家庭协作干预对慢性胃炎并发胃黏膜萎缩糜烂患者胃肠道症状、负性情绪及生活质量的影响

Effects of Family Cooperative Intervention on Gastrointestinal Symptoms,Negative Emotions and Quality of Life in Patients with Chronic Gastritis Complicated with Gastric Mucosa Atrophy and Erosion

目的研讨家庭协作干预对慢性胃炎并发胃黏膜萎缩糜烂患者胃肠道症状、负性情绪及生活质量的影响。方法随机选取2020年3月—2023年3月福建省地质医院确诊为慢性胃炎并发胃黏膜萎缩糜烂的180例患者为研究对象,按照随机数表法分为两组,每组90例。对照组予以常规护理,观察组基于对照组开展家庭协作干预,对比两组干预前后的胃肠道症状、负性情绪以及生活质量。结果干预后,观察组胃肠道症状评估量表得分为(43.28±4.94)分,低于对照组的(45.81±5.11)分,差异有统计学意义(t=3.376,P<0.001)。干预后,观察组汉密尔顿抑郁量表、汉密尔顿焦虑量表得分均低于对照组,差异有统计学意义(P均<0.05)。干预后,观察组世界卫生组织生活质量量表4个维度(心理功能、环境功能、社会功能及生理功能)得分相比对照组均更高,差异有统计学意义(P均<0.05)。结论家庭协作干预能够有效改善慢性胃炎并发胃黏膜萎缩糜烂患者的胃肠道症状,减轻患者的负性情绪,改善患者的生活质量。

Objective To study the effects of family cooperative intervention on gastrointestinal symptoms,negative emotions and quality of life in patients with chronic gastritis complicated with gastric mucosa atrophy and erosion.Methods A total of 180 patients diagnosed with chronic gastritis complicated with gastric mucosa atrophy and erosion by Fujian Provincial Geological Hospital from March 2020 to March 2023 were randomly selected as the study objects and were divided into two groups according to random number table method,with 80 cases in each group.The control group was given routine nursing,and the observation group carried out family cooperative intervention based on the control group.Gastrointestinal symptoms,negative emotions and quality of life were compared between the two groups before and after intervention.Results After intervention,the score of gastrointestinal symptom assessment scale in the observation group was(43.28±4.94)points,which was significantly lower than(45.81±5.11)points in the control group,and the difference was statistically significant(t=3.376,P<0.001).After intervention,the scores of Hamilton de⁃pression scale and Hamilton anxiety scale in the observation group were significantly lower than those in the control group,and the differences were statistically significant(both P<0.05).After intervention,the scores of the four dimen⁃sions of the world health organization quality of life scale(psychological function,environmental function,social func⁃tion and physiological function)in the observation group were higher than those in the control group,and the differ⁃ences were statistically significant(all P<0.05).Conclusion Family cooperative intervention can effectively improve the gastrointestinal symptoms of patients with chronic gastritis complicated with gastric mucosa atrophy and erosion,reduce the negative emotions of patients,and improve the quality of life of patients.