奥美拉唑治疗胃溃疡患者过程中应用MDT护理的干预效果

The Intervention Effect of MDT Nursing in Gastric Ulcer Patients with Omeprazole Treatment

目的:探讨多学科协作(MDT)护理干预对奥美拉唑治疗胃溃疡患者的影响。方法:选取我院2020年12月—2022年6月收治的胃溃疡患者143例作为研究对象。依据随机数字表法分成实验组(n=72)和对照组(n=71)。两组均给予奥美拉唑治疗,对照组配合常规护理,试验组在对照组基础上实施MDT护理干预,比较两组遵医行为、心理状态[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、生活质量[生活质量量表(WHOQOL-BREF)]、预后(复发率、并发症发生率、住院时间)、护理满意度。结果:干预后,试验组SAS、SDS评分低于对照组,WHOQOL-BREF评分高于对照组(P<0.05);试验组遵医率为97.22%,高于对照组的81.69%(P<0.05);试验组复发率、并发症发生率、住院时间改善程度大于对照组(P<0.05);试验组护理满意度为98.61%,高于对照组78.87%(P<0.05)。结论:在奥美拉唑治疗胃溃疡期间,MDT护理干预能改善患者心理状态,提高遵医行为,提升预后效果、生活质量,且患者对护理满意度较高。

Objective:To investigate the effect of multidisciplinary collaborative(MDT)nursing intervention in gastric ulcer patients with omeprazole treatment.Methods:A total of 143 patients with gastric ulcer admitted to our hospital from December 2020 to June 2022 were selected as the study objects.They were divided into experimental group(n=72)and control group(n=71)according to random number table method.Both groups were given omeprazole treatment,the control group was combined with conventional nursing,and the experimental group was given MDT nursing intervention on the basis of the control group.The compliance behavior,mental state[Self-Rating Depression Scale(SDS),Self-Rating Anxiety Scale(SAS)],quality of life[The World Health Organization quality of life BREF(WHOQOL-BREF)],prognosis(recurrence rate,complication rate,length of stay)and nursing satisfaction of the two groups were compared.Results:After intervention,the scores of SAS and SDS in experimental group were lower than those in control group,and the scores of WHOQOL-BREF were higher than those in control group(P<0.05).The compliance rate of experimental group was 97.22%,which was higher than 81.69%of control group(P<0.05).The improvement of recurrence rate,complication rate and hospital stay in experimental group was greater than that in control group(P<0.05).The nursing satisfaction of experimental group was 98.61%,which was higher than 78.87%of control group(P<0.05).Conclusion:During the treatment of gastric ulcer with omeprazole,MDT nursing intervention can improve patients’psychological state,compliance behavior,prognosis and quality of life,and patients have higher satisfaction with nursing.