Clinical observation on the improvement of spleen and stomach symptoms in chronic gastritis patients through traditional Chinese medicine emotional nursing
慢性胃炎患者中医情志护理与脾胃症状改善的临床观察研究

摘要

目的 探究中医情志护理对慢性胃炎患者脾胃症状的改善效果及其与心理状态变化的关联性。方法选取2024年1月至2025年12月于我院就诊的慢性胃炎患者120例，随机分为观察组与对照组各60例。对照组实施常规护理，观察组在常规护理基础上增加中医情志护理（情志相胜法、五行音乐疗法、移情易性法），干预8周。干预前后采用脾胃症状积分量表（GSSIS）和医院焦虑抑郁量表（HADS）评估效果，并记录护理满意度。结果 干预后，观察组GSSIS评分较干预前下降（18.4±3.6→11.5±2.1），对照组下降（18.1±3.3→15.7±2.7），观察组降幅更显著（P<0.01）；观察组HADS焦虑评分（9.5±2.2→6.0±1.3）、抑郁评分（8.9±2.0→5.8±1.1）均显著低于对照组（P<0.01）；观察组护理满意度（96.67%）显著高于对照组（81.67%，P<0.05）。结论 中医情志护理可有效缓解慢性胃炎患者脾胃症状，改善焦虑抑郁情绪，提升护理满意度，其作用机制可能与调节脑-肠轴功能相关，值得临床推广。

Abstract

Objective To investigate the effect of Traditional Chinese Medicine (TCM) emotional nursing on improving gastrointestinal symptoms in patients with chronic gastritis and its correlation with changes in psychological state.
Methods A total of 120 patients with chronic gastritis treated in our hospital from January 2024 to December 2025 were selected and randomly divided into an observation group and a control group, with 60 cases in each. The control group received routine nursing care, while the observation group received TCM emotional nursing (including the emotion-restraining method, five-element music therapy, and empathy and diversion method) in addition to routine care. The intervention lasted for 8 weeks. The Gastrointestinal Symptom Score Integral Scale (GSSIS) and the Hospital Anxiety and Depression Scale (HADS) were used to evaluate the outcomes before and after the intervention, and nursing satisfaction was recorded.
Results After the intervention, the GSSIS score in the observation group decreased significantly (18.4±3.6 → 11.5±2.1), compared with a decrease in the control group (18.1±3.3 → 15.7±2.7), with a significantly greater reduction in the observation group (P<0.01). The HADS anxiety score (9.5±2.2 → 6.0±1.3) and depression score (8.9±2.0 → 5.8±1.1) in the observation group were significantly lower than those in the control group (P<0.01). The nursing satisfaction rate in the observation group (96.67%) was significantly higher than that in the control group (81.67%, P<0.05).
Conclusion   TCM emotional nursing can effectively alleviate gastrointestinal symptoms, improve anxiety and depression, and enhance nursing satisfaction in patients with chronic gastritis. Its mechanism may be related to the regulation of brain-gut axis function, and it is worthy of clinical promotion.