心理干预对胃食管反流病患者治疗效果及复发的影响

Influence of psychological nursing on gastroesophageal reflux disease recurrence

目的 探讨胃食管反流病（GERD）患者出院后心理干预的效果及可行性.方法 用反流性疾病诊断问卷（耐信量表,RDQ）筛选出121例初步确诊为GERD的患者,随机分为心理护理组60例和药物治疗组61例.通过随访,记录观察期间RDQ值的变化.结果 药物治疗组的治疗效果好于心理护理组.药物治疗组症状消失者停药半年后复发34例,而心理护理组症状消失者仅有14例复发,心理护理组的复发率显著低于药物治疗组.结论 从近期疗效看心理干预及药物治疗对GERD均起到显著的治疗效果,药物治疗控制症状的效果优于心理干预,但远期效果（大于6个月）药物治疗却表现出明显的复发倾向,可见,心理干预是一种有效的、经济可行的治疗GERD的方法.

Objective To retrospectively analyze the feasibility and effect of psychological nursing on patients with gastroesophageal reflux disease （GERD）. Methods 121 patients diagnosed with GERD were divided into the psychological nursing group（60 cases） and the drug treatment group（61 cases）.The data of these patients were collected and the RDQ score was assessed. Results The treatment effect of the drug treatment group was better than that of the psychological nursing group.34 cases relapsed in the drug treatment group and 14 cases relapsed in the psychological nursing group during half a year followup. Conclusions Both the psychological nursing group and the drug treatment group can control the symptoms of GERD,although drug intervention is better than non-drug intervention.However in a long run drug intervention has a higher recurrence and is more expensive.So non-drug intervention is an effective and feasible method for the treatment of gastroesophageal reflux disease （GERD）.