Exploring The Relationship Between Personality Characteristics And TCM Constitution Of Patients With Hyperthyroidism And Observe The Effect Of Diet Nursing

The First Part:Exploring the Relationship between Personality Characteristics and TCM Constitution of Patients with HyperthyroidismObjective:On the basis of consulting related literature,study the personality characteristics of patients with hyperthyroidism,the types of TCM constitution and the correlation between the two,provide a reference basis for psychological nursing,dialectical nursing,and provide new ideas and new methods for improving the nursing measures of hyperthyroidism.Methods:In this study,the convenience sampling method was used to select patients with hyperthyroidism who met the inclusion criteria in the endocrine clinic and inpatient department of a tertiary A hospital in Harbin from November 2019 to November 2020 to conduct a questionnaire survey.A total of 190 cases were included.According to the inclusion principle,20 questionnaires were excluded,and 170 valid questionnaires were included in the statistics.Using general information questionnaire,personality traits scale and TCM constitution survey scale as research tools,after double entry of the questionnaire results,utilizing IBM SPSS 22.0 software to make statistics on the types and correlations of personality traits and TCM constitution analysis.Results:1.Among patients with hyperthyroidism,type A is the most common personality trait;the comparison of the inward dimensions of anger in type C personality is higher than the domestic norm,and the comparison of the three dimensions of anger,optimism,and social support is lower than the domestic norm;type D personality is rare.The constitution of TCM is mainly Qi stagnation,and the other constitutions are Yin deficiency,Qi deficiency,and Yang deficiency in order.2.According to the correlation analysis result of type A personality and traditional Chinese medicine constitution,there is a significant positive correlation between type A personality and calmness,Qi stagnation,and Yang deficiency(P<0.05).3.According to the correlation analysis results of type C personality and traditional Chinese medicine constitution,there is a significant positive correlation between anxiety and traits,blood stasis,and a significant negative correlation with Yin deficiency.There is an important positive correlation between depression and peace quality.There is an important positive correlation between anger and calmness,temperament and idiosyncrasies.Anger inward is significantly negatively correlated with Qi stagnation,Idiosyncratic,Heat and humidity,Phlegm quality,Yin deficiency,and Qi deficiency.There was a major positive correlation between anger outward and Qi stagnation,Idiosyncratic,and Yin deficiency(P<0.05).4.According to the correlation analysis results of type D personality and traditional Chinese medicine constitution,there is a significant positive correlation between SI and Qi stagnation,Idiosyncratic,Yin deficiency,and Yang deficiency.NA was significantly positively correlated with Idiosyncratic quality,Phlegm dampness quality,and Yang deficiency(P<0.05).Conclusions:1.The personality characteristics of patients with hyperthyroidism are mainly type A personality.The traditional Chinese medicine constitution is mainly Qi stagnation,and the other constitutions are Yin deficiency,Qi deficiency,and Yang deficiency in order.2.The type A personality of patients with hyperthyroidism is correlated with Qi stagnation,which provides new ideas for improving nursing measures.The Second Part:Diet Guidance Based on Syndrome DifferentiationObjective:In this study,we sorted out the homologous single-flavor(medicine)substances and compound prescriptions,staple food,non-staple food,fruit and vegetables in the "Dictionary of Traditional Chinese Medicine".The regional characteristics of Longjiang have established a TCM diet and nursing recipes for the disease after consultation with experts,to observe and apply its influence on patients with type A personality and Qi stagnation hyperthyroidism,in order to improve personality characteristics,regulate biased constitution,assist clinical treatment,and promote hyperthyroidism Rehabilitation of the disease provides a reference basis for dialectical care.Methods:In this study,68 patients with hyperthyroidism who met the inclusion criteria and were addressed in the endocrinology outpatient department and inpatient department of a tertiary A hospital in Harbin City from December 2020 to March 2021 were selected as the intervention objects.According to random number table method,they were randomly divided into two groups:34 cases in the control group and 34 cases in the test group.The control group was given routine treatment and nursing of hyperthyroidism;on the basis of conventional treatment and other nursing in the control group,the experimental group was given clinical intervention in the diet nursing recipes of food in the diet nursing.Use type A personality scale,Qi stagnation constitution subscale,laboratory obj ective indicators,and TCM syndrome score scale as research tools,and evaluate the effect built on the final results.The datum was double-entered into the IBM SPSS 22.0 statistical software for result analysis.The t test and non-parametric test were adopted,and P<0.05 was statistically significant.Results:1.Comparison between groups before intervention:There is no difference in general data,type A personality,Qi stagnation,FT3,FT4,TSH,TGAb,TPOAb,and TCM syndrome scores between the two groups of patients(P>0.05),indicating that there is no difference between the two groups of patients.The baseline data before the intervention is comparable.2.Intra-group comparison before and after intervention:Comparison of type A personality,Qi stagnation,FT3,FT4,TSH,TGAb,TPOAb,and TCM syndrome scores between the two groups showed better results than before intervention(P<0.001),and the difference was statistically significant.It shows that after the intervention of the two groups of patients,the type A personality characteristics have improved,the Qi stagnation has changed,the biochemical index results are effective,and the TCM symptoms have improved.3.Comparison between groups after intervention:The experimental group was better than the control group in terms of type A personality,Qi stagnation,irritability,fatigue,fatigue,finger tremor,weight loss,total score,and curative effect(P<0.05),the difference is statistically significant;the test group patient’s laboratory objective indicators and TCM syndrome center palpitations,frequent defecation,shortness of breath,goiter and other dimensions of scores compared with the control group,the changes were not significant,the difference was not statistically significant(P>0.05).Conclusions:1.The application of TCM diet nursing recipes can relieve the symptoms of type A personality characteristics of patients with hyperthyroidism,improve anxiety,depression,and irritability,and can effectively assist clinical treatment,and the effect is better than conventional treatment and nursing.2.The application of traditional Chinese medicine diet nursing recipes can effectively improve the constitution of Qi stagnation and improve the health of patients with hyperthyroidism.