辨证施护路径在慢性胃炎患者中的应用及效果

The application and effect of dialectical application nursing pathway in patients with chronic gastritis

目的探讨辨证施护路径对慢性胃炎患者自我效能评分的近期影响、远期疗效及其在慢性胃炎患者治疗康复中的可行性及作用。方法选择符合纳入标准的慢性胃炎患者80例,采用随机单盲法分为对照组和观察组各40例,对照组按照慢性胃炎常规进行护理和健康教育。观察组除按照慢性胃炎常规进行护理外,针对不同的证型运用相应的辨证施护路径进行健康教育,观察两组患者自我效能的评分及临床疗效。结果出院时观察组的自我效能4个因素得分均高于对照组,差异有统计学意义(P<0.05)。且观察组总有效率、复发率及患者满意率均明显高于对照组,差异均有统计学意义(P<0.05)。结论辨证施护路径对于慢性胃炎患者的护理行之有效,可提高患者的自我效能得分,促进疾病的康复和预防疾病的复发。

Objective To investigate the short-term effects and long-term effect of dialectical nursing pathway on pa- tients with chronic gastritis and self-efficacy scores, and the feasibility and effect of dialectical nursing pathway in the rehabilitation treatment of patients with chrorfic gastritis was also investigated. Methods Eighty cases of chronic gas- tritis patients met the inclusion criteria were randomly divided into control group and observation group with 40 cases in each group by random single blind method, the control group was given chronic gastritis routine nursing and health education. Besideded the chronic gastritis routine nursing care, the observation group was given the corresponding to the use of dialectical nursing path for health education according to different syndromes. The self-efficacy score and the clinical efficacy of the two groups were observed. Results The 4 factor scores of self-efficacy in observation group was higher than those in control group when out of the hospital, the difference was statistically significant （P 〈 0.05）. And the total effective raterecurrence rate and patient satisfaction in observation group were significantly higher than those in control group, the differences were statistically significant （P 〈 0.05）. Conclusion The dialectical application nursing pathway for patients with chronic gastritis is effective, it can improve the score of patients＇self-efficacy, pro- mote rehabilitation and prevention of disease recurrence.