摘要
目的：探讨综合护理干预在胃食管反流病（GERD）患者中的应用效果。方法将68例 GERD患者根据住院号末尾奇偶数分为观察组（33例）和对照组（35例），对照组患者采用常规的方法进行护理，包括饮食护理、心理护理、体位护理、健康教育以及用药指导等；观察组患者在对照组基础上采用一系列综合措施进行护理干预。比较两组患者症状积分和生活质量得分情况。结果观察组反流症状积分、烧心症状积分、胸痛症状积分、嗳气症状积分，出院4周分别为（2．5±1．0）分、（2．8±1．2）分、（2．8±1．3）分、（2．1±1．2）分，对照组分别为（4．8±1．6）分、（4．4±2．1）分、（3．8±1．2）分、（3．4±1．4）分，两组差异均有统计学意义（t ＝7．34、4．87、4．32、4．71，均 P ＜0．05）；出院12周分别为（1．8±0．8）分、（2．2±1．0）分、（1．5±0．4）分、（1．5±0．6）分，均明显低于对照组的（4．7±1．4）分、（4．5±1．5）分、（3．0±0．6）分、（3．2±1．6）分，两组差异均有统计学意义（t ＝10．98、7．43、6．12、6．02，均 P ＜0．05）；观察组出院12周反流症状积分、烧心症状积分、胸痛症状积分、嗳气症状积分分别为（1．8±0．8）分、（2．2±1．0）分、（1．5±0．4）分、（1．5±0．6）分，均低于出院4周的症状积分（t ＝2．96、1．86、7．55、4．62，均 P ＜0．05）。出院4周、12周，观察组患者的生活质量也明显高于对照组（均 P ＜0．05）。结论综合护理干预可以显著改善 GERD 患者的症状，且提高患者生活质量，随着综合干预的进行患者受益效果越大。
Objective To investigate the effect of comprehensive nursing intervention on patients with gastroesophageal reflux disease（GERD）.Methods 68 patients with GERD from January 201 2 to January 201 5 in the 1 st Affiliated Hospital of Bengbu Medical College were randomly divided into observation group （n =33）and control group（n =35）.The symptom scores and life quality scores of the patients in the two groups were compared. Results 4 weeks after discharging,the symptom scores of reflux,heartburn,chest pain,belch in the observation group were （2.5 ±1 .0）points,（2.8 ±1 .2）points,（2.8 ±1 .3）points,（2.1 ±1 .2）points respectively,which in the control group were （4.8 ±1 .6）points,（4.4 ±2.1 ）points,（3.8 ±1 .2）points,（3.4 ±1 .4）points respectively,the differ-ences were statistically significant（t =7.34,4.87,4.32,4.71 ,all P 〈0.05）.1 2 weeks after discharging,the symptom scores of reflux,heartburn,chest pain,belch in the observation group were （1 .8 ±0.8）points,（2.2 ±1 .0）points, （1 .5 ±0.4）points,（1 .5 ±0.6）points respectively,which in the control group were （4.7 ±1 .4）points,（4.5 ± 1 .5）points,（3.0 ±0.6）points,（3.2 ±1 .6）points respectively,the differences were statistically significant（t =1 0.98,7.43,6.1 2,6.02,all P 〈0.05）.Meanwhile,the symptom scores of the observation group 1 2 weeks after discharging were lower than those of the observation group 4 weeks after discharging （t =2.96,1 .86,7.55,4.62,all P 〈0.05）.The life quality scores of the observation group were significantly higher than the control group,the differ-ences were statistically significant（all P 〈0.05）.Conclusion Comprehensive nursing intervention can significantly improve symptoms and quality of life in patients with GERD.With the comprehensive intervention of patients under-taking,patients can benefit more.
出处
《中国基层医药》
CAS
2015年第24期3726-3728,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
护理干预
胃食管反流
健康教育
护理
Nursing intervention
Gastroesophageal reflux
Health education
Nursing care
