Current status and analysis of standardized training in traditional Chinese medicine (TCM) nursing and the clinical application of TCM nursing techniques
中医护理规范化培训及中医护理技术临床应用的现状与分析

摘要

目的 进一步分析和认识采用中医护理规范化培训及中医护理技术临床应用效果。方法 本次中医临床护理研究时间为：2023年1月到2025年1月，选择患者为中医护理患者90例，分为各45例实施前组（于2023年1月到2024年1月行常规患者中医临床护理）与实施后组（于2024年1月到2025年1月行患者中医护理规范化培训及中医护理技术临床应用），对比两组中医护理患者护理效果、护理综合评分、护理期间差错事件发生率。结果 实施后组效果良好以上39例，良好率为86.67%，相比较于实施前组效果良好以上31例，良好率为68.89%。两组中医护理患者护理效果数据差异性明显，P<0.05。实施后组与实施前组辨证准备质量评分、技术操作规范性评分、身体恢复情况评分、患者满意度评分等4个模块，中医护理患者护理综合评分实施后组均较高，两组中医临床护理综合评分差异性较大，P<0.05。在整个护理期间，实施后组45例患者出现出中医技术问题1例，护理辨证失误2例，护理记录失误1例，未出现其他中医护理问题，因此差错事件发生率为8.89%。实施前组45例患者出现2例出中医技术问题、1例护理辨证失误及2护理记录失误及1例其他中医护理问题，差错事件发生率为13.33%，两组中医护理患者差错事件发生情况对比差异明显。P<0.05。结论 中医临床护理要更注重整体观念和细节化，针对性采取中医护理规范化培训及中医护理技术临床应用可以大幅度提升患者中医临床护理质量，减少可能出现的严重差错事件，以提升患者满意度。

Abstract

Objective To further analyze and understand the effects of standardized training in Traditional Chinese Medicine (TCM) nursing and the clinical application of TCM nursing techniques.
Methods This TCM clinical nursing study was conducted from January 2023 to January 2025, involving 90 patients receiving TCM nursing. These patients were divided into two groups: the pre-implementation group (n=45, receiving conventional TCM clinical nursing from January 2023 to January 2024) and the post-implementation group (n=45, undergoing standardized TCM nursing training and clinical application of TCM nursing techniques from January 2024 to January 2025). The nursing outcomes, comprehensive nursing scores, and incidence of errors during the nursing period were compared between the two groups.
Results In the post-implementation group, 39 patients (86.67%) achieved good or excellent outcomes, compared to 31 patients (68.89%) in the pre-implementation group, with a statistically significant difference (P<0.05). The post-implementation group scored higher than the pre-implementation group across all four modules of the comprehensive nursing score: accuracy of syndrome differentiation, technical operation standardization, physical recovery, and patient satisfaction, with significant differences observed (P<0.05). During the nursing period, the post-implementation group reported 1 case of TCM technique-related issue, 2 cases of nursing syndrome differentiation errors, and 1 case of nursing record error, with no other TCM nursing issues, resulting in an error incidence rate of 8.89%. In contrast, the pre-implementation group experienced 2 cases of TCM technique-related issues, 1 case of nursing syndrome differentiation error, 2 cases of nursing record errors, and 1 case of other TCM nursing issues, with an error incidence rate of 13.33%. The difference in error incidence between the two groups was statistically significant (P<0.05).
Conclusion   TCM clinical nursing should emphasize holistic concepts and attention to detail. Implementing standardized TCM nursing training and the clinical application of TCM nursing techniques can significantly improve the quality of TCM clinical nursing for patients, reduce the occurrence of serious errors, and enhance patient satisfaction.