系统护理干预对慢性胃炎及胃溃疡患者疗效、不良心理及生活质量的影响研究

Research of system nursing intervention on clinical efficacy, adverse psychological and quality of life of patients with chronic gastritis and gastric ulcer

目的探讨系统护理干预对慢性胃炎及胃溃疡患者的临床疗效、不良心理及生活质量的影响。方法将2009年10月～2012年6月山东省肥城矿业中心医院收治的60例慢性胃炎及胃溃疡患者，按照随机数字表法分为观察组和对照组，每组30例，对照组患者给予常规药物治疗和常规护理，并给予基础健康教育讲座，观察组患者在此基础上给予系统护理干预措施，包括心理干预、饮食干预、用药指导、运动护理干预。出院后随访，观察两组患者护理后的临床疗效，对两组患者进行心理状况和生活质量情况进行评价。结果护理后，观察组总有效率为90．0％（27／30）显著高于对照组的66．7％（20／30），两组比较差异具有统计学意义（P〈0．05）；两组患者的焦虑自评量表（SAS）和抑郁自评量表（SDS）均优于护理前，且观察组患者的SAS和SDS两项评分均显著优于对照组，两组比较差异均有统计学意义（均P〈0．05）；观察组患者的诺丁汉健康调查问卷（NHP）评分显著优于对照组，差异具有统计学意义（P〈0．05）。结论系统护理干预能够显著提高慢性胃炎及胃溃疡患者的临床疗效，减轻患者的抑郁和焦虑心理，提高患者的生活质量．值得在临床中推广应用。

Objective To investigate the study of clinical efficacy, adverse psychological and quality of life of system nursing intervention on patients with chronic gastritis and gastric ulcer. Methods 60 patients with chronic gastritis and gastric ulcer were selected in Shandong Feicheng Mining Central Hospital from October 2009 to June 2012 and were randomly divided into the observation group （30 cases） and the control group （30 cases）. The control group was treated with conventional drug ther- apy and usual nursing, and was given basic health education seminars while the observation group was given system nursing interventions in addition, including psychological nursing intervention, dietary intervention and medication guide nursing. The clinical efficacy of the two groups were observed and the psychological status and quality of life of the two groups were eval- uated. Results After a period of nursing, the total effective rate of the observation group was 90.0% （27/30）, which was signif- icantly higher than 66.7% （20/30） of the control group, the difference was statistically significant （P 〈 0.05）; the anxiety rating scale （SAS） and self-rating depression scale （SDS） of the two groups were better than before, and the two scales of observation group were significantly better than those of the control group, the difference were statistically significant （all P 〈 0.05）; the notting ham health survey questionnaire （NHP） scores of the observation group were significantly better than those of the con- trol group, the difference was statistically significant （P 〈 0.05）. Conclusion The system nursing intervention can significantly improve the clinical efficacy of patients with chronic gastritis and ＇gastric ulcer, and can reduce the negative psychology of patients and improve the psychological status of patients, improve the quality of life of the patients, which is worth to be popu- larized in clinical application.