中医辨证施护结合饮食干预对幽门螺杆菌感染消化性溃疡患者的影响

Efficacy of TCM syndrome differentiation and diet intervention on peptic ulcer infected by helicobacter pylori

目的:分析中医辨证施护理论结合饮食干预护理幽门螺杆菌感染消化性溃疡患者的效果。方法:选取2018年10月-2019年8月我院收治的112例幽门螺杆菌感染消化性溃疡患者作为研究对象,按照随机分配原则将所有研究对象分为常规组与研究组。常规组采用常规护理方式,研究组采用中医辨证施护理论结合饮食干预的护理方案,比较两组患者护理后的不良反应发生情况、护理前后生活质量以及护理满意度,同时比较两组患者治疗前后的胃动素及胃泌素水平变化、证候评分。结果:通过对两组患者分别实施不同的护理方案,发现实施中医辨证施护结合饮食干预的研究组其不良反应发生率显著低于常规组,P<0.05,差异具有统计学意义。随后通过随访发现,研究组的生活质量评分显著高于常规组,P<0.05,差异具有统计学意义。研究组的护理满意度显著高于常规组,P<0.05,差异具有统计学意义。研究组的胃动素、胃泌素水平显著低于常规组,P<0.05,差异具有统计学意义;研究组的证候评分显著低于常规组,P<0.05,差异具有统计学意义。结论:对于幽门螺杆菌感染消化性溃疡患者实施中医辨证施护联合饮食干预的护理方案,不仅能够减少不良反应发生率,而且能够提高患者的生活质量与护理满意度,在今后的临床护理中具有重要的指导意义。

Objective:To analyze the effect of TCM syndrome nursing theory and diet intervention on peptic ulcer infected by helicobacter pylori.Methods:112 patients with peptic ulcer infected with helicobacter pylori treated in our hospital from October 2018 to August 2019 were selected as research subjects.All subjects were divided into the routine group and study group according to the principle of random allocation.The conventional group adopted conventional nursing methods,and the research group adopted the TCM differentiation nursing plus dietary intervention.The incidence of adverse reactions after care,quality of life before and after care,and nursing satisfaction were compared.Changes in motilin and gastrin levels and syndrome scores were compared.Results:The incidence of adverse reactions in the study group was significantly lower than that in the conventional group,P<0.05,and the difference was statistically significant.The quality of life score in the study group was significantly higher than that in the conventional group,P<0.05,and the difference was statistically significant.The nursing satisfaction in the study group was significantly higher than that in the conventional group,P<0.05,and the difference was statistically significant.The levels of motilin and gastrin in the study group were significantly lower than those in the conventional group,P<0.05.The syndrome score in the study group was significantly lower than that in the conventional group,P<0.05,and the difference was statistically significant.Conclusion:The implementation of TCM nursing plus dietary intervention for patients with peptic ulcer infected by helicobacter pylori can not only reduce adverse reactions,but also improve patients’quality of life and nursing satisfaction.It has important guiding significance.