摘要
Health education is an important method to improve patients’ cognitive level and quality of life. Shengmai Yin (SMY) contain a variety of active ingredients of Chinese herbal medicine, pathology effect is relatively broad, plays an important role in a variety of chronic diseases treatment. This study aims to analyze the effect of nursing health education combined with the treatment with SMY on elderly patients with community-acquired pneumonia. Meanwhile, pharmaceutical information regarding the chemical composition, pharmacological effects, and pharmacokinetic characteristics of SMY in traditional Chinese medicine was summarized and analyzed. Animal experiments were conducted to analyze the immunomodulatory effects of SMY on elderly community acquired pneumonia. A total of 80 elderly patients with community-acquired pneumonia admitted to our hospital from July 2019 to July 2022 were selected as the research objects. According to different nursing models, they were divided into a control group and a study group, with 40 cases in each group. Patients in the control group were given routine nursing, while patients in the study group were given health education nursing and SMY treament on the basis of the control group. The overall differences were compared between the two groups. In rat experiment, a rat model of chronic bronchitis was used and divided into control, model control group, low-dose group, medium-dose group, and high-dose group according to the dosage. The levels of immunoglobulins (IgA, IgG, IgM), and cytokines (IL-1, IL-6, TNF- α ) in rat serum were determined using ELISA. The disease knowledge, the quality of life score and the effect of health education of the study group was better than that of the control group ( P < 0.05), the temperature remission time of the two groups was not significantly different ( P > 0.05), but the respiratory rate remission time and cough remission time were shorter than that of the control group ( P < 0.05). In rat experiment, The levels of IgA, IgG, IgM, IL-1, IL-6, and TNF- α in the serum of the model control group were higher than those in the normal control group. Compared with those in the model control group, the low-dose group exhibited lower levels of IgG, IgM, and IL-1, whereas the medium- and high-dose groups exhibited lower levels of IgA, IgG, IgM, IL-1, IL-6, and TNF- α (all P < 0.05). Health education and SMY treatment have a good impact on elderly patients with community-acquired pneumonia, which can effectively improve the patients’ mastery of health knowledge, treatment effect and quality of life. In addition, SMY had a significant downregulating effect on immunity and cytokines, providing anti-infective, antiallergic, and immunomodulatory effects, and is hence effective in treating bronchitis.