微信延续性护理在幽门螺旋杆菌阳性十二指肠溃疡中的应用效果

Application Effect of WeChat Continuous Nursing in Helicobacter Pylori Positive Duodenal Ulcer

目的:研究微信延续性护理在幽门螺旋杆菌(helicobacter pylori,HP)阳性十二指肠溃疡患者根治HP治疗中的应用效果。方法:选取2019年3月—2020年3月广州中医药大学深圳医院收治的60例行胃镜、碳13呼气试验后诊断为HP阳性的十二指肠溃疡患者作为研究对象,按照随机数表法将其随机分为观察组(30例)和对照组(30例),两组患者均予常规四联根治HP治疗,对照组患者给予常规护理,观察组患者采用以微信为平台的延续性护理,比较两组患者的HP根除率、依从性及生存质量积分。结果:治疗后观察组患者和对照组患者HP根除率分别为96.7%、76.7%,组间比较差异有统计学意义(χ^(2)=5.192,P<0.05)。从遵医嘱用药、分餐进食方面,观察组患者的依从性明显高于对照组患者,组间比较差异有统计学意义(χ^(2)=12.27、8.52、0.19,P<0.05)。两组患者生存质量积分均较治疗前明显改善,且观察组患者在核心症状、躯体生理功能状况、心理情绪状况、社会活动及总积分方面疗效显著优于对照组患者,差异有统计学意义(P<0.05)。结论:微信延续性护理能提高幽门螺旋杆菌阳性十二指肠溃疡患者HP根除率、依从性及生存质量积分。

Objective:To study the effect of using continuous care based on WeChat platform in duodenal ulcer with Helicobacter pylori HP positive.Methods:From March 2019 to March 2020,60 patients with duodenal ulcers who were diagnosed with HP positive after gastroscopy and carbon-13 breath test were selected as the research subjects.They were randomly divided into observation group and control group,with 30 cases in each group.Both groups received conventional quadruple radical HP therapy.The patients in the control group were given routine care,and the patients in the observation group were given continuous care with WeChat as the platform.The HP eradication rate,compliance and quality of life scores were compared between the two groups.Results:After treatment,the HP eradication rates in the observation group and the control group were 96.7%and 76.7%,and the difference between the groups was statistically significant(χ^(2)=5.192,P<0.05).The compliance of the patients in the observation group with medication and divided meals was significantly higher than that in the control group,and the difference was statistically significant(χ^(2)=12.27,8.52,0.19,P<0.05).The quality of life scores of the two groups of patients were significantly improved compared with those before treatment,and the patients in the observation group were significantly better than the patients in the control group in terms of core symptoms,physical and physiological function status,psychological and emotional status,social activities and total scores,and the difference was statistically significant(P<0.05).Conclusion:WeChat continuous nursing can improve HP eradication rate,compliance and quality of life scores in patients with Helicobacter pylori-positive duodenal ulcer.