循证护理对胃食管反流病患者心理健康和生活质量的影响.docVIP

循证护理对胃食管反流病患者心理健康和生活质量的影响 　　摘要：目的 探讨循证护理对胃食管反流病患者心理健康和生活质量的影响。方法 选择2014年5月～2015年7月50例胃食管反流病患者，采用随机数字表法，将患者随机分为观察组和对照组，每组25例。对照组实施常规护理，观察组采用循证护理，比较两组护理前后心理健康（Zung焦虑自评量表-SAS和抑郁自评量表-SDS）和生活质量（生活质量指数问卷-QL-INDEX）变化。结果 护理前，两组SAS、SDS评分比较差异无统计学差异（P0.05）。护理后，观察组SAS、SDS评分明显低于对照组（P0.05），QL-INDEX中的活动、日常生活、总体精神和总指数评分显著高于对照组（P0.05）。结论 循证护理明显改善胃食管反流病患者的心理健康，提高生活质量。 　　关键词：循证护理；胃食管反流病患者；心理健康；生活质量 　　中图分类号：R473.5 文献标识码：B 　　Effect of Evidence-based Nursing on Mental Health and Quality of Life in Patients with Gastroesophageal Reflux Disease 　　XUE Jian-ying，PU Jun-fen，ZHAO Li-hua，WU Yu-lan，SHEN Ju 　　（Department of Gastroenterology，The Affiliated Jiangyin Hospital of Southeast University Medical College， Wuxi 214400，Jiangsu，China） 　　Abstract：Objective To investigate the effect of evidence-based nursing on mental health and quality of life in patients with gastroesophageal reflux disease.Methods 50 cases of gastroesophageal reflux disease were randomly divided into the observation group and the control group，25 cases in each group. The control group received routine care， the observation group was given evidence-based nursing. Mental health and quality of life were compared in two goups.Results SAS，SDS scores in the observation group were significantly lower than those in the control group （P0.05），the scores of activities of daily living，overall mental and overall index in QL-INDEX were significantly higher than those in the control group （P0.05）.Conclusion Evidence-based nursing significantly improved mental health and quality of life in patients with gastroesophageal reflux disease. 　　Key words：Evidence-based care；Gastroesophageal reflux disease；Mental health；Quality of life 　　胃食管反流病（gastroesophageal reflux disease，GERD）是消化内科常见病，是指食管下端括约肌功能障碍等因素导致的胃内容物反流至食管，产生反酸、咽部不适、烧心、胸骨后烧灼感等临床症状[1]，影响患者的心理健康和生活质量。GERD发病机制目前尚不明确，但精神、心理因素在GERD的发生、发展过程中起着重要作用[2]。循证护理是随循证医学发展而来，是指通过文献检索查找最佳护理实证指导临床护理实践的过程，并结合患者的具体病情、愿望和价值，给予患者个性化的护理干预措施[3]，以提高护理质量。本研究拟观察循证护理对GERD患者心理健康和生活质量的影响，为临床护理提供参考。