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): 990-994.doi: 10.3969/j.issn.1672-1756.2026.07.007

• 特别策划·中医护理门诊建设 • 上一篇    下一篇

中医护理门诊在PCI术后患者延续护理中的应用实践

浩育盈 宋睿 翟冰莹 李展绒 张子涵 罗金霞 何江峡   

  1. 陕西中医药大学附属医院护理部,712000 陕西省咸阳市(浩育盈,宋睿,翟冰莹);心血管三科(李展绒,何江峡);陕西中医药大学护理学院(张子涵,罗金霞)
  • 出版日期:2026-07-15 发布日期:2026-07-15
  • 通讯作者: 宋睿,硕士,主管护师,护理部干事,E-mail:15596468507@163.com E-mail:E-mail:hyy8908@163.com
  • 作者简介:浩育盈,硕士,主任护师,护理部主任,E-mail:hyy8908@163.com
  • 基金资助:
    2025年度中医药监测统计研究课题(2025JCTJE41);秦创原中医药产业创新聚集区项目(L2024-QCY-ZYYJJQ-Y11);陕西中医药大学附属医院2025年护理质量服务改善孵化项目(2025HLZLGS-01)

Practice of Traditional Chinese Medicine nursing clinic in continuing care for patients after Percutaneous Coronary Intervention

HAO Yuying, SONG Rui, ZHAI Bingying, LI Zhanrong, ZHANG Zihan, LUO Jinxia, HE Jiangxia   

  1. Department of Nursing, Affiliated Hospital of Shaanxi University of Chinese Medicine, Xianyang, Shaanxi province, 712000, China
  • Online:2026-07-15 Published:2026-07-15
  • Contact: E-mail:15596468507@163.com E-mail:E-mail:hyy8908@163.com

摘要: 目的:探索中医护理门诊在经皮冠状动脉介入治疗(Percutaneous Coronary Intervention, PCI)术后患者延续护理中的应用,为中医护理门诊建设提供参考。方法:陕西省某三级甲等中医医院于2025年6月开始为PCI术后出院患者实施中医护理门诊服务,包括中医辨证评估、中医护理技术、中医传统功法、中医情志护理、中医辨证施膳等个体化处方及健康宣教。比较实施中医护理门诊服务前(2024年6月—12月)和实施后(2025年6月—12月)患者出院后3个月时体适能、心理状况、匹兹堡睡眠质量指数和中医证候积分等变化。结果:实施后患者出院后3个月时上肢肌力、下肢肌力、柔韧性、平衡性评分均高于实施前患者(P<0.05);实施后患者睡眠质量评分[(4.84±0.67)分],焦虑评分[(3.15±0.95)分],抑郁评分[(3.06±0.93)分]以及中医症候积分均低于实施前患者。结论:通过中医护理门诊为PCI术后患者提供延续护理服务,可充分发挥中医“整体观念”以及“辨证施护”的优势,提高患者的睡眠质量、改善患者的心理状况,有利于患者的症状改善和体适能恢复。

关键词: 中医护理门诊;经皮冠状动脉介入治疗;延续护理;心脏康复

Abstract: Objective: To explore the application effects of Traditional Chinese Medicine (TCM) nursing clinic in continuing care for patients following Percutaneous Coronary Intervention (PCI), so as to provide references for the construction of TCM nursing clinic. Methods: A tertiary grade A TCM hospital in Shaanxi province initiated TCM nursing clinic services for patients discharged after PCI in June 2025. The services included individualized prescriptions and health education based on TCM syndrome differentiation assessment, appropriate techniques, traditional Chinese exercises, emotional care, and dietary therapy based on syndrome differentiation. Changes in physical fitness, psychological status, Pittsburgh Sleep Quality Index (PSQI), and TCM syndrome scores of patients at 3 months after discharge were compared between the pre-implementation (June to December, 2024) and the post-implementation (June to December, 2025). Results: At 3 months after discharge, patients in the post-implementation group showed significantly better outcomes in upper limb strength, lower limb strength, flexibility, and balance than those in the pre-implementation group (all P<0.05). Additionally, they had lower PSQI scores (4.84±0.67), GAD-7 scores (3.15±0.95), PHQ-9 scores (3.06±0.93) and TCM syndrome scores compared with those in the pre-implementation group. Conclusion: The TCM nursing clinic can improve sleep quality and psychological status, promote the recovery of cardiac function classification, and enhance physical fitness in patients.

Key words: Traditional Chinese Medicine nursing clinic; Percutaneous Coronary Intervention; continuity care; cardiac rehabilitation

中图分类号:  R47;R197