外科胃肠手术后患者中医药服务利用情况调查及影响因素分析*

作者：陈时彦，凌 蘅，吕 君，吕玲玲

单位：上海交通大学医学院附属瑞金医院，上海 201800

引用：引用：陈时彦，凌蘅，吕君，吕玲玲.外科胃肠手术后患者中医药服务利用情况调查及影响因素分析[J].中医药导报,2025,31(9):235-238.

DOI：10.13862/j.cn43-1446/r.2025.09.041

PDF： 下载PDF

摘要：

目的:调查外科胃肠手术后患者中医药服务利用情况，并对中医药服务利用的相关因素予以分析。方法:选取2021年7月至2024年6月上海交通大学医学院附属瑞金医院收治的154例外科胃肠手术患者，根据术后是否利用中医药服务分成利用组和未利用组。对两组一般信息、健康自评、对中医药服务的看法等资料进行调查，并通过Logistic回归分析对中医药服务利用情况的影响因素开展分析。结果:154例外科胃肠手术后患者中，采取中医药服务的占比为62.99%（97/154），未采取中医药服务的占比为37.01%（57/154）。在采取的中医药服务中，中药调理的占比最高（31.82%），其次为针灸（20.13%）、推拿（14.94%）。利用组的学历、有中医药治疗经历比例、对中医药服务的费用评价、进行过中医药知识学习比例、信任医生比例、对中医药疗效评价与未利用组比较，差异均有统计学意义（P＜0.05）。Logistic回归分析显示，学历低（OR=2.746）、无中医药治疗经历（OR=2.843）、认为中医药服务的费用昂贵（OR=2.963）、未进行过中医药知识学习（OR=3.014）和对中医药疗效评价差（OR=3.247）为外科胃肠手术后患者中医药服务利用的危险因素。结论:学历低、无中医药治疗经历、认为中医药服务的费用昂贵、未进行过中医药知识学习、对中医药疗效评价差可阻碍外科胃肠手术后患者对中医药服务的利用。故需基于上述因素制定相应的干预策略，以进一步提高患者对中医药服务的利用率。

关键词：中医药服务利用；胃肠手术；危险因素；问卷调查

Abstract：Objective: To investigate the utilization of traditional Chinese medicine (TCM) services in patients after gastrointestinal surgery and analyze the factors related to the utilization of TCM services. Methods: A total of 154 patients who underwent gastrointestinal surgery in Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine from July 2021 to June 2024 were selected and divided into the utilization group and non-utilization group according to whether they used TCM services after surgery. The general information, self-rated health, and views on TCM services of the two groups were investigated, and Logistic regression analysis was used to analyze the influencing factors of TCM service utilization. Results: Among the 154 patients who underwent gastrointestinal surgery, 62.99% (97/154) received TCM services, while 37.01% (57/154) did not. Among the TCM services taken, the proportion of Chinese medicine conditioning was the highest (31.82%), followed by acupuncture and moxibustion (20.13%) and massage (14.94%). There were statistically significant differences (P＜0.05) between the utilization group and the non-utilization group in education level, proportion of TCM treatment experience, evaluation of TCM service costs, proportion of TCM knowledge learning, proportion of trusting doctors, and evaluation of TCM efficacy. Logistic regression analysis showed that low education level  (OR=2.746), lack of experience in TCM treatment (OR=2.843), considering TCM services expensive (OR=2.963), no TCM knowledge learning (OR=3.014), and poor evaluation of TCM efficacy (OR=3.247) were risk factors for TCM service utilization in patients after gastrointestinal surgery. Conclusion: Low education, lack of experience in TCM treatment, considering TCM services expensive, lack of knowledge of TCM, and poor evaluation of the efficacy of tTCM can hinder the utilization of TCM services in patients after gastrointestinal surgery. Therefore, it is necessary to develop corresponding intervention strategies based on the above factors to further improve the utilization rate of TCM services in patients.

Key words：utilization of traditional Chinese medicine services; gastrointestinal surgery; risk factors; questionnaire survey

发布时间：2026-01-08

点击量：38