以问题为导向的护理干预在胃食管反流病中的临床应用研究

Clinical application of problem-oriented nursing intervention in gastroesophageal reflux disease

目的探讨以问题为导向的护理干预在胃食管反流病中的临床应用研究。方法选取2016年1月至2017年12月于我院收治的胃食管反流病患者80例,采用随机字母表法等分为观察组和对照组,对照组采用常规护理干预,观察组采用以问题为导向的护理干预,比较两组患者胃食管反流病问卷(Gerd Q)、生活质量(SF-36)、不良情绪以及护理满意度。结果观察组患者护理后Gerd Q评分显著低于对照组(P<0.05);护理干预后,观察组患者生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康以及总体健康评分均显著高于对照组(P<0.05);观察组患者护理后焦虑自评量表(SAS)评分与抑郁自评量表(SDS)评分均显著低于对照组(P<0.05);观察组患者护理满意度均显著高于对照组(P<0.05)。结论以问题为导向的护理干预在胃食管反流病中应用取得了显著效果,降低了胃食管反流病评分,逐步缓解了临床症状,不断改善了生活质量,消除了焦虑、抑郁等不良情绪,使患者对护理更满意,该护理干预方式具有临床推广应用的价值。

Objective To discuss the clinical application of problem-oriented nursing intervention in gastroesophageal reflux disease. Methods To select 80 cases of patients with gastroesophageal reflux disease admitted to our hospital from January 2016 to December 2017,and they were divided into observation group and control group by random alphabet method. The control group was received routine nursing intervention,while the observation group was given problem-oriented nursing intervention. The gastroesophageal reflux disease questionnaire（ Gerd Q）,quality of life（ SF-36）,adverse mood,and nursing satisfaction in the two groups were compared. Results The Gerd Q score of the observation group was significantly lower than that of the control group after the nursing（ P〈0. 05）. The physiological function,physiological role,body pain,vitality,social function,emotional role,mental health and general health score of the observation group were significantly higher than those of the control group after the nursing intervention（ P〈0. 05）. The self-rating anxiety scale（ SAS） score and self-rating depression scale（ SDS） score of the observation group were significantly lower than those of the control group after the nursing（ P〈0. 05）. The nursing satisfaction of the observation group was significantly higher than that of the control group（ P〈0. 05）.Conclusion Problem-oriented nursing intervention has achieved significant results in gastroesophageal reflux disease,which reduces the score of gastroesophageal reflux disease and alleviates clinical symptoms gradually. It also improves the quality of life continuously,and eliminates anxiety,depression and other negative emotions,thus making patients more satisfied with the nursing. As a result,this nursing intervention has the value of clinical promotion and application.