个体化生活方式干预对妊娠妇女胃食管反流症状及生活质量的影响  

The effect of individual lifestyle interventions on the symptoms of gastroesophageal reflux and quality of life during pregnancy

作　　者：郭员志 李俊玲[1] 李玉雪[1] 王俊锋[1] 吕素[1] 

机构地区：[1]郑州大学第二附属医院,河南郑州450000

出　　处：《现代预防医学》2017年第4期630-633,共4页Modern Preventive Medicine

基　　金：河南省科技厅科技攻关项目(162102310562);河南省科技厅重点攻关项目(132102310147)

摘　　要：目的探讨个体化生活方式干预对妊娠期妇女胃食管反流症状及生活质量的影响。方法抽取经反流疾病问卷(Reflux Diagnostic Questionnaire,RDQ)确诊为胃食管反流病(Gastroesophageal Reflux Disease,GERD)的106名孕妇,使用信封法将其随机分为对照组和实验组,对照组采用常规围生保健,实验组在此的基础上实行连续的个体化生活方式干预,比较3个月后2组孕妇的胃食管反流症状和生活质量。采用SPSS17.0对数据进行统计学分析。结果 (1)干预3个月后实验组孕妇胃食管反流症状得分(12.62±3.13)分,与对照组(14.01±2.96)分相比较低,差异有统计学意义(t=2.315,P=0.023);(2)干预3个月后实验组生活质量总得分(70.28±12.15)分,高于对照组[(62.13±13.20)]分,差异有统计学意义(t=-3.261,P=0.002),同时在情绪压力、睡眠障碍、饮食问题3个维度上实验组得分高于对照组,差异有统计学意义(t=-4.738,P<0.001;t=-3.287,P=0.001;t=-2.978,P=0.004)。结论个体化生活方式干预能够减轻妊娠期妇女胃食管反流症状,改善其生活质量。Objective The aim of this study was to investigate the function of individual lifestyle interventions to improve reflux symptoms and quality of life on pregnant women. Methods Through convenience sampling method, a total of 106 women diagnosed of GERD （gastroesophageal reflux disease） by RQD（reflux diagnostic questionnaire） during first trimester of pregnancy were chosen and divided into experimental and control gronpsusing the envelope method. Control group was investigated with conventional perinatal, and experimental group was investigated with continuous individualized lifestyle intervention on the basis of conventional perinatal. Comparison of gastroesophageal reflux symptoms and quality of life between two groups was performed after three months. Spssl7.0 was used for statistical analysis. Results The symptoms of gastroesophageal reflux were lower in experimental group（12.62±3.13） than control group（14.01±2.96） after three months（t= 2.315,P=0.023）. The total score on the quality of life （70.28±12.15） was higherthancontrolgroap （62.13±13.20）（t=-3.261, P= 0.002）, and the score onemotional stress, sleep disorders, eating problems werehigher in experimental groupthancontrolgroup （t=-4.738, P〈0.001; t=-3.287, P=0.001; t=-2.978, P=0.004）. Conclusion Individual lifestyle interventions can reduce the symptoms of gastroesophageal reflux and improve the quality of life for pregnant women.

关 键 词：个体化生活方式干预 妊娠 胃食管反流 

分 类 号：R173[医药卫生—妇幼卫生保健]