积极心理学护理联合膳食调节对肠易激综合征患者的临床应用

Clinical application of positive psychological nursing combined with dietary adjustment for patients with irritable bowel syndrome

目的研究积极心理学护理联合膳食调节对肠易激综合征患者的临床应用。方法选取2018年9月至2020年9月中山市博爱医院收治的86例肠易激综合征患者作为研究对象,随机分为观察组与对照组,每组各43例。对照组采用一般化护理方式,观察组采用膳食调节结合积极心理学护理,比较两组心理状态、肠易激综合征生命质量(IBS-QOL)、心理应激水平(SCL-90)等。结果观察组肠易激综合征患者护理后的焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。观察组行为障碍、焦虑不安、社会反应、身体角色与人际关系等IBS-QOL评分高于对照组,观察组强迫、躯体化、人际关系敏感、偏执与恐怖等SCL-90评分低于对照组,差异有统计学意义(P<0.05)。结论膳食调节结合积极心理学护理对于改善患者的心理状态,降低心理应激水平,提高患者生命质量等有重要的意义。

Objective To study the clinical application of positive psychological nursing combined with dietary adjustment for patients with irritable bowel syndrome(IBS).Methods A total of 86 patients with IBS admitted to Boai Hospital of Zhongshan from September 2018 to September 2020 were selected as the study subjects.They were divided into the observation group and the control group according to the randomized method,with 43 cases in each group.The control group received generalized nursing,while the observation group received dietary adjustment combined with positive psychological nursing.The scores of psychological status,IBS-quality of life(IBS-QOL),and psychological stress level[Symptom Checklist-90(SCL-90)]of the two groups were compared.Results The anxiety and depression scores of IBS patients in the observation group were lower than those in the control group after nursing,with statistically significant differences(P<0.05).The IBS-QOL scores of behavioral disorders,anxiety,social reactions,physical roles and interpersonal relationships in the observation group were higher than those in the control group,while the SCL-90 scores of obsessions,somatization,interpersonal sensitivity,paranoia and terror in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).Conclusion Dietary adjustment combined with positive psychological nursing is of great significance for improving psychological status,reducing the levels of psychological stre ss,and improving quality of life patients,etc.