护理干预对改善肠易激综合征患者生活质量的研究
[摘要] 目的 研究护理干预对改善肠易激综合征患者生活质量的作用。 方法 选择2009年1月～2012年1月就诊的肠易激综合征患者50例为研究对象，随机分为干预组和对照组各25例，对照组遵医嘱进行对症治疗及护理，干预组采取心理干预、饮食干预、健康教育等系统的护理干预措施，比较两组患者干预后4周的生活质量SF-6量表各维度评分及住院天数、重复住院率。 结果 干预组25例患者的生理功能、生理职能、身体疼痛、总体健康、活力、社会功能、情感职能、心理健康各维度评分均明显高于对照组(P < 0.05)。与对照组比较，干预组的平均住院天数短，重复住院率低(P < 0.05)。 结论 护理干预措施能够提高肠易激综合征患者的生活质量，缩短住院时间，降低重复住院率。
[关键词] 肠易激综合征；生活质量；护理；干预
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2012)07(c)-0165-02
, http://www.100md.com
Nursing intervention to improve the quality of life for patients with irritable bowel syndrome
WANG Xiumei1 ZOU Yumin2 SONG Wenling3
1.MR Division, Jiamusi University Affiliated First Hospital in Heilongjiang Provicne, Jiamusi 154002, China; 2.Sterilization and Supply Center, Jiamusi University Affiliated First Hospital in Heilongjiang Provicne, Jiamusi 154002, China; 3.Gastroscopy Room, Jiamusi University Affiliated First Hospital in Heilongjiang Provicne, Jiamusi 154002, China
, 百拇医药
[Abstract] Objective To explore the effect of nursing intervention to improve the intestinal bowel syndrome patients quality of life. Methods From January 2009 to January 2012, 50 patients with irritable bowel syndrome were randomly divided into intervention group and control group, 25 cases in the control group prescribed symptomatic treatment and care, the intervention group were given the psychological, dietary intervention, education, health care interventions, intervention quality of life SF-6 scale of each dimension score were compared between two groups. Results The physiological functions,bodily pain, general health, vitality, social function, role emotional, mental health dimension score of the 25 patients in the intervention group was significantly higher than the control group, the difference was significant (P < 0.05). Compared with the control group, the average days of hospitalization in the intervention group was short, repeated hospitalization rate was low, the difference was significant (P < 0.05). Conclusion The nursing interventions can improve the quality of life of patients with IBS, shorter hospital stays, reducing repeated hospitalizations.
, 百拇医药
[Key words] Irritable bowel syndrome; Quality of life; Care; Intervention
肠易激综合征(irritablesyndrome，IBS)是消化科的常见病、多发病，近年来，其发病率呈上升趋势。IBS患者发病具有病程长、症状反复发作等特点[1]，少数患者症状持续存在并不断发展，甚至严重者会影响患者的生活质量。随着现代医学模式的转变，IBS患者生活质量的研究越来越受到医护人员的广泛重视[2]。本研究中，笔者以护理干预为手段对肠易激综合征患者进行干预，旨在探讨护理干预措施的实施对IBS患者生活质量的影响。现报道如下：
1 资料与方法
1.1 一般资料
选择2009年1月～2012年1月就诊的肠易激综合征患者50例为研究对象，符合IBS的罗马Ⅲ型诊断标准，且均经胃镜和肠镜检查排除器质性疾病。其中，男31例，女19例，年龄19～76岁，平均(46.2±2.8)岁。病程6个月～12年，平均(5.2±1.3)年。患者的临床表现主要为不同程度腹痛或不适，排便后缓解、排便习惯的改变及大便性状的改变，其中36例患者有不同程度的功能性消化不良症状，如胃灼热、反酸、胃饥饿痛、反胃、胃鸣亢进、呃逆及腹胀等。按罗马Ⅲ型诊断标准：IBS分为腹泻型23例，便秘型18例，混合型7例，不定型2例。全部患者随机分为干预组和对照组各25例，两组患者的年龄、性别、临床表现以及分型等基础资料比较，差异无统计学意义(P > 0.05)，具有可比性。, 百拇医药(王秀梅 邹玉敏 宋文玲)
[关键词] 肠易激综合征；生活质量；护理；干预
[中图分类号] R473 [文献标识码] A [文章编号] 1674-4721(2012)07(c)-0165-02
, http://www.100md.com
Nursing intervention to improve the quality of life for patients with irritable bowel syndrome
WANG Xiumei1 ZOU Yumin2 SONG Wenling3
1.MR Division, Jiamusi University Affiliated First Hospital in Heilongjiang Provicne, Jiamusi 154002, China; 2.Sterilization and Supply Center, Jiamusi University Affiliated First Hospital in Heilongjiang Provicne, Jiamusi 154002, China; 3.Gastroscopy Room, Jiamusi University Affiliated First Hospital in Heilongjiang Provicne, Jiamusi 154002, China
, 百拇医药
[Abstract] Objective To explore the effect of nursing intervention to improve the intestinal bowel syndrome patients quality of life. Methods From January 2009 to January 2012, 50 patients with irritable bowel syndrome were randomly divided into intervention group and control group, 25 cases in the control group prescribed symptomatic treatment and care, the intervention group were given the psychological, dietary intervention, education, health care interventions, intervention quality of life SF-6 scale of each dimension score were compared between two groups. Results The physiological functions,bodily pain, general health, vitality, social function, role emotional, mental health dimension score of the 25 patients in the intervention group was significantly higher than the control group, the difference was significant (P < 0.05). Compared with the control group, the average days of hospitalization in the intervention group was short, repeated hospitalization rate was low, the difference was significant (P < 0.05). Conclusion The nursing interventions can improve the quality of life of patients with IBS, shorter hospital stays, reducing repeated hospitalizations.
, 百拇医药
[Key words] Irritable bowel syndrome; Quality of life; Care; Intervention
肠易激综合征(irritablesyndrome，IBS)是消化科的常见病、多发病，近年来，其发病率呈上升趋势。IBS患者发病具有病程长、症状反复发作等特点[1]，少数患者症状持续存在并不断发展，甚至严重者会影响患者的生活质量。随着现代医学模式的转变，IBS患者生活质量的研究越来越受到医护人员的广泛重视[2]。本研究中，笔者以护理干预为手段对肠易激综合征患者进行干预，旨在探讨护理干预措施的实施对IBS患者生活质量的影响。现报道如下：
1 资料与方法
1.1 一般资料
选择2009年1月～2012年1月就诊的肠易激综合征患者50例为研究对象，符合IBS的罗马Ⅲ型诊断标准，且均经胃镜和肠镜检查排除器质性疾病。其中，男31例，女19例，年龄19～76岁，平均(46.2±2.8)岁。病程6个月～12年，平均(5.2±1.3)年。患者的临床表现主要为不同程度腹痛或不适，排便后缓解、排便习惯的改变及大便性状的改变，其中36例患者有不同程度的功能性消化不良症状，如胃灼热、反酸、胃饥饿痛、反胃、胃鸣亢进、呃逆及腹胀等。按罗马Ⅲ型诊断标准：IBS分为腹泻型23例，便秘型18例，混合型7例，不定型2例。全部患者随机分为干预组和对照组各25例，两组患者的年龄、性别、临床表现以及分型等基础资料比较，差异无统计学意义(P > 0.05)，具有可比性。, 百拇医药(王秀梅 邹玉敏 宋文玲)