CAJ | 학술논문

目的：探讨延续护理对胃食管反流病（ GERD）患者的影响。方法将100例GERD患者随机分为干预组和对照组，每组各50例，两组在住院期间均接受常规护理和出院指导，患者出院后，对照组采用传统门诊随访模式，干预组将延续护理干预贯穿出院后家庭护理全过程。实施前及6个月后采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、遵医依从性调查问卷、反流性疾病问卷（RDQ）进行调查，比较干预效果。结果干预前两组患者SAS、SDS、RDQ总分、疾病知识掌握情况、遵医依从性得分比较差异均无统计学意义（P＞0．05）；干预6个月后，干预组RDQ评分为（6．82±2．16）分，SAS为（36．85±6．81）分，SDS为（43．33±7．12）分，均低于对照组，差异有统计学意义（t值分别为9．24，-5．86，-4．62；P＜0．01）；干预后两组患者SAS、SDS评分及RDQ总分均低于干预前，干预前后组内比较差异均有统计学意义（P＜0．05）；干预组疾病知识掌握情况得分为（8．73±0．28）分、遵医依从性为（25．53±1．28）分，均高于对照组，差异有统计学意义（t值分别为11．24，5．62；P＜0．01）。结论对GERD患者实施延续护理干预，提高患者的防治知识，可促进患者的自我管理能力和健康行为，提高患者的遵医依从性，能巩固和提升治疗效果。
목적：탐토연속호리대위식관반류병（ GERD）환자적영향。방법장100례GERD환자수궤분위간예조화대조조，매조각50례，량조재주원기간균접수상규호리화출원지도，환자출원후，대조조채용전통문진수방모식，간예조장연속호리간예관천출원후가정호리전과정。실시전급6개월후채용초필자평량표（SAS）、억욱자평량표（SDS）、준의의종성조사문권、반류성질병문권（RDQ）진행조사，비교간예효과。결과간예전량조환자SAS、SDS、RDQ총분、질병지식장악정황、준의의종성득분비교차이균무통계학의의（P＞0．05）；간예6개월후，간예조RDQ평분위（6．82±2．16）분，SAS위（36．85±6．81）분，SDS위（43．33±7．12）분，균저우대조조，차이유통계학의의（t치분별위9．24，-5．86，-4．62；P＜0．01）；간예후량조환자SAS、SDS평분급RDQ총분균저우간예전，간예전후조내비교차이균유통계학의의（P＜0．05）；간예조질병지식장악정황득분위（8．73±0．28）분、준의의종성위（25．53±1．28）분，균고우대조조，차이유통계학의의（t치분별위11．24，5．62；P＜0．01）。결론대GERD환자실시연속호리간예，제고환자적방치지식，가촉진환자적자아관리능력화건강행위，제고환자적준의의종성，능공고화제승치료효과。
Objective To explore the effect of continuous nursing in patients with gastroesophageal reflux disease ( GERD ) .Methods One hundred GERD patients were chosen and randomly divided into the intervention group and the control group , each with 50 cases.All patients received the routine nursing and the discharge guidance in the hospital , and the control group received the traditional outpatient follow-up model, and the intervention group received the continuous nursing in the process of home nursing .The intervention effect was evaluated by the self-rating anxiety scale (SAS), the self-rating depression scale (SDS), the compliance questionnaire and the reflux diagnostic questionnaire ( RDQ ) before and six months after the intervention . Results No differences were found in the scores of SAS , SDS, RDQ, mastering the knowledge of disease and the compliance in two groups before the intervention ( P >0.05 ).The scores of RDQ, SAS, SDS were respectively (6.82 ±2.16), (36.85 ±6.81), (43.33 ±7.12) in the intervention group six months after intervention , and were lower than those in the control group , and the differences were statistically significant (t=9.24, -5.86, -4.62, respectively;P<0.01).The scores of SAS, SDS and RDQ in two groups after intervention were lower than those before intervention , and the difference was statistically significant ( P <0.05).The scores of mastering the knowledge of disease and compliance were respectively (8.73 ±0.28), (25.53 ±1.28) in the intervention group, and were higher than those in the control group , and the differences were statistically significant (t=11.24, 5.62, respectively;P<0.01).Conclusions The continuous nursing in GERD patients can improve their prevention knowledge , and promote their self-management ability and health behavior , and increases their compliance , and consolidate and improve the therapeutic effect .