知信行护理联合呼吸训练在胃食管返流病中的临床应用效果研究

Clinical Application of Knowledge,Belief and Practice Nursing Combined with Respiratory Training in Gastroesophageal Reflux Disease

目的:探讨知信行护理联合呼吸训练在胃食管返流病(GERD)中的临床应用效果。方法:选取2020年1月-2021年6月在佛山市中医院门诊及住院治疗的130例GERD患者,按照随机数字表法将其分为对照组(n=65)和观察组(n=65)。对照组实施常规护理干预,观察组实施知信行护理联合呼吸训练干预。比较两组GERD的认知程度、心理情绪、消化道症状及生活质量评分。结果:观察组对GERD相关知识的回答正确率均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组焦虑自评量表(SAS)、抑郁自评量表(SDS)、症状严重程度、症状发生频率评分、消化道症状总分、胃食管返流病生活质量量表(GERD-HRQL)评分均低于对照组,差异均有统计学意义(P<0.05)。结论:知信行护理联合呼吸训练不仅有助于提升患者对GERD的认知水平,并且可有效改善患者负面心理和临床症状,提高生活质量。

Objective:To explore the clinical application of knowledge,belief and practice nursing combined with respiratory training in gastroesophageal reflux disease(GERD).Method:A total of 130 GERD patients treated in the Outpatient Department and Inpatient Department of Foshan Hospital of Traditional Chinese Medicine from January 2020 to June 2021 were selected,they were randomly divided into control group(n=65)and observation group(n=65)according to random number table.The control group received routine nursing intervention,and the observation group received knowledge,belief and practice nursing combined with respiratory training intervention.The cognitive level of GERD,psychological emotion,gastrointestinal symptoms and quality of life scores were compared between two groups.Result:The correct rate of GERD related knowledge in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),severity of symptoms,frequency of symptoms,digestive tract symptoms total score,and the scores of quality of life of gastroesophageal reflux disease(GERD-HRQL)in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Knowledge,belief and practice nursing combined with respiratory training can not only improve patients’cognitive level of GERD,but also effectively improve patients’negative psychological,clinical symptoms and quality of life.