系统化护理联合积极心理干预在慢性胃炎合并抑郁症患者中的应用

Application of systematic nursing combined with positive psychological intervention in patients with chronic gastritis and depression

目的评价系统化护理联合积极心理干预在慢性胃炎合并抑郁症患者中的实施效果和价值。方法选取2019年6月至2022年5月聊城市第四人民医院内科收治的共计90例慢性胃炎合并抑郁症患者作为研究对象,按简单随机抽样法分为对照组和观察组,各45例。对照组接受常规护理,观察组实施系统化护理联合积极心理干预。比较2组患者的心理状态、各项症状消失时间、胃镜黏膜征象积分和炎症因子水平。结果出院时和出院1个月后,2组的汉密尔顿抑郁量表和汉密尔顿焦虑量表评分均较干预前降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。观察组腹部胀痛、恶心/呕吐、食欲不振和反酸/嗳气的症状消失时间均较对照组更早(P均<0.05)。出院1个月后,2组的黏膜颗粒状、黏膜血管显露、黏膜皱襞变薄和黏膜色泽异常积分均较干预前降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。出院1个月后,2组的肿瘤坏死因子-α、白介素-8和可溶性白介素2受体水平均较干预前降低(P均<0.05),且观察组均较同期对照组更低(P均<0.05)。结论系统化护理联合积极心理干预可以显著改善慢性胃炎合并抑郁症患者的心理状态,缩短腹部胀痛等各项症状的消失时间,且能够降低胃镜黏膜征象积分和炎症因子水平。

Objective To evaluate the implementation effect and value of systematic nursing combined with positive psychological intervention in patients with chronic gastritis and depression.Methods Ninety patients with chronic gastritis and depression in the Department of Internal Medicine at Liaocheng Fourth Peoples Hospital from June 2019 to May 2022 were enrolled.They were assigned into a control group and an observation group by simple random sampling.Both groups contained 45 patients.The control group received routine nursing,and the observation group carried out systematic nursing combined with positive psychological intervention.The psychological state,symptom disappearance time,gastroscopic mucosal sign scores,and inflammatory factor levels were compared between the two groups.Results At discharge and 1 month after discharge,the scores of the Hamilton Depression Scale and Hamilton Anxiety Scale in both groups were decreased compared with those before intervention(all P<0.05),and the observation group had lower scores than the control group(all P<0.05).The symptoms of abdominal distension,nausea/vomiting,loss of appetite,and acid regurgitation/belching disappeared earlier in the observation group than in the control group(all P<0.05).At 1 month after discharge,the scores of mucosal granulation,mucosal vascular exposure,mucosal fold thinning,and abnormal mucosal color in both groups were decreased compared with those before intervention(all P<0.05),and the scores in the observation group were lower than those in the control group(all P<0.05).At 1 month after discharge,the levels of tumor necrosis factor-α,interleukin-8,and soluble interleukin-2 receptor in both groups were decreased compared with before intervention(all P<0.05),and the levels in the observation group were lower than those in the control group(all P<0.05).Conclusion Systematic nursing combined with positive psychological intervention can significantly improve the psychological state of patients with chronic gastritis and depression,shorten the disappearance time of abdominal distension and other symptoms,and reduce the levels of gastroscopic mucosal signs and inflammatory factors.