摘要
目的探讨在消化性溃疡护理中舒适护理的应用效果。方法本次研究从2018年6月至2019年6月在本院收治的患者中选取206例消化性溃疡患者为研究对象,用信封抽签法随机分组,研究组(103例)采用舒适护理,主要包括环境护理、心理护理、腹痛护理、饮食护理及康复护理;常规组(103例)采用一般性护理,主要包括基础护理、用药护理、饮食护理、健康护理,比较两组临床症状改善率、复发率、溃疡总愈合率、并发症发生概率、疼痛情况、生活质量、焦虑和抑郁评分、护理满意度。结果①研究组复发率低于常规组,食欲缺乏、腹胀、腹痛各项症状改善率高于常规组,两组差异均具有统计学意义(P<0.05)。②研究组溃疡总愈合率高于常规组,两组差异具有统计学意义(P<0.05)。③研究组总的并发症发生概率为1.94%,常规组的发生概率为15.53%,组间总并发症发生概率进行比较,具有显著性(P<0.05)。④研究组发生“疼痛次数频繁”的概率明显低于常规组,发生“基本无疼痛”的概率明显高于常规组,差异有显著性(P<0.05)。而两组“偶尔发生疼痛”的概率对比无明显差异(P>0.05)。⑤干预前两组GIQLI量表的各维度评分无显著差异(P>0.05);干预后,观察组GIQLI量表的自觉症状、心理情绪状况、躯体生理功能、平时生活层面评分均较对照组更高(P<0.05)。⑥研究组SAS评分、SDS评分分别为(33.61±9.15)分、(34.78±8.73)分,常规组分别为(42.29±9.27)分、(43.52±9.04)分,差异有统计学意义(P<0.05)。⑦研究组护理满意度为99.03%,常规组为93.20%,差异有统计学意义(P<0.05)。结论消化性溃疡的严重程度会受生理因素和心理因素双重影响,如果患者心理压力较大,会加重病情,应用舒适护理有助于改善病症及心理状态,减少复发率,提高护理满意度,值得大力推广应用。
Objective To explore the application effect of comfort nursing in peptic ulcer nursing.Methods In this study,206 cases of patients with peptic ulcer were selected from June 2018 to June 2019 in our hospital,and randomly divided into groups by envelope lottery.The study group(103 cases)used comfort nursing,including environmental nursing,psychological nursing,abdominal pain nursing,diet nursing and rehabilitation nursing.Routine group(103 cases)used general nursing,mainly including basic nursing,medication nursing,diet nursing,health nursing,clinical symptom improvement rate,recurrence rate,total healing rate of ulcer,probability of complications,pain,quality of life,anxiety and depression score,nursing satisfaction between the two groups were compared.Results(1)The recurrence rate of the study group was lower than that of the routine group,and the improvement rate of the symptoms of anorexia,abdominal distention and abdominal pain was higher than that of the routine group,with statistical significance(P<0.05).(2)The study group the total ulcer healing rate was higher than that of the routine group,the difference between the two groups was statistically significant(P<0.05).(3)The total probability of complications in the study group was 1.94%and that in the routine group was 15.53%.There was significant difference in the total probability of complications between the groups(P<0.05).(4)The probability of"frequent pain"in the study group was significantly lower than that in the routine group,and"basically no pain"occurred,there was significant difference between the two groups(P<0.05).(5)Before the intervention,there was no significant difference in the scores of each dimension of GIQLI scale between the two groups(P>0.05);after the intervention,the scores of conscious symptoms,psychological and emotional status,physical physiological function and daily life in the study group were higher than those in the control group(P<0.05).(6)The SAS and SDS scores of the study group were(33.61±9.15)points and(34.78±8.73)points,respectively,and those of the routine group were(42.29±9.27)points and(43.52±9.04)points,respectively,with statistically significant differences(P<0.05).(7)Nursing satisfaction was 99.03%in the study group and 93.20%in the routine group,the difference was statistically significant(P<0.05).Conclusion The severity of peptic ulcer will be affected by both physiological and psychological factors.If the patient has great psychological stress,it will aggravate the condition.The application of comfortable nursing can help to improve the symptoms and psychological state,reduce recurrence rate and improve nursing satisfaction.
作者
宋柏
SONG Bai(Zhuanghe Central Hospital,Dalian 116400,China)
出处
《中国医药指南》
2022年第3期51-54,58,共5页
Guide of China Medicine
关键词
消化性溃疡
舒适护理
食欲缺乏
腹胀
腹痛
焦虑
Peptic ulcer
Comfort nursing
Loss of appetite
Abdominal distension
Abdominal pain
Anxiety
