基于Stetler研究应用模式的循证干预在反流性食管炎患者中的应用观察

Observation on the application of evidence-based intervention based on the Stetler study application model in patients with reflux esophagitis

目的探究基于Stetler研究应用模式的循证干预在反流性食管炎患者中的应用价值。方法选取2023年1~12月我院收治的302例反流性食管炎患者,采用随机数字表法分为对照组(n=151,应用常规护理)和观察组(n=151,应用基于Stetler研究应用模式的循证干预),干预至出院后1个月,比较两组患者营养状态、负性情绪、疾病不确定感、自护能力、生活质量。结果于干预前比较,干预后两组患者微型营养量表(MNA)得分升高,焦虑自评量表(SAS)、抑郁自评量表(SDS)得分下降,疾病不确定感量表各维度得分及其总分均降低,患者自护能力量表、生活质量量表各维度得分及其总分均升高(P<0.05);且干预后观察组上述各项评分均优于对照组,两组比较差异有统计学意义(P<0.05)。结论反流性食管炎患者应用基于Stetler研究应用模式的循证干预言,能更好改善营养状态,缓解负性情绪,降低疾病不确定感,增强自护能力,提升生活质量,适合在临床应用推广。

Objective To explore the application value of evidence-based intervention based on Stetler research application model in patients with reflux esophagitis.Methods Three hundred and two patients with reflux esophagitis who were treated in our hospital from January 2023 to December 2023 were selected.The patients were divided into a control group and an observation group by using random number table method,151 in each group.The control group received conventional nursing.The observation group received evidence-based intervention based on Stetler research application model.Both groups were intervened until 1 month after discharge.The nutritional status,negative emotions,disease uncertainty,self-care ability,and quality of life were compared between the two groups.Results Compared with before intervention,the Mini Nutrition Assessment(MNA)score in both groups was increased while the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were decreased after intervention,and the scores of various dimensions and total score of disease uncertainty scale were reduced while the scores of dimensions and total scores of self-care ability scale and quality of life scale were enhanced(P<0.05).The above scores in the observation group after intervention were better than those in the control group(P<0.05).Conclusions Evidence-based intervention based on Stetler research application model can promote the nutritional status,relieve the negative emotions,reduce the disease uncertainty,enhance the self-care ability,and improve the quality of life in patients with reflux esophagitis.It is suitable for clinical application and promotion.