系统护理干预对慢性胃炎及胃溃疡患者的临床疗效观察

Clinical observation of systematic nursing intervention on patients with chronic gastritis and gastric ulcer

目的探讨系统护理干预应用于慢性胃炎及胃溃疡患者中的临床效果。方法分析2016年1月～2017年12月在我院进行治疗的50例慢性胃炎及胃溃疡患者,根据就诊顺序将患者分为对照组(25例),实验组(25例),对照组采用传统护理干预(包括基础护理、用药指导、健康宣教等),而实验组采用系统护理干预(包括心理干预,生活指导,饮食评估,运动方式指导等),比较两组患者的临床疗效,分别在治疗前后采用诺丁汉健康问卷对患者生活质量进行评估;采用抑郁自评量表(SDS)和焦虑自评量表(SAS)对患者心理情况进行评估,采用医院自制量表评价护理满意度。结果经护理干预后,实验组治疗有效率达88.00%,显著高于对照组(64.00%)(χ~2=15.791,P <0.05),两组患者SDS及SAS评分均显著优于治疗前,且经治疗后实验组患者SDS及SAS评分、生活质量各项评分均明显优于对照组,实验组护理满意度为96%,显著高于对照组(84%)(P <0.05),差异具有统计学意义。结论系统护理干预能够更好地提高慢性胃炎及胃溃疡患者的治疗效果及生活质量,提高患者护理舒适度,缓解不良心理,可在临床推广运用。

Objective Explore the clinical effects of systematic nursing interventions in patients with chronic gastritis and gastric ulcers. Methods Fifty patients with chronic gastritis and gastric ulcer were analyzed in our hospital from January 2016 to December 2017. The patients were divided into control group （25 eases） and experimental group （25 eases） according to the order of treatment. The control group was treated with traditional nursing intervention （including basic nursing, medication guidance, health education and so on）, and the experimental group was treated with systematic nursing intervention （including psychological intervention, life guidance, diet assessment, exercise guidance, etc.） The clinical efficacy of the two groups was compared. The quality of life of patients was assessed by the Nottingham Health Questionnaire. The psychological status of the patients was assessed using the Self-rating Depression Seale （SDS） and the Self-rating Anxiety Seale （SAS）. The hospital-made seale was used to evaluate the satisfaction of the patients. Results Afler the nursing intervention, The effective rate of the experimental group was 88%, which was significantly higher than that of the control group （64%）（χ^2=15.791, P 〈 0.05）. The scores of SDS and SAS in the two groups were significantly better than those before the treatment, and the scores of SDS and SAS and the quality of life in the experimental group were significantly better than those in the control group. The nursing satisfaction of the experimental group was 96%, which was significantly higher than that of the eontrol group （84%） （P〈 0.05）. The differenee was statistieally signifieant. Conclusion The system nursing intervention can improve treatment effect and the quality of life of the patients with chronic gastritis and gastric ulcer, improve the patient＇s nursing comfort and relieve the bad psychology, and can be applied in clinical practice.