CAJ | 학술논문

目的：探讨综合性心理护理干预对功能性消化不良(FD)患者情绪障碍和生活质量的影响。方法选取2010年1月~2013年12月台州市中西医结合医院消化科门诊FD患者84例,随机分为护理干预组(42例)和常规护理组(42例)。两组患者均予以常规药物治疗。常规护理组和护理干预组分别予以常规护理和综合性心理护理,疗程均为4周。观察并比较两组患者干预前后焦虑、抑郁等情绪障碍和生活质量的变化。结果干预4周后,两组患者抑郁自评量表(SDS)和焦虑自评量表(SAS)评分[(45.07±5.72)、(54.72±6.84)分及(44.04±5.74)、(52.25±6.72)分]较干预前[(62.02±7.06)、(61.90±8.12)分及(60.08±6.53)、(59.72±7.12)分]均有明显下降(t =2.96、2.87、2.24、2.31,P<0.05或P<0.01),且护理干预组干预后明显低于常规护理组(t=2.21、2.19,P<0.05)。同时两组患者躯体、心理、社会和物质等各项目评分[(62.16±7.47)、(63.31±7.02)、(59.24±6.82)、(60.12±7.02)分及(67.14±7.92)、(70.29±7.42)、(65.42±7.46)、(66.12±7.21)分]较干预前[(56.21±6.12)、(55.67±6.94)、(53.61±6.54)、(54.68±6.48)分及(55.72±6.04)、(56.07±7.04)、(52.82±6.16)、(55.12±6.72)分]均有明显上升(t=2.38、2.42、2.19、2.28、2.89、3.04、2.97、2.91,P<0.05或P<0.01),且护理干预组干预后明显高于常规护理组(t =2.16、2.22、2.20、2.21,P<0.05)。结论综合性心理护理干预对FD患者情绪障碍具有明显的改善作用,明显减轻或缓解患者的抑郁、焦虑等负性情绪,提高患者的生活质量,改善其预后。
목적：탐토종합성심리호리간예대공능성소화불량(FD)환자정서장애화생활질량적영향。방법선취2010년1월~2013년12월태주시중서의결합의원소화과문진FD환자84례,수궤분위호리간예조(42례)화상규호리조(42례)。량조환자균여이상규약물치료。상규호리조화호리간예조분별여이상규호리화종합성심리호리,료정균위4주。관찰병비교량조환자간예전후초필、억욱등정서장애화생활질량적변화。결과간예4주후,량조환자억욱자평량표(SDS)화초필자평량표(SAS)평분[(45.07±5.72)、(54.72±6.84)분급(44.04±5.74)、(52.25±6.72)분]교간예전[(62.02±7.06)、(61.90±8.12)분급(60.08±6.53)、(59.72±7.12)분]균유명현하강(t =2.96、2.87、2.24、2.31,P<0.05혹P<0.01),차호리간예조간예후명현저우상규호리조(t=2.21、2.19,P<0.05)。동시량조환자구체、심리、사회화물질등각항목평분[(62.16±7.47)、(63.31±7.02)、(59.24±6.82)、(60.12±7.02)분급(67.14±7.92)、(70.29±7.42)、(65.42±7.46)、(66.12±7.21)분]교간예전[(56.21±6.12)、(55.67±6.94)、(53.61±6.54)、(54.68±6.48)분급(55.72±6.04)、(56.07±7.04)、(52.82±6.16)、(55.12±6.72)분]균유명현상승(t=2.38、2.42、2.19、2.28、2.89、3.04、2.97、2.91,P<0.05혹P<0.01),차호리간예조간예후명현고우상규호리조(t =2.16、2.22、2.20、2.21,P<0.05)。결론종합성심리호리간예대FD환자정서장애구유명현적개선작용,명현감경혹완해환자적억욱、초필등부성정서,제고환자적생활질량,개선기예후。
Objective To discuss the influence of comprehensive mental nursing intervention on dysthymic disorder and life quality of patients with functional dyspepsia (FD). Methods 84 cases of FD patients, who were given the medical treatment in Taizhou Traditional Chinese and Western Medicine Hospital from January 2010 to December 2013 were selected and divided into nursing intervention group (42 cases) and routine nursing group (42 cases) by table of random number. The patients in two groups were both given routine medical treatment. The patients in routine nursing group and nursing intervention group were given routine nursing and comprehensive nursing respectively for 4 weeks. The changes of anxiety, depression, and other dysthymic disorder and life quality of patients in two groups were observed and compared. Results After 4 weeks' intervention, SDS and SAS scores of patients in two groups [(45.07±5.72), (54.72±6.84) scores and (44.04±5.74), (52.25±6.72) scores] were obviously lower than those before the intervention [(62.02±7.06), (61.90±8.12) score and (60.08±6.53), (59.72±7.12) scores] (t = 2.96, 2.87, 2.24, 2.31, P< 0.05 or P<0.01), and the SDS and SAS scores after the intervention in nursing intervention group was much lower than those in routine nursing group (t =2.21, 2.19, P<0.05). Meanwhile, the body, psychology, society, substance life quality scores of patients in two groups after the intervention [(62.16±7.47), (63.31±7.02), (59.24±6.82), (60.12±7.02) scores and (67.14±7.92), (70.29±7.42), (65.42±7.46), (66.12±7.21) scores] were obviously higher than those before the intervention [(56.21±6.12), (55.67±6.94), (53.61±6.54), (54.68±6.48) score and (55.72±6.04), (56.07±7.04), (52.82±6.16), (55.12±6.72) scores] (t =2.38, 2.42, 2.19, 2.28, 2.89, 3.04, 2.97, 2.91, P<0.05 or P<0.01), and the indexes scores in nurs-ing intervention group after the intervention were much higher than those in routine nursing group (t=2.16, 2.22, 2.20, 2.21, P< 0.05). Conclusion Comprehensive mental nursing intervention has obvious improvement effect on dysthymic disorder of patients with FD, which can obviously reduce and release the depression, anxiety and other negative atti-tudes of patients, enhance the life quality of patients and improve the prognosis as well.