主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (7): 984-989.doi: 10.3969/j.issn.1672-1756.2026.07.006

• 特别策划·中医护理门诊建设 • 上一篇    下一篇

轻中度非酒精性脂肪肝患者中医护理门诊综合干预方案的构建与应用

栾伟 孙咪咪 周婉琼 陶茹 谈晓红   

  1. 上海中医药大学附属曙光医院护理部，201203 上海市（栾伟，周婉琼）；肝病科（孙咪咪，陶茹，谈晓红）
  • 出版日期:2026-07-15 发布日期:2026-07-15
  • 作者简介:栾伟，硕士，主任护师，护理部主任，E-mail:luanwei_shuguang@126.com
  • 基金资助:
    安徽省教育厅科学研究项目（2025AHGXSK30469）；2024年度上海中医药大学科技发展项目（24HLZX13）；上海中医药大学杏林攀峰科研计划课题（SHUTCMHLPF202412）

Development and application of a comprehensive intervention program in Traditional Chinese Medicine nursing clinic for patients with mild to moderate Non-Alcoholic Fatty Liver Disease

LUAN Wei, SUN Mimi, ZHOU Wanqiong, TAO Ru, TAN Xiaohong   

  1. Nursing Department, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, 201203, China
  • Online:2026-07-15 Published:2026-07-15

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摘要： 目的：构建并验证轻中度非酒精性脂肪肝患者中医护理门诊综合干预方案的应用效果，为中医护理门诊慢性病管理提供规范化的实践路径。方法：通过证据总结、德尔菲专家函询构建轻中度非酒精性脂肪肝患者中医护理门诊综合干预方案。便利选取2025年6月至2026年1月于上海市某三级甲等中医医院中医护理门诊就诊的轻中度非酒精性脂肪肝患者为研究对象，分为对照组(n=42)和干预组(n=48)。对照组采用常规护理，干预组在此基础上实施中医护理门诊综合干预，干预周期均为8周，比较两组患者干预前后肝脏脂肪含量、身体成分、血压、肝酶与血脂指标以及护理依从性与满意度。结果：干预后，干预组肝脏脂肪改善总有效率为47.92%，高于对照组的14.29%（P<0.01）。干预组体质量指数、腰臀比、血压及谷丙转氨酶、谷草转氨酶等肝酶指标均优于对照组（P<0.01）。干预组患者护理总依从率、总满意率均优于对照组（P<0.05）。 结论：中医护理门诊综合干预方案安全可行、操作性强，可有效改善轻中度非酒精性脂肪肝患者症状，提升护理配合度与服务满意度。

关键词: 非酒精性脂肪肝；中医护理门诊；综合干预方案；护理效果

Abstract: Objective: To develop a comprehensive intervention program in the TCM nursing clinic for patients with mild-to-moderate Non-Alcoholic Fatty Liver Disease (NAFLD) and to evaluate its clinical efficacy, with the aim of providing a standardized practice pathway for the TCM outpatient management of chronic diseases. Methods: A comprehensive intervention program in the TCM nursing clinic for patients with mild to moderate NAFLD was developed through evidence synthesis and Delphi expert consultation. Patients with mild to moderate NAFLD who visited the TCM nursing clinic in a tertiary grade A hospital in Shanghai between June 2025 and January 2026 were recruited as study participants by using convenient sampling method. The intervention period lasted 8 weeks. The control group (n=42) received routine nursing care, while the intervention group (n=48) received comprehensive TCM nursing program in addition to routine care. Liver fat accumulation, body composition, blood pressure, liver enzymes, blood lipids, nursing compliance, and satisfaction were compared between the two groups before and after the intervention. Results: The overall effective rate for improvement in liver fat in the intervention group was 47.92%, significantly higher than the 14.29% in the control group (P<0.01). The intervention group showed significant improvements in body mass index, waist-to-hip ratio, blood pressure, and liver enzyme levels (ALT and AST) compared to the control group (P<0.01). The overall nursing compliance rate and satisfaction rate in the intervention group were higher than those of the control group (P<0.05). Conclusion: The comprehensive TCM nursing intervention model is safe, feasible, and highly practical. It can effectively improve hepatic steatosis, body composition, and hepatocyte damage in patients with mild to moderate NAFLD, while enhancing nursing compliance and service satisfaction.

Key words: Non-Alcoholic Fatty Liver Disease; TCM nursing clinic; comprehensive intervention program; nursing effect

中图分类号:  R47；R197
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