotional function mental health were all significantly higher than those of the control group (P < 0.05). The nursing satisfaction survey showed that the satisfaction of the experimental group patients with work was 95.00%, which was significantly higher than that of the control group (80.00%) (P < 0.05)
Conclusion   The application of traditional Chinese medicine nursing in patients with headache can significantly relieve the pain symptoms of patients, reduce the frequency and duration of headache attacks, improve the quality of of patients, and improve the satisfaction of patients with nursing work, which has high clinical application value and promotion prospects[1].