延续护理对胃食管反流病患者的影响  

Effect of continuous nursing in patients with gastroesophageal reflux disease

作　　者：杨静华[1] 吴温玉[1] 彭冬梅[1] 卢小红[1] 

机构地区：[1]广东省湛江中心人民医院消化内科,524037

出　　处：《中华现代护理杂志》2014年第17期2113-2116,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨延续护理对胃食管反流病（ GERD）患者的影响。方法将100例GERD患者随机分为干预组和对照组，每组各50例，两组在住院期间均接受常规护理和出院指导，患者出院后，对照组采用传统门诊随访模式，干预组将延续护理干预贯穿出院后家庭护理全过程。实施前及6个月后采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、遵医依从性调查问卷、反流性疾病问卷（RDQ）进行调查，比较干预效果。结果干预前两组患者SAS、SDS、RDQ总分、疾病知识掌握情况、遵医依从性得分比较差异均无统计学意义（P＞0．05）；干预6个月后，干预组RDQ评分为（6．82±2．16）分，SAS为（36．85±6．81）分，SDS为（43．33±7．12）分，均低于对照组，差异有统计学意义（t值分别为9．24，-5．86，-4．62；P＜0．01）；干预后两组患者SAS、SDS评分及RDQ总分均低于干预前，干预前后组内比较差异均有统计学意义（P＜0．05）；干预组疾病知识掌握情况得分为（8．73±0．28）分、遵医依从性为（25．53±1．28）分，均高于对照组，差异有统计学意义（t值分别为11．24，5．62；P＜0．01）。结论对GERD患者实施延续护理干预，提高患者的防治知识，可促进患者的自我管理能力和健康行为，提高患者的遵医依从性，能巩固和提升治疗效果。Objective To explore the effect of continuous nursing in patients with gastroesophageal reflux disease （ GERD ） .Methods One hundred GERD patients were chosen and randomly divided into the intervention group and the control group , each with 50 cases.All patients received the routine nursing and the discharge guidance in the hospital , and the control group received the traditional outpatient follow-up model, and the intervention group received the continuous nursing in the process of home nursing .The intervention effect was evaluated by the self-rating anxiety scale （SAS）, the self-rating depression scale （SDS）, the compliance questionnaire and the reflux diagnostic questionnaire （ RDQ ） before and six months after the intervention . Results No differences were found in the scores of SAS , SDS, RDQ, mastering the knowledge of disease and the compliance in two groups before the intervention （ P 〉0.05 ）.The scores of RDQ, SAS, SDS were respectively （6.82 ±2.16）, （36.85 ±6.81）, （43.33 ±7.12） in the intervention group six months after intervention , and were lower than those in the control group , and the differences were statistically significant （t=9.24, -5.86, -4.62, respectively;P〈0.01）.The scores of SAS, SDS and RDQ in two groups after intervention were lower than those before intervention , and the difference was statistically significant （ P 〈0.05）.The scores of mastering the knowledge of disease and compliance were respectively （8.73 ±0.28）, （25.53 ±1.28） in the intervention group, and were higher than those in the control group , and the differences were statistically significant （t=11.24, 5.62, respectively;P〈0.01）.Conclusions The continuous nursing in GERD patients can improve their prevention knowledge , and promote their self-management ability and health behavior , and increases their compliance , and consolidate and improve the therapeutic effect .

关 键 词：胃食管反流病 延续护理 焦虑 抑郁 遵医依从性 

分 类 号：R473.5[医药卫生—护理学]