CAJ | 학술논문

目的探讨胃食管反流病(GERD)患者出院后心理干预的效果及可行性.方法用反流性疾病诊断问卷(耐信量表,RDQ)筛选出121例初步确诊为GERD的患者,随机分为心理护理组60例和药物治疗组61例.通过随访,记录观察期间RDQ值的变化.结果药物治疗组的治疗效果好于心理护理组.药物治疗组症状消失者停药半年后复发34例,而心理护理组症状消失者仅有14例复发,心理护理组的复发率显著低于药物治疗组.结论从近期疗效看心理干预及药物治疗对GERD均起到显著的治疗效果,药物治疗控制症状的效果优于心理干预,但远期效果(大于6个月)药物治疗却表现出明显的复发倾向,可见,心理干预是一种有效的、经济可行的治疗GERD的方法.
목적 탐토위식관반류병(GERD)환자출원후심리간예적효과급가행성.방법 용반류성질병진단문권(내신량표,RDQ)사선출121례초보학진위GERD적환자,수궤분위심리호리조60례화약물치료조61례.통과수방,기록관찰기간RDQ치적변화.결과 약물치료조적치료효과호우심리호리조.약물치료조증상소실자정약반년후복발34례,이심리호리조증상소실자부유14례복발,심리호리조적복발솔현저저우약물치료조.결론 종근기료효간심리간예급약물치료대GERD균기도현저적치료효과,약물치료공제증상적효과우우심리간예,단원기효과(대우6개월)약물치료각표현출명현적복발경향,가견,심리간예시일충유효적、경제가행적치료GERD적방법.
Objective To retrospectively analyze the feasibility and effect of psychological nursing on patients with gastroesophageal reflux disease (GERD). Methods 121 patients diagnosed with GERD were divided into the psychological nursing group(60 cases) and the drug treatment group(61 cases).The data of these patients were collected and the RDQ score was assessed. Results The treatment effect of the drug treatment group was better than that of the psychological nursing group.34 cases relapsed in the drug treatment group and 14 cases relapsed in the psychological nursing group during half a year followup. Conclusions Both the psychological nursing group and the drug treatment group can control the symptoms of GERD,although drug intervention is better than non-drug intervention.However in a long run drug intervention has a higher recurrence and is more expensive.So non-drug intervention is an effective and feasible method for the treatment of gastroesophageal reflux disease (GERD).