消化性溃疡复发的影响因素调查及护理对策

Investigation of Factors Affecting Palindromia of Peptic Ulcer and Nursing Countermeasures

目的调查遵义市播州区人民医院消化内科消化性溃疡患者病情复发的影响因素,并制订针对性护理对策。方法采用自制问卷对198例消化性溃疡复发患者进行调查,分析诱导病情复发的相关影响因素,制订针对性护理干预对策,并将198例患者按随机数字法均分为两组,对照组施行常规护理,干预组则施行针对性护理干预,观察比较两组患者经治愈后的近期、远期再复发情况。结果调查显示,季节因素、不良生活习惯、精神心理因素、药物因素、未维持治疗均是诱导消化性溃疡复发的相关影响因素,其中季节因素、不良生活习惯、未维持治疗三项构成比较高,分别为49.49%、41.41%、40.40%;两组患者经治愈出院后均有再复发病例出现,其中干预组在出院6个月、出院12个月时的再复发率分别为9.09%、15.15%,显著低于对照组的同期再复发率19.19%、29.29%,差异有统计学意义(P<0.05)。结论消化性溃疡患者病情复发受多种因素影响,结合患者具体情况施行针对性护理干预可在一定程度上降低消化性溃疡的复发几率。

Objective To investigate the affecting factors about palindromia of peptic ulcer,and to establish pertinent nursing countermeasures. Methods A self-designed questionnaire was used to survey 198 relapse patients of peptic ulcer,related factors that affecting the recurrence of the disease was investigated and pertinent nursing countermeasures were established. 198 patients were randomly divided into two groups. The intervention group was given pertinent nursing intervene,and control group were given routine care. Re-recurrence rate of two groups were compared. Results The major factors included seasonal variation,unhealthy living habits,mental and psychological conditions and so on,and ＂seasonal variation,unhealthy living habits and no further treatment＂has the higher constituent ratio,which was 49. 49%,41. 41% and 40. 40%,respectively. The recurrence rate of 6 months and 12 months after discharge in intervention group were 9. 09% and 15. 15%,respectively,which were all lower than that in control group（ 19. 19% and 29. 29%）（ P〈0. 05）. Conclusion The palindromia of peptic ulcer will be influenced by various factors,and the reasonable pertinent nursing intervene can significantly reduce the recurrence rate.