摘要
目的 舒适护理干预改善反流性食管炎(RE)患者症状及治疗依从性的观察。方法 参照相关纳入排除标准,选取2015 年2月-2017年1月在我院住院治疗的200例RE患者作为研究对象,其中100例为对照组,其护理模式均为常规临床路 径,100例为观察组,均采用舒适护理干预,对比两组临床症状及治疗依从性的改善情况。结果 干预前,两组患 者反流、呕吐症状评分、服药依从性及护理依从性对比无差异(P>0.05);干预后,患者症状及治疗依从性均有显 著改善,但观察组患者反流及呕吐症状评分、服药及护理依从性评分均显著较对照组高,对比差异统计学意义(P <0.05)。结论 将舒适护理用于RE患者能强化患者对服药及护理行为的依从性,对临床症状的改善作用更为显著。
Objective To observe the effect of comfort nursing intervention on symptom improvement and treatment compliance in patients with reflux esophagitis(RE). Methods From Feb. 2015 to Jan. 2017, 200 RE patients hospitalized in our hospital were taken as the research objects according to the related inclusion and exclusion criteria, and they were divided into control group (100 cases) and observation group (100 cases). The control group was given conventional nursing, and the observation group was given comfort nursing intervention. The improvement of clinical symptoms and treatment compliance in the two groups was compared. Results Before intervention, there were no significant differences in scores of reflux and vomiting symptoms, medication compliance and nursing compliance between the two groups (P>0.05), after intervention, the symptoms and treatment compliance in the two groups were significantly improved, and the improvement of reflux and vomiting symptoms scores, medication compliance and nursing compliance in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Comfort nursing can strengthen the compliance of medication and nursing behaviors, and improve the clinical symptoms more effectively in RE patients.
【关键词】舒适护理干预;反流性食管炎;治疗依从性
【中图分类号】R571;R47
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.02.022
前言
反流性食管炎(RE)的发病因素相对繁杂,除常见 的胃十二指肠功能异常,其他如食管下端括约肌及食 管黏膜的抗反流屏障功能被破坏、食管酸廓清功能障 碍、裂孔疝,甚至妊娠呕吐等均能导致病情发作[1]。 针对RE的流行病学研究指出,本病不具年龄差异,可 见于任何年龄段群体,其临床治疗多以减轻反流症状 并减少胃分泌物对食管黏膜的刺激及腐蚀性为主,该 病虽不属于致命性疾病,多数患者经临床对症治疗均 能取得较大的治疗获益,但部分患者因对疾病认识不 足,对治疗中存在反酸、呕吐等不良反应症状难以接 受,对治疗心存疑虑,导致治疗依从性不佳[2]。针对 这一现象,我们将舒适护理模式应用于RE患者,并将其临床资料与采用常规护理路径的RE患者进行对比分 析,旨在明确舒适护理的可行性及其临床价值,具体 报道如下。
罕少疾病杂志
第25卷, 第 2 期
2019年11月
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