反馈性健康教育联合饮食干预对消化性溃疡患者的影响  

Effect of feedback health education combined with dietary intervention on patients with peptic ulcer

作　　者：苏少锋 符岸秋[1] 郭泽霞[1] 庄少丽 刘惠 SU Shaofeng;FU Anqiu;GUO Zexia;ZHUANG Shaoli;LIU Hui(Department of Gastroenterology,Sanya Central Hospital(the Third People′s Hospital of Hainan Province),Hainan Province,Sanya572000,China)

机构地区：[1]三亚中心医院(海南省第三人民医院)消化内科,海南三亚572000

出　　处：《中国医药导报》2020年第22期167-170,共4页China Medical Herald

基　　金：海南省卫生计生科研项目(19A200188)。

摘　　要：目的探讨反馈性健康教育联合饮食干预对消化性溃疡(PU)患者的影响。方法以2017年4月—2019年1月海南省第三人民医院PU患者148例为研究对象,按照随机数字表法分为对照组(74例)和观察组(74例),两组均给予常规护理,观察组在常规护理的基础上给予反馈性健康教育联合饮食干预,比较两组PU健康知识知晓情况、幽门螺杆菌阳性率、住院时间、复发率、治疗依从性及疗效。结果观察组发病原因、临床表现、饮食与营养、休息与运动、预防知识评分均高于对照组(均P<0.05)。两组幽门螺杆菌阳性率比较,差异无统计学意义(P>0.05)。观察组住院时间、复发率明显低于对照组(P<0.05)。观察组按时服药、合理饮食、规律作息、适量运动、戒烟酒方面治疗依从性均明显高于对照组(P<0.05)。观察组治疗总有效率明显高于对照组(P<0.05)。结论反馈性健康教育联合饮食干预能够明显提高PU患者对PU相关健康知识的了解,降低患者住院时间及复发率,并提高患者治疗依从性及有效率,值得在临床推广应用。Objective To investigate the effect of feedback health education combined with dietary intervention on patients with peptic ulcer(PU).Methods From April 2017 to January 2019,148 PU patients in the Third People′s Hospital of Hainan Province were selected as the study subjects,and the patients were divided into control group(74 cases)and observation group(74 cases)according to the random number table method.Both groups were given routine nursing,and the observation group was given feedback health education combined with diet intervention on the basis of the routine nursing,the PU health knowledge,helicobacter pylori positive rate,hospital stay,recurrence rate,treatment compliance and efficacy of two groups were compared.Results The scores of disease cause,clinical manifestation,diet and nutrition,rest and exercise,and prevention knowledge in the observation group were higher than those in the control group(all P<0.05).Comparison of the positive rate of helicobacter pylori between the two groups showed no statistically significant difference(P>0.05).The length of hospital stay and recurrence rate in the observation group were significantly lower than those in the control group(P<0.05).The treatment compliance of the observation group on time medication,reasonable diet,regular sleep and rest,moderate exercise,smoking cessation and alcohol treatment compliance were significantly higher than that of the control group(P<0.05).The effective rate of treatment in the observation group was significantly higher than that in the control group(P<0.05).Conclusion Feedback health education combined with diet intervention can significantly improve PU patients′understanding of PU related health knowledge,reduce the length of hospital stay and recurrence rate,and improve patients′treatment compliance and efficiency,which is worthy of clinical promotion and application.

关 键 词：反馈性健康教育 饮食干预 消化性溃疡 健康知识知晓情况 复发率 治疗依从性 治疗效果 

分 类 号：R248.1[医药卫生—中医临床基础]