简体中文

·腹部疾病·

综合护理干预对肠易激综合征患者临床疗效和心理状况的影响

作者:吴幸娜

所属单位:河南省漯河市第三人民医院神经内科 (河南 漯河 462000)

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摘要

目的 探讨综合护理干预对肠易激综合征患者临床疗效以及心理状况的影响。方法 选取我院收治的120例肠易激综 合征患者,随机分为观察组和对照组,分别采用常规护理方法和综合护理干预方案,对比治疗后两组患者的临床疗 效以及患者焦虑、抑郁等心理状况。结果 治疗结束后,观察组患者的临床疗效总有效率高于对照组,差异均有统 计学意义(P<0.05),其临床症状改善明显。观察组患者在综合护理干预后焦虑自评量表(SAS)及抑郁自评量表 (SDS)评分明显低于对照组,差异均有统计学意义(P<0.05)。结论 综合护理干预可有效提高肠易激综合征患 者的临床疗效,同时能缓解患者焦虑、抑郁等不良心理状况,值得临床推广。

Objective To study the effect of comprehensive nursing intervention on clinical efficacy and psychological status of patients with irritable bowel syndrome. Methods A total of 120 patients with irritable bowel syndrome in our hospital were selected as the clinical research objects, and they were randomly divided into control group and observation group. The control group was given traditional nursing, and the observation group was given comprehensive nursing intervention. The clinical efficacy and psychological status (anxiety, depression and etc.) in the two groups were compared after nursing. Results After treatment, the total effective rate in the observation group was higher than that in the control group, and their difference was statistically significant (P<0.05). After comprehensive nursing intervention, the scores of self-rating anxiety scale (SAS) and self-rating depressive scale (SDS) in the observation group were significantly lower than those in the control group, and their differences were statistically significant(P<0.05). Conclusion Comprehensive nursing intervention can not only effectively improve the clinical efficacy of patients with irritable bowel syndrome, but also alleviate patients' anxiety, depression and other adverse psychological status. Thus, it is worthy of clinical promotion

【关键词】综合护理干预;肠易激综合征;心理状况;

【中图分类号】R473.5

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.01.020

前言

肠易激综合征(IBS)是一种肠道功能性紊乱性 疾病,其发病机制尚不完全清楚,是临床上的常见 病[1]。肠易激综合征(IBS)主要表现为腹痛、腹胀、 大便习惯改变、粪便性状异常等。有发病率高,病程 长,容易反复发作的特点[2]。往往能引起患者焦虑、 抑郁等不良心理状况,严重影响患者的生活治疗,目 前尚无确切的临床治疗方案。研究表明肠易激综合征 (IBS)的发病率逐年升高[3],给患者及其家庭造成不 少生活、生理负担。医务人员是患者获得疾病信息最 直接的途径。本次研究选取我院确诊的120例IBS患 者,旨在探讨综合护理干预对IBS患者临床疗效及其心理状况的影响。