护理随访对提高肠易激综合征患者生存质量的作用

The effects of nursing follow-up in improving the life quality of patients with irritable bowel syndrome

目的研究护理随访对提高肠易激综合征患者生存质量的作用。方法选择2016年1~12月收治的肠易激综合征患者94例,随机分成观察组与对照组,每组47例。对照组给予健康教育及出院指导,观察组在对照组的基础上给予出院后护理干预。结果出院后2、3、4、5、6个月,观察组焦虑、抑郁评分均低于对照组,且观察组随着出院时间的延长SDS、SAS评分逐渐降低,而对照组逐渐升高(P <0. 05)。出院后2、3、4、5、6个月,观察组CHIBS-QOL生存质量量表中焦躁不定、活动干扰、身体意向、病情恢复顾虑、饮食限制、社会交际评分、总分均高于对照组,且观察组随着出院时间的延长上述各维度评分及总分逐渐增加,而对照组逐渐降低(P <0. 05)。结论对肠易激综合征患者出院后给予护理随访,能改善患者负性情绪,提高患者生存质量,值得推广。

Objective To investigate the effects of nursing follow-up in improving the life quality of patients with irritable bowel syndrome.Methods A total of 94 patients with irritable bowel syndrome who were admitted and treated in our hospital from January to December 2016 were randomly divided into observation group(n=47)and control group(n=47).The patients in control group were given health education and discharge guidance,however,the patients in observation group,on the basis of control group,were given post-discharge nursing intervention.Results The scores of anxiety and depression at 2m,3m,4m,5m,6m after discharging from hospital in observation group were lower than those in control group,moreover,the scores of SDS and SAS in observation group were decreased gradually with the prolongation of time after discharging from hospital,and the scores in control group were increased gradually(P<0.05).At 2m,3m,4m,5m,6m after discharging from hospital,the scores of restlessness,activity disturbance,physical intention,recovery worry,dietary restriction,social communication score and total score of CHIBS-QOL in observation group were higher than those in control group,moreover,the scores of above indexes and total scores in observation group were increased gradually with the prolongation of time after discharging from hospital,while the scores in control group were decreased gradually(P<0.05).Conclusion The nursing follow-up for patients with irritable bowel syndrome after discharging from hospital can improve the negative emotions and improve the life quality of patients,which is worthy of promotion in clinical practice.