Abstract
This paper summarizes the nursing practice of integrated traditional Chinese and Western medicine in a patient with heart failure of Qi and Yin deficiency and blood stasis type. One elderly patient with acute exacerbation of chronic heart failure ( NYHA cardiac function grade III ), persistent atrial fibrillation, type 2 diabetes and other diseases was evaluated by Gordon functional health assessment framework system. On the basis of routine treatment and nursing of western medicine, according to the principle of syndrome differentiation nursing of Traditional Chinese medicine, comprehensive nursing interventions such as dialectical diet, emotional nursing, acupoint application, Traditional Chinese Medicine soaking and washing, Traditional Chinese Medicine smearing and rubbing combined with infrared irradiation were implemented. After 19 days of systematic nursing, the clinical symptoms such as chest tightness, shortness of breath and palpitation were significantly improved. The continuous semi-recumbent position was improved to a horizontal and quiet rest ; the edema of both lower limbs completely subsided ; Barthel index ( activities of daily living scale ) score increased from 45 to 60 points ; no adverse events such as falls and stress injury occurred during hospitalization. It is suggested that integrated traditional Chinese and western medicine nursing can effectively improve the clinical symptoms of elderly patients with heart failure of qi and yin deficiency and blood stasis type, promote the recovery of cardiac function, and improve self-care ability and quality of life. (本文总结1例气阴两虚兼血瘀证慢性心力衰竭患者的中西医结合护理经验。本例患者为高龄、合并持续性心房颤动、2型糖尿病等多病共存的女性患者, 应用Gordon功能性健康形态评估框架进行系统评估, 按首优、中优、次优实施分级管理。在西医常规治疗与护理基础上, 依据中医辨证施护原则, 实施辨证施膳、情志护理、穴位贴敷、中药泡洗及中药涂擦联合红外线照射等综合护理干预。经19天系统护理, 患者胸闷、气短、心慌显著缓解, 由半卧位改善为可平卧休息; 双下肢水肿完全消退; Barthel指数由45分提升至60分; 住院期间未发生跌倒、压力性损伤等不良事件。中西医结合护理可有效改善气阴两虚兼血瘀证老年心衰患者的临床症状, 促进心功能恢复, 提高自理能力及生活质量。)