應用研究
多元化心理疏導對胃潰瘍患者心理狀態與治療依從性的影響
車明珠
【摘要】 目的 分析多元化心理疏導在胃潰瘍患者護理工作中的應用價值及對患者治療依從性及心理狀態的影響。方法 選取2018年2月至2021年2月我院內科收治的150例胃潰瘍患者作為研究對象，采取隨機數表法將其分為兩組，分別命名為觀察組與對照組，各75例。對照組患者在院期間接受常規護理干預，觀察組在其基礎上強化心理干預，對比兩組治療依從性、護理干預前后負性情緒評分、生活質量評分。
【關鍵字】 胃潰瘍,心理護理,治療依從性,負性情緒
中圖分類號：文獻標識碼：文章編號：
[Abstract] Objective To analyze the application value of multiple psychological counseling in the nursing work of patients with gastric ulcer and its effect on patients' treatment compliance and psychological state. Methods A total of 150 patients with gastric ulcer treated in our hospital from February 2018 to February 2021 were selected as the research objects. They were divided into two groups by random number list method, which were respectively named as observation group and control group, with 75 cases in each group. Patients in the control group received conventional nursing intervention in hospital, and the observation group strengthened psychological intervention based on it. The two groups were compared in terms of treatment compliance, negative emotional scores, and quality of life scores before and after nursing intervention. Results The compliance of the observation group was higher than that of the control group, the difference was statistically significant (P＜0.05). Before intervention, there were no significant differences in SAS and SDS scores between the two groups (P＞0.05). After intervention, SAS and SDS scores in the observation group were lower than those in the control group, with statistical significance (P＜0.05). After intervention, the scores of SF-36 in the observation group were higher than those in the control group, with statistical significance (P＜0.05). Conclusion Intensifying psychological nursing for patients with gastric ulcer can effectively improve their treatment compliance, improve negative emotions, and improve the quality of life.
胃潰瘍是消化內科臨床常見病，主要指發生于胃內壁黏膜的潰瘍[1]。胃潰瘍可發生于任何年齡段人群，以40~60歲人群常見，男性發病率較女性高[2, 3]。本病主要表現為胃部灼燒，同時可伴有消化不良、食欲下降、嘔血便血等癥狀，嚴重影響患者生活及工作，降低其生活質量[4]。本病病程長，具有較高復發率，短期治療效果不明顯，常導致患者產生負性情緒，影響其治療依從性，患者產生惰性心理，認為服藥短期也不能收效，就索性不服藥或隨意服藥，嚴重影響治療依從性[5-7]。為改善患者負性情緒，提高其治療依從性，本研究將心理護理應用于胃潰瘍患者的臨床護理中，收效較為理想，現報道如下。
1 資料與方法
1.1 一般資料 自2018年2至2021年2月我院內科收治的胃潰瘍患者中抽取150例進行研究，采取隨機數表法將其分為觀察組與對照組，各75例。觀察組中男40例，女35例，年齡18~62歲，平均（42.36±9.33）歲，病程1~10年，平均（5.33±1.31）年。對照組中男43例，女32例，年齡20~60歲，平均（41.98±9.15）歲，病程1~11年，平均（5.18±1.16）年。兩組患者上述一般資料對比，差異無統計學意義（P＞0.05），具備可比性。納入標準：①符合胃潰瘍臨床診斷標準，經胃鏡檢查證實。②年齡≥18歲。③患者對研究知情，簽署知情同意書。④意識清楚，語言表達清晰，具備閱讀能力，可配合研究量表填制。排除標準：①合并細菌性痢疾、腸道阿米巴病、克羅恩病等腸道疾患者。②合并心、肝、腎等重要臟器器質性損害者。③中途退出研究者。