生活方式干预和行为干预对胃食管反流病患者临床症状及生活质量影响.docVIP

生活方式干预和行为干预对胃食管反流病患者临床症状及生活质量影响 　　【摘要】 目的：探讨生活方式干预和行为干预对胃食管反流病患者临床症状及生活质量的影响。方法：选取2010年1月-2014年12月本院收治的63例胃食管反流病患者，采用生活方式干预（调整生活方式、调节饮食与心理干预）与行为干预（认知行为干预与生活行为干预），比较护理干预前后临床症状积分与生活质量评分的差异。结果：经过生活方式干预与行为干预后，全部患者治愈18例（28.57%），好转45例（71.43%），无效0例，总有效率达到100%。全部患者烧心、反酸、胸骨后疼痛、上腹饱胀等临床症状积分较干预前均明显改善，生活质量评分亦较干预前明显增高，护理干预前后比较差异均有统计学意义（P0.05）。结论：对胃食管反流病患者进行积极的护理干预，可有效改善患者临床症状，提高生活质量及治疗效果。 　　【关键词】 护理干预； 胃食管反流病； 临床症状； 生活质量 　　【Abstract】 Objective：To explore the effect of lifestyle intervention and behavior intervention in patients with gastroesophageal reflux disease on clinical symptoms and quality of life.Method：63 cases with gastroesophageal reflux disease were collected from January 2010 to December 2014，they were all given lifestyle intervention （adjust the lifestyle，diet and mental intervention）and behavior intervention（cognitive behavior intervention and life behavior intervention），the clinical symptoms scores and quality of life scores of pre-intervention and post-intervention were compared.Result：After lifestyle intervention and behavior intervention，18 cases were cured（28.57%），45 cases improved（71.43%）， 0 case ineffective， the total effective rate was 100%.At post-intervention，the heartburn，acid regurgitation，retrosternal pain and epigastric distension symptom scores of all patients were significantly improved than pre-intervention， quality of life scores were significantly higher than pre-intervention， the differences between pre-intervention and post-intervention were statistically significant（P0.05）.Conclusion：Positive nursing intervention for patients with gastroesophageal reflux disease can effectively improve the clinical symptoms， improve the quality of life and treatment effect. 　　【Key words】 Nursing intervention； Gastroesophageal reflux disease； Clinical symptoms； Quality of life 　　First-author’s address：Guangdong General Hospital，Guangzhou 510080，China 　　doi：10.3969/j.issn.1674-4985.2015.35.030 　　胃食管反流病（Gastroesophageal reflux disease，GERD）是指胃、十二指肠内容物反流入食