评价门诊规范化护理程序对胃食管反流病患者的应用效果

Evaluation of the effect of standardized nursing procedures for patients with gastroesophageal reflux disease in outpatient department

目的探讨门诊规范化护理程序对胃食管反流病(GERD)患者生活质量及疗效的影响。方法前瞻性分析2016年6至9月,在新疆维吾尔自治区人民医院门诊确诊为GERD的81例患者病案资料,随机分为观察组41例和对照组40例,观察组采用规范化护理程序,对照组采用常规护理手段,比较2组患者胃食管反流病评分(GERD-Q)、医嘱依从性及满意度等并随访。结果观察组GERD-Q评分平均分为(6.2±1.9)分,对照组GERD-Q评分平均分为(7.9±2.2)分,2组比较,差异有统计学意义(P<0.05);对医嘱的依从性,观察组明显高于对照组,2组比较,差异有统计学意义(P<0.05);观察组满意度明显高于对照组,2组比较,差异有统计学意义(P<0.05)。结论规范化护理能使患者得到个体化及全面化护理服务,可有效提高GERD治疗效果及患者生活质量,改善患者心理状态及提高依从性,提高对护理人员满意度,值得临床推广应用。

Objective To explore the effect of standardized nursing procedures on the quality of life and efficacy of patients with gastroesophageal reflux disease(GERD)in outpatient department.Methods The patients diagnosed with GERD from June2016to September2016in People's Hospital Xinjiang Uygur Autonomous Region were randomly divided observation group(n=41)and control group(n=40).Observation group was treated with standardized nursing procedure,control group was treated with routine nursing procedure,compared two groups of patients with gastroesophageal reflux questionary(GERD-Q),compliance and satisfaction.Results After6months follow-up,the observation group of GERD-Q score was(6.2±1.9),the control group of GERD-Q score was(7.9±2.2),there was statistical difference between two groups(P=0.028).Compliance of the patients was improved(P=0.000),the satisfaction of the observation group was significantly higher than the control group(P=0.012).Conclusion The standardized nursing can make patients get individualized and comprehensive nursing services,which can effectively improve the GERD treatment effect and the quality of life of patients and improve the psychological state of patients and compliance as well as the satisfaction of nursing staff.It is obviously worth for clinical application.