转化学医电子杂志
轉化學醫電子雜誌
전화학의전자잡지
2014年
1期
38-40
,共3页
饮食指导%心理干预%肠易激综合征
飲食指導%心理榦預%腸易激綜閤徵
음식지도%심리간예%장역격종합정
diet guidance%psychological intervention%irritable bowel syndrome
目的：探讨饮食指导及心理干预对肠易激综合征（IBS）的疗效影响．方法：选择2010-01/2011-06我院收治的IBS患者120例为研究对象，随机分为两组：实验组（采用常规护理＋饮食指导＋心理干预）与对照组（常规护理），各60例．在干预前和不同护理方法干预12周后，观察记录两组患者腹痛、腹泻、便秘发生次数，评价比较两组患者症状缓解情况，并采用抑郁自评量表（SDS）和症状自评量表（SCL-90）评估两组患者精神状况．结果：不同护理方法干预12周后，两组患者的腹痛、腹泻症状评分均较治疗前显著下降，便秘情况均得到显著改善，差异有统计学意义（P＜0．05）；实验组干预后的腹痛、腹泻症状评分均低于对照组，便秘改善情况优于对照组，差异有统计学意义（P＜0．05）．两组患者的 SDS 和SCL-90评分均较治疗前显著下降，差异有统计学意义（P＜0．05）；实验组干预后的SDS和SCL-90评分均低于对照组，差异有统计学意义（P＜0．05）．结论：饮食指导及心理干预措施能够有效地缓解患者消化道症状和改善患者精神状态，更好地促进患者康复，是治疗IBS的有效辅助治疗措施．
目的：探討飲食指導及心理榦預對腸易激綜閤徵（IBS）的療效影響．方法：選擇2010-01/2011-06我院收治的IBS患者120例為研究對象，隨機分為兩組：實驗組（採用常規護理＋飲食指導＋心理榦預）與對照組（常規護理），各60例．在榦預前和不同護理方法榦預12週後，觀察記錄兩組患者腹痛、腹瀉、便祕髮生次數，評價比較兩組患者癥狀緩解情況，併採用抑鬱自評量錶（SDS）和癥狀自評量錶（SCL-90）評估兩組患者精神狀況．結果：不同護理方法榦預12週後，兩組患者的腹痛、腹瀉癥狀評分均較治療前顯著下降，便祕情況均得到顯著改善，差異有統計學意義（P＜0．05）；實驗組榦預後的腹痛、腹瀉癥狀評分均低于對照組，便祕改善情況優于對照組，差異有統計學意義（P＜0．05）．兩組患者的 SDS 和SCL-90評分均較治療前顯著下降，差異有統計學意義（P＜0．05）；實驗組榦預後的SDS和SCL-90評分均低于對照組，差異有統計學意義（P＜0．05）．結論：飲食指導及心理榦預措施能夠有效地緩解患者消化道癥狀和改善患者精神狀態，更好地促進患者康複，是治療IBS的有效輔助治療措施．
목적：탐토음식지도급심리간예대장역격종합정（IBS）적료효영향．방법：선택2010-01/2011-06아원수치적IBS환자120례위연구대상，수궤분위량조：실험조（채용상규호리＋음식지도＋심리간예）여대조조（상규호리），각60례．재간예전화불동호리방법간예12주후，관찰기록량조환자복통、복사、편비발생차수，평개비교량조환자증상완해정황，병채용억욱자평량표（SDS）화증상자평량표（SCL-90）평고량조환자정신상황．결과：불동호리방법간예12주후，량조환자적복통、복사증상평분균교치료전현저하강，편비정황균득도현저개선，차이유통계학의의（P＜0．05）；실험조간예후적복통、복사증상평분균저우대조조，편비개선정황우우대조조，차이유통계학의의（P＜0．05）．량조환자적 SDS 화SCL-90평분균교치료전현저하강，차이유통계학의의（P＜0．05）；실험조간예후적SDS화SCL-90평분균저우대조조，차이유통계학의의（P＜0．05）．결론：음식지도급심리간예조시능구유효지완해환자소화도증상화개선환자정신상태，경호지촉진환자강복，시치료IBS적유효보조치료조시．
AIM:To study the diet guidance and psychological intervention on the curative effect of irritable bowel syndrome (IBS).METHODS:From January 2010 to June 2011,120 ca-ses of IBS patients admitted in our hospital were chose as the re-search object and they were randomly divided into two groups:ex-perimental group (the conventional nursing +dietary guidance and psychological intervention)and control group (the conven-tional nursing),60 cases each.Before intervention and different nursing intervention for 12 weeks,abdominal pain,diarrhea,con-stipation,evaluation comparison of symptoms were observed in two groups,and the mental status of of patients in two groups were assessed by self rating depression scale (SDS)and symptom self-assessment scale (SCL-90).RESULTS:After different nursing interventions for 12 weeks,the scores of abdominal pain,diarrhea in two groups were decreased significantly,the constipation condi-tions were improved significantly (P<0.05 ).The scores of the abdominal pain,diarrhea in experimental group after the interven-tion were lower than those in the control group,the constipation conditions of experimental group were improved better than that of control group (P<0.05).SDS and SCL-90 scores in both groups were decreased significantly (P<0.05 );The SDS and SCL-90 scores of experimental group after the intervention were lower than those of the control group (P<0.05 ).CONCLUSION:Diet guidance and psychological intervention can effectively relieve the gastrointestinal symptoms of patients and improve the mental state of patients,to promote the recover of patient.It is an effective ad-juvant therapy for IBS.
