Construction and effectiveness evaluation of a combined diet and exercise program for puerperal women with Yin-deficiency constitution based on traditional Chinese medicine constitution identification
10.3760/cma.j.cn115682-20221201-05790
- VernacularTitle:基于中医体质辨识的阴虚质产妇产褥期饮食联合运动方案的构建与应用效果评价
- Author:
Shiying CAI
1
;
Jue LI
;
Jie LI
;
Min CHEN
;
Ling CHEN
;
Shijie HUANG
;
Zhiyuan TIAN
;
Wenzhi CAI
Author Information
1. 南方医科大学深圳医院护理部，深圳 518101
- Keywords:
Puerperium;
Traditional Chinese medicine constitution identification;
Yin-deficiency constitution;
Diet;
Exercise;
Delphi method
- From:
Chinese Journal of Modern Nursing
2023;29(16):2145-2151
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a combined diet and exercise program for puerperal women with Yin-deficiency constitution based on traditional Chinese medicine (TCM) constitution identification, and evaluate the effect of this program.Methods:This study was guided by the complex intervention development framework of the UK Research Council, and based on the TCM constitution identification, and determined the combined diet and exercise program for puerperal women with Yin-deficiency constitution based on TCM constitution identification through literature review, case analysis, group discussion, and Delphi method. From October to December 2022, convenience sampling was used to select 76 delivery women with Yin-deficiency constitution who delivered at Shenzhen Hospital of Southern Medical University as the research subject. According to the delivery time, the delivery women were divided into a control group ( n=37) and an experimental group ( n=39). The control group adopted routine postpartum nursing. On this basis, the experimental group implemented the combined diet and exercise program for puerperal women with Yin-deficiency constitution based on TCM constitution identification. We compared the Yin-deficiency constitution score, duration of lochia, and incidence of puerperium complications between two groups of delivery women before and after intervention. Results:The final constructed program included 6 primary indicators, 20 secondary indicators, and 50 tertiary indicators. In the two rounds of consultation, the positivity coefficients of experts were all 100%, the authority coefficients of experts were 0.827 and 0.843, and the Kendall harmony coefficients were 0.419 and 0.502, respectively with a statistical difference ( P<0.01). After intervention, the score of Yin-deficiency constitution, duration of lochia, and incidence of puerperium complications in the experimental group were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The combined diet and exercise program for puerperal women with Yin-deficiency constitution based on TCM constitution identification is scientific, comprehensive, and feasible, which can provide reference for future development of TCM constitution management during the puerperium.
