院外延续性护理干预对于活动期胃溃疡治疗效果的影响

Effect of continue nursing care post-discharge on the treatment effectiveness of gastric ulcer in active phase

目的探讨院外延续性护理干预对于活动期胃溃疡疗效的影响，促进护理质量的提高。方法163例胃溃疡患者最终纳入研究，按人院次序逐一配对，随机分为对照组80例和观察组83例。2组患者在院内均给予常规护理干预，观察组患者在出院后特别给予延续性护理干预，比较2组患者的治疗结局和干预效果。结果随访期末对照组患者的整体治愈率、Hp转阴率、Morisky用药依从性评分、QLICD．PU生命质量测评标准化总分分别为63．75％（30／80）、86．25％（69／80）、（3．69±1．34）分、（67．81±7．10）分，观察组患者分别为81．93％（68／83）、96．39％（80／83）、（6．71±1．57）分、（86．34±6．83）分，2组比较差异有统计学意义（x^26．830、5．330，t=13．199、16．977，均P〈0．05或0．01）。Kaplan—Meier分析显示，观察组患者的治愈周期较对照组明显缩短（x^2=20．446，P〈0．05）。结论院外延续性护理干预对活动期胃溃疡的治疗有积极的促进作用，适合临床推广。

Objective To investigate the effect of continue nursing care post-discharge on the treatment effectiveness of gastric ulcer in active phase, and to facilitate the nursing quality. Methods A total of 163 patients with gastric ulcer were divided into control group including 80 cases and observation group including 83 cases randomly by hospitalization order. Routine nursing care was administrated on the two groups of patient＇ s duration of hospital stay equally, but continue nursing care was administrated on the observation group patients exceptionally. The treatment outcome and intervention effect of the two groups were compared at the end of study. Results The overall cure rates of the control the observation group patients were 63.75% （30/80） and 81.93% （68/83）, the eradication rates of helicobacter pylori （Hp） were 86.25% （69/80） and 96.39% （80/83）, the medication compliance scores of Morisky were 3.69± 1.34 and 6.71 ± 1.57, the quality scores of life instruments for chronic were 67.81 ± 7.10 and 86.34 ± 6.83 respectively at the end of follow-up period. There were significant differences in the above indicators （x^2= 6.830,5.330, t=13.199,16.977, P〈0.05 or 0.01）. Kaplan-Meier analysis showed that the cure period of the observation group was significantly shorter than that of the control group （x^2=20.446, P〈0.05）. Conclusions The continue nursing care post-discharge has positive effect on the treatment of active gastric ulcer, and it should be recommended in clinical application.