PRECEDE模式护理在Hp阳性慢性胃溃疡患者中的应用效果

Application of PRECEDE mode nursing in Hp-positive patients with chronic gastric ulcer

目的分析PRECEDE模式护理在Hp阳性慢性胃溃疡患者中的应用效果.方法选取2018年1月至2019年1月青岛市西海岸新区中医医院脾胃病科收治的80例Hp阳性慢性胃溃疡患者作为本次研究对象,采用随机数字表法分为干预组和对照组,各40例.对照组常规护理干预,干预组PRECEDE模式护理干预.比较两组临床疗效、遵医行为、Hp转阴率、复发率、护理满意度以及干预前后生活质量评分情况.结果干预组临床疗效明显高于对照组(95.00%比75.00%,P<0.05).干预组遵医行为明显优于对照组(85.00%比55.00%,P<0.05).干预后,两组生理功能、生理职能、躯体疼痛、一般健康、活动精力、社会功能、情感功能以及精神健康等生活质量评分均明显升高,且干预组明显高于对照组(均P<0.05).干预组Hp转阴率、复发率92.50%、10.00%,对照组70.00%、30.00%,差异有统计学意义(均P<0.05).干预组护理满意度明显高于对照组(92.50%比75.00%,P<0.05).结论PRECEDE模式护理在Hp阳性慢性胃溃疡患者中应用效果显著,能够明显提高患者遵医行为与Hp转阴率,同时降低复发率,改善患者生活质量,提高护理满意度,值得临床推广.

Objective To investigate the effect of application of PRECEDE mode nursing in Hppositive patients with chronic gastric ulcer.Methods Eighty Hp-positive patients with chronic ulcer admitted to Department of Spleen and Stomach Diseases,Qingdao West Coast New District Hospital of Traditional Chinese Medicine from January,2018 to January,2019 were selected as study objects.They were divided into an intervention group and a control group by random number table method,with 40 cases in each group.The control group received routine nursing intervention,while the intervention group PRECEDE mode nursing intervention.The clinical efficacy,compliance behavior,negative rate of Hp,recurrence rate,nursing satisfaction,and life quality scores before and after the intervention were compared between the two groups.Results The clinical efficacy of the intervention group was significantly higher than that of the control group(95.00%vs.75.00%,P<0.05).The compliance behavior of the intervention group was significantly better than that of the control group(85.00%vs.55.00%,P<0.05).After the intervention,the scores of physiological function,physiological function,body pain,general health,activity energy,social function,emotional function,and mental health of the two groups were significantly increased,and were significantly higher in the intervention group than in the control group(all P<0.05).The negative conversion rate and recurrence rate of Hp were 92.50%and 10.00%in the intervention group,and were 70.00%and 30.00%in the control group(both P<0.05).The nursing satisfaction of the intervention group was significantly higher than that of the control group(92.50%vs.75.00%,P<0.05).Conclusion The application of PRECEDE mode nursing in Hp-positive patients with chronic gastric ulcer has a remarkable effect.It can significantly improve the patients’compliance behavior and negative conversion rate of Hp.At the same time,it can reduce the recurrence rate,improve the patients’quality of life and nursing satisfaction.It is worthy of clinical promotion.