优质护理干预在胃食管反流病合并消化不良患者中的应用价值

Application of high quality nursing intervention in gastroesophageal reflux disease combined with dyspepsia

目的探讨优质护理干预在胃食管反流病合并消化不良中的应用价值及其对患者肠道功能的影响。方法选取120例胃食管反流病合并消化不良住院患者,均予相关药物治疗,根据患者入院顺序将其分为对照组和观察组,各60例。对照组采用专科常规护理,观察组在对照组基础上采用系统优质护理。观察2组护理干预对患者临床症状缓解和治疗依从性的影响,并比较干预前后肠道功能和生活质量的变化。结果观察组护理干预后胃食管反流病问卷(RDQ)评分反酸(0.95±0.22)分、腹部不适(0.93±0.15)分均显著低于对照组的(1.07±0.28)、(1.02±0.18)分(P<0.05);观察组护理干预后治疗积极依从率为86.67%,显著高于对照组71.67%(P<0.05);干预后,2组血浆胃动素(MTL)和血清胃泌素(GAS)表达均较干预前显著上升,且观察组血清MTL较对照组上升更显著(P<0.05);观察组干预后生活质量简表(QOL)中躯体功能(PF)、角色功能(RF)、情感功能(EF)、整体健康功能(QL)评分均显著高于对照组(P<0.05)。结论优质护理干预有助于缓解胃食管反流病合并消化不良患者的临床症状和提高治疗依从性,对改善肠道功能和生活质量效果显著。

Objective To explore the application value of high quality nursing intervention in gastroesophageal reflux disease with dyspepsia and its influence on intestinal function. Methods A total of 120 patients with gastroesophageal reflux disease and dyspepsia in our hospital were treated with related drugs. According to the order of admission,the patients were divided into control group and observation group,with 60 cases in each group. The control group was given routine nursing,while the observation group was given high quality nursing on the basis of the control group. The effects of nursing interventions on clinical symptoms relief and treatment compliance were observed,and the changes of intestinal function and quality of life before and after intervention were compared.Results After nursing intervention,the RDQ Score of acid reflex and abdominal discomfort in the observation group were significantly lower than that of the control group [（ 0. 95 ± 0. 22）,（ 0. 93 ±0. 15） vs.（ 1. 07 ± 0. 28）,（ 1. 02 ± 0. 18）,P〈0. 05）. The positive treatment compliance rate of the observation group was significantly higher than that in the control group（ 86. 67% vs. 71. 67%,P〈0. 05）. After nursing intervention,the serum plasma motilin（ MTL） and serum gastrin（ GAS）after intervention were increased in two group,and the observation group had higher expression of MTL that the control group（ P〈0. 05）,and the scores of physical function（ PF）,role function（ RF）,emotional function（ EF） and overall health function（ QL） in the QOL scale of the observation group were significantly higher than that in the control group（ P〈0. 05）. Conclusions High quality nursing intervention can relieveclinical symptoms and improve compliance of patients with gastroesophageal reflux disease with dyspepsia,and improve intestinal function and quality of life.