CAJ | 학술논문

目的：探讨出院随访对胃食管反流（gastro-esophageal reflux disease，GERD）患者遵医行为及生存质量的影响。方法选择2012年6月～2013年6月本科室住院的GERD患者100例，按随机数字表法分为对照组与干预组，每组各50例，两组患者住院期间均给予相同的药物治疗及常规护理，对照组患者出院时给予健康教育知识宣教及定期复诊，干预组患者出院后由经过专门培训的护士对其进行出院随访及定期组织健康教育讲座。出院6个月后，比较两组患者遵医行为和生存质量情况。结果出院随访6个月后，两组患者遵医行为除不熬夜1项外，不吸烟、不饮酒、不饮浓茶、不饮咖啡、不吃宵夜、不吃辛辣饮食、遵医药物治疗7项干预组患者依从性均明显优于对照组，两组比较，均P＜0.05，差异具有统计学意义；生存质量中除生理机能（physical functioning，PF），生理职能（role physical，RP）两个维度外，其余6个维度干预组患者生存质量得分均高于对照组，两组比较，均P＜0.05，差异具有统计学意义。结论出院随访能提高胃食管反流患者遵医行为，有效改善GERD患者生存质量。
목적：탐토출원수방대위식관반류（gastro-esophageal reflux disease，GERD）환자준의행위급생존질량적영향。방법선택2012년6월～2013년6월본과실주원적GERD환자100례，안수궤수자표법분위대조조여간예조，매조각50례，량조환자주원기간균급여상동적약물치료급상규호리，대조조환자출원시급여건강교육지식선교급정기복진，간예조환자출원후유경과전문배훈적호사대기진행출원수방급정기조직건강교육강좌。출원6개월후，비교량조환자준의행위화생존질량정황。결과출원수방6개월후，량조환자준의행위제불오야1항외，불흡연、불음주、불음농다、불음가배、불흘소야、불흘신랄음식、준의약물치료7항간예조환자의종성균명현우우대조조，량조비교，균P＜0.05，차이구유통계학의의；생존질량중제생리궤능（physical functioning，PF），생리직능（role physical，RP）량개유도외，기여6개유도간예조환자생존질량득분균고우대조조，량조비교，균P＜0.05，차이구유통계학의의。결론출원수방능제고위식관반류환자준의행위，유효개선GERD환자생존질량。
ObjectiveTo investigate the effect of follow-ups on medical compliance behaviors and quality of life of patients with gastroesophageal reflux disease (GERD).Methods One hundred GERD patients who were hospitalized in our department from June 2012 to June 2013 were divided into intervention group (n=50) and control group (n=50) according to the random number table. Both groups received the same drug treatment and conventional nursing during hospitalization.The control group received periodically outpatient follow-ups,while the intervention group received professional follow-ups by trained nurses after discharge from hospital. The compliance behaviors and quality of life in these patients were assessed and statistically analyzed after 6 months nursing intervention or outpatient follow-up.Results With the implement of follow-up in patients with GERD,the intervention group was better than the control group in compliance behaviors,including the decrement of smoking and drinking,strong tea,coffee,having midnight snack and spicy food (P<0.05),but there was no difference in the behavior of staying-up between the two groups.Concerning the quality of life,the intervention group was significantly better than the control group in the 6 items excluding the physical and physiological functions (P<0.05).Conclusion Professional follow-ups can improve compliance behavior and quality of life of GERD patients.