摘要
目的:研究消化性溃疡致急性上消化道出血患者治疗过程中应用全程督导式心理-用药-饮食干预的效果。方法:选取2019年2月—2022年1月我院收治96例消化性溃疡致急性上消化道出血患者,应用随机数字表法分为对照组与观察组,各48例。对照组实施常规干预,观察组采取全程督导式心理-用药-饮食干预。比较两组症状恢复状况(出血停止时间、住院时间)、情绪状况[汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)]、自我管理水平(消化性溃疡患者自我管理问卷)及生活质量[活质量综合评定问卷(GQOLI-74)]。结果:干预后,观察组出血停止时间、住院时间短于对照组,HAMD、HAMA得分低于对照组,消化性溃疡患者自我管理问卷、GQOLI-74各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论:消化性溃疡致急性上消化道出血患者治疗过程中应用全程督导式心理-用药-饮食干预,可提升患者治疗效果,缓解患者负面情绪,提高患者自我管理水平和生活质量。
Objective:To study the effect of whole-course supervised psychological-medication-diet education on severe nursing of patients with acute upper gastrointestinal bleeding of peptic ulcer..Methods:A total of 96 patients with acute upper gastrointestinal bleeding caused by peptic ulcer who were admitted to our hospital from February 2019 to January 2022 were selected,and divided into control group and observation group by random number table method,with 48 patients in each group.The control group received routine nursing intervention,and the observation group received directly observed psychology-medication-diet education.The two groups were compared on recovery(time to bleeding stop and length of hospital stay),emotional status(Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)),self-management level(self-management questionnaire for patients with peptic ulcer)and quality of life(Generic Quality of Life Inventory-74(GQOLI-74)).Results:After intervention,the time to bleeding stop and length of hospital stay of the observation group were shorter than those of the control group,the scores for HAMD and HAMA of the observation group were lower than those of the control group,the scores for the self-management questionnaire for patients with peptic ulcer and GQOLI-74 were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The implementation of whole-course supervised psychological-medication-diet education for patients with acute upper gastrointestinal bleeding caused by peptic ulcer can promote the recovery of disease,reduce negative emotions,improve selfmanagement level and improve their quality of life.
作者
刘闪
肖荣倩
LIU Shan;XIAO Rongqian(Ward II,Department of Gastroenterology,Nanyang Central Hospital,Nanyang 473000,Henan,China)
出处
《中国药物滥用防治杂志》
CAS
2023年第2期261-264,共4页
Chinese Journal of Drug Abuse Prevention and Treatment
关键词
全程督导
心理-用药-饮食干预
消化性溃疡
急性上消化道出血
Whole-course supervised
Psychology-medication-diet education
Peptic ulcer
Acute upper gastrointestinal bleeding
