系统护理干预在慢性胃炎及胃溃疡患者中的应用

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摘要目的探讨系统护理干预对慢性胃炎合并胃溃疡患者的疗效、不良心理及生活质量的影响。方法选取2015年3月23日~2016年3月23日我院收治的120例慢性胃炎合并胃溃疡患者,将其随机分为观察组与对照组,各60例。对照组采用常规护理,观察组采用系统护理干预,比较两组患者的治疗效果、自我管理能力、生活质量及焦虑、抑郁程度。结果观察组患者HP转阴率高于对照组,不良事件发生率高于对照组,临床症状消失时间短于对照组,自我管理能力高于对照组,差异有统计学意义（P<0.05）。护理前,两组患者生活质量各指标及焦虑、抑郁评分比较,差异均无统计学意义（P>0.05）;护理后,观察组生活质量各指标评分高于对照组,焦虑、抑郁评分低于对照组,差异有统计学意义（P<0.05）。结论系统护理干预在慢性胃炎合并胃溃疡患者中效果显著,能够提高患者生活质量,改善患者焦虑、抑郁情绪,提高患者依从性、HP转阴率、自我管理能力评分。

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	刘义兰

关键词 ：系统护理干预, 慢性胃炎, 胃溃疡, 生活质量

Abstract：Objective To explore the effect of system nursing intervention on the curative effect,adverse psychological and quality of life of patients with chronic gastritis complicated with gastric ulcer.Methods 120 patients with chronic gastritis complicated with gastric ulcer in our hospital from March 23^th 2015 to March 23^th 2016 were selected and randomly divided into the observation group and the control group,with 60 cases in each group.The control group was given routine nursing and the observation group was given system care interventions.The treatment effect,self-management ability,quality of life and anxiety and depression degree were compared between two groups.Results The HP negative rate in the observation group was higher than that in the control group,the adverse event rate was lower than that in the control group,clinical symptoms disappear time was shorter than that in the control group,self-management ability was higher than that in the control group,and the differences were statistically significant (P<0.05).Before nursing,there were no significant differences in the scores of indexes in quality of life and SAS,SDS in two groups (P>0.05);after nursing,the scores of indexes in quality of life in the observation group was higher than that in the control group,the scores of SAS and SDS were lower than those in the control group,and the differences were statistically significant (P<0.05).Conclusion Systematic nursing intervention has significant effect in patients with chronic gastritis complicated with gastric ulcer,which can improve the quality of life of patients,improve anxiety and depression in patients,improve patient compliance,HP negative rate and self-management ability score.

Key words： Systematic nursing intervention Chronic gastritis Gastric ulcer Quality of life

收稿日期: 2017-05-05

PACS:

R473.5

作者简介: 刘义兰（1966-）,女,山东临沂人,本科,副主任护师,研究方向：内科护理

引用本文:

刘义兰. 系统护理干预在慢性胃炎及胃溃疡患者中的应用[J]. 中国当代医药, 2017, 24(25): 189-192.
LIU Yi-lan. Application of system nursing intervention in patients with chronic gastritis and gastric ulcer. 中国当代医药, 2017, 24(25): 189-192.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I25/189

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