CAJ | 학술논문

目的探讨对老年消化性溃疡患者实施健康宣教时采用标准操作程序，对患者治疗效果、治疗依从性以及生活质量的影响。方法选取老年消化性溃疡患者152例，随机分为两组各76例。对照组患者采取常规健康教育；观察组患者在对照组基础上采用标准操作程序进行健康教育。结果经过干预，观察组患者痊愈率和总有效率分别为80.26%和92.11%，均明显高于对照组；2w、4w、8w时治疗依从性良好者分别占93.42%、88.16%和86.84%，均明显多于对照组；6个月和1年复发率分别为7.89%和9.21%，均明显低于对照组；观察组患者症状、心理和情感以及总体得分分别为(29.57±3.04)、(38.21±2.88)和(90.13±7.11)，均明显高于对照组。上述比较两组差别有统计学意义(<0.05)。结论以标准操作程序对老年消化性溃疡患者实施健康宣教可以有效提高患者的治疗依从性，改善患者的预后，减少复发率，同时提高患者的生活质量。
목적탐토대노년소화성궤양환자실시건강선교시채용표준조작정서，대환자치료효과、치료의종성이급생활질량적영향。방법선취노년소화성궤양환자152례，수궤분위량조각76례。대조조환자채취상규건강교육；관찰조환자재대조조기출상채용표준조작정서진행건강교육。결과경과간예，관찰조환자전유솔화총유효솔분별위80.26%화92.11%，균명현고우대조조；2w、4w、8w시치료의종성량호자분별점93.42%、88.16%화86.84%，균명현다우대조조；6개월화1년복발솔분별위7.89%화9.21%，균명현저우대조조；관찰조환자증상、심리화정감이급총체득분분별위(29.57±3.04)、(38.21±2.88)화(90.13±7.11)，균명현고우대조조。상술비교량조차별유통계학의의(<0.05)。결론이표준조작정서대노년소화성궤양환자실시건강선교가이유효제고환자적치료의종성，개선환자적예후，감소복발솔，동시제고환자적생활질량。
Objective To investigate the use of elderly patients with peptic ulcer when implementing health education standard operating procedures, patient outcomes, treatment adherence and af ect quality of life. Methods 152 cases of elderly patients with peptic ulcer were randomly divided into two groups of 76 cases. The control group of patients taking conventional health education;observation group were treated with standard operating procedures in the control group on the basis of health education. Results After the intervention, the cure rate of patients in the observation group and the total ef ective rate was 80.26%and 92.11%, respectively, were significantly higher; two weeks, four weeks, eight weeks of treatment adherence were wel accounted for 93.42%, 88.16% and 86.84%, significantly more than the control group;six months and one year recur ence rate was 7.89% and 9.21%respectively, which were significantly lower than the control group; the symptoms of patients in the observation group, mental and emotional, and overal scores were (29.57 ±3.04) , (38.21±2.88) and (90.13±7.11), were significantly higher. These dif erences between the two groups was statistical y significant ( <0.05). Conclusion The standard operating procedures for the implementation of health education in elderly patients with peptic ulcer can ef ectively improve patient compliance, improve patient outcomes and reduce the relapse rate, while improving the quality of life of patients.