Integrated nursing practice of traditional Chinese and western medicine for a patient with posttraumatic stress disorder and comorbid neurogenic bladder

This paper reports the integrated traditional Chinese and Western medicine nursing practice for a patient with post-traumatic stress disorder (PTSD) comorbid with neurogenic bladder. Based on the International Classification of Functioning, Disability and Health (ICF) framework and the biopsychosocial medical model, a multidisciplinary team (MDT)-driven integrated nursing pathway was established, with traditional Chinese medicine emotional regulation (e. g. , five-element music therapy) and Western behavioral training (e. g. , cognitive restructuring) as core interventions to achieve synergistic physiological-psychological-social functional improvement. By deeply integrating the holistic perspective of traditional Chinese medicine with evidence-based Western practices, the nursing challenges of PTSD-NB comorbidity were addressed. (本文总结1例创伤后应激障碍(PTSD)共病神经源性膀胱(NB)患者的中西医结合护理实践经验。基于《国际功能, 残疾和健康分类》(ICF)和“生物-心理-社会”医学模式, 构建了多学科协作(MDT)驱动的中西医结合护理路径。该路径以中医情志调摄(如五行音乐疗法)和西医行为训练(如认知重塑)为核心干预手段, 实现了对患者生理、心理和社会功能的协同干预, 有效缓解了患者的导尿排斥反应。)