目的 探讨基于三联促通技术的中医康复护理模式应用于神经源性肠道功能障碍（neurogenic bowel dysfunction,NBD）便秘患者的效果分析，为相关患者的康复护理提供参考。方法 2023年6月至2024年7月，以便利抽样法选择成都市某三级甲等综合性医院收治的NBD便秘患者62例为研究对象，使用随机数字表法将其分为对照组（ n =31）和试验组（ n =31）。对照组实施常规康复护理，试验组在对照组基础上加用基于三联促通技术的中医康复护理模式进行干预。分别于基线期 (T0)、干预2周后 (T1)、干预4周后 (T2) 比较两组总有效率、焦虑及抑郁症状评分及自我效能评分。结果 最终60例患者完成试验。干预前后，两组患者焦虑、抑郁症状评分及自我效能评分在时间及组别间均存在交互效应，差异均有统计学意义（均 P ＜0.05）。干预4周后，试验组总有效率、患者自我效能评分均高于对照组，而焦虑抑郁症状评分低于对照组，差异均有统计学意义（均 P ＜0.05）。结论 基于三联促通技术的中医康复护理模式，可有效改善NBD患者便秘症状，缓解焦虑抑郁等负面情绪，提升患者自我效能感。

Objective To explore the clinical effect of a Traditional Chinese Medicine (TCM) rehabilitation nursing model based on Triple Facilitation Technique among patients with neurogenic bowel dysfunction (NBD) constipation,and to provide a reference for rehabilitation nursing of such patients.Methods From June 2023 to July 2024,62 patients with NBD constipation admitted to a tertiary A general hospital in Chengdu were selected using convenient sampling method.They were divided into a control group ( n =31) and an experimental group ( n =31) using a random number table.The control group received routine rehabilitation nursing,while the experimental group received the TCM rehabilitation nursing model based on Triple Facilitation Technique in addition to the routine care.The overall intervention effect,anxiety and depression status,and patient self-efficacy were evaluated at baseline (T0),2 weeks after intervention (T1),and 4 weeks after intervention (T2).Results A total of 60 patients completed the trial.Before and after the intervention,there were interaction effects between time and group in the scores of anxiety,depression,and self-efficacy in both groups,with statistically significant differences (all P ＜0.05).After 4 weeks of intervention,the total effective rate and patient self-efficacy scores in the experimental group were significantly higher than those in the control group,while the anxiety and depression scores were significantly lower (all P ＜0.05). Conclusions The TCM rehabilitation nursing model based on Triple Facilitation Techniques can effectively improve constipation symptoms,alleviate negative emotions such as anxiety and depression,and enhance self-efficacy in patients with NBD.

R473.3

四川省中医药管理局科学技术研究专项课题（2020LC0076）