积极心理学护理模式联合膳食调节在治疗便秘型肠易激综合征患者中的应用

Application of positive psychological nursing model combined with dietary regulation in the treatment of constipative irritable bowel syndrome

目的探讨积极心理学护理模式联合膳食调节对便秘型肠易激综合征患者疗效的影响。方法选取2017年8月至2018年5月收入院治疗的100例便秘型肠易激综合征患者,按照随机数字表法随机分为对照组与观察组,每组50例。对照组给予常规护理干预,观察组在常规护理基础上联合予以实施积极心理护理模式干预以及膳食调节,干预治疗后,分别对2组患者的临床疗效、心理状态以及生命质量进行比较。结果观察组的总有效率为92.00%(46/50),明显高于对照组的72.00%(36/50),差异有统计学意义(χ2=7.862,P<0.05);观察组患者的症状自评量表(SCL-90)各项目评分以及焦虑自评量表(SAS)、抑郁自评量表(SDS)评分分别为(12.97±2.65)、(10.38±1.86)、(13.86±1.63)、(10.02±1.11)、(13.03±1.18)、(5.19±0.32)、(7.94±1.26)、(7.34±0.88)、(6.29±1.02)、(9.43±1.00)、(50.64±5.21)、(50.14±5.26)分,均显著低于对照组患者的(21.88±3.65)、(18.72±1.05)、(17.21±1.99)、(14.43±1.29)、(19.46±1.45)、(6.79±0.41)、(9.15±1.37)、(9.22±1.16)、(8.90±1.92)、(14.02±1.98)、(40.42±3.89)、(42.77±3.85)分,差异有统计学意义(t=-11.114~27.610,P<0.05);观察组患者的肠易激综合征生命质量量表(IBS-QOL)中的焦虑不安、挑食、健康忧虑、社会反应项目评分分别为(92.90±12.67)、(89.55±14.11)、(89.09±15.25)、(86.22±16.36)分,均显著优于对照组的(80.04±16.58)、(80.09±15.44)、(78.25±16.53)、(77.79±16.23)分,差异均有统计学意义(t=-4.358^-2.587,P<0.05)。结论积极心理学联合膳食调节干预可提高便秘型肠易激综合征患者的治疗效果,改善患者精神心理症状,缓解焦虑抑郁情绪,提高生命质量,值得临床上广泛推广。

Objective To explore the application of positive psychological nursing model combined with dietary regulation in the treatment of constipative irritable bowel syndrome.Methods A total of 100 cases of constipation-predominant irritable bowel syndrome treated from August 2017 to May 2018 were randomly divided into control group and observation group,50 cases in each group.The control group was given routine nursing intervention,while the observation group was given active psychological nursing intervention and dietary adjustment on the basis of routine nursing.After intervention,the clinical efficacy,psychological status and quality of life of the two groups were compared.Results The total effective rate of the observation group was 92.00%(46/50),which was significantly higher than that of the control group(72.00%,36/50).The difference was statistically significant(χ2=7.862,P<0.05).The scores of Symptom Checklist-90(SCL-90),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group(12.97±2.65,10.38±1.86,13.86±1.63,10.02±1.11,13.03±1.18,5.19±0.32,7.94±1.26,7.34±0.88,6.29±1.02,9.43±1.00,50.64±5.21,50.14±5.26)were significantly lower than those in the control group(21.88±3.65,18.72±1.05,17.21±1.99,14.43±1.29,19.46±1.45,6.79±0.41,9.15±1.37,9.22±1.16,8.90±1.92,14.02±1.98,40.42±3.89,42.77±3.85)(t=-11.114-27.610,P<0.05).The scores of anxiety,pickiness,health anxiety and social reaction in the Irritable Bowel Syndrome-Quality of Life Scale(IBS-QOL)in the observation group(92.90±12.67,89.55±14.11,89.09±15.25,86.22±16.36)were significantly better than those in the control group(80.04±16.58,80.09±15.44,78.25±16.53,77.79±16.23)(t=-4.358--2.587,P<0.05).Conclusion Positive psychology combined with dietary regulation intervention can improve the therapeutic effect of patients with constipation-predominant irritable bowel syndrome,improve their mental and psychological symptoms,alleviate anxiety and depression,and improve the quality of life,which is worthy of wide clinical promotion.