陈庆元

【摘要】 目的 探讨护理干预对门诊功能性消化不良患者的影响。方法 将124例门诊功能性消化不良患者随机分为对照组和观察组各62例，对照组接受常规用药治疗，观察组在此基础上给予包括健康教育和心理护理在内的护理干预。采用消化不良量表和生活质量指数问卷分别于入组时和入选后第4、12周末对两组患者进行评分，并进行对比分析。结果 观察组入选后第4和12周末的消化不良症状总分明显低于对照组，差异有统计学意义，均P<0．01(t=9．820，20．367)，而生活质量评分明显高于对照组，均P<0．01(t=13．086，11．588)。结论 有效的护理干预能改善门诊功能性消化不良患者消化不良症状，提高患者的生活质量。

【关键词】 功能性消化不良；护理干预；生活质量

Nursing Interventions for Outpatients with Functional Dyspepsia

CHEN Qing-yuan.Yiyang Clinical Institute of Xiangya Medical College of South Central University,Yiyang Hunan 413000,China

【Abstract】 Objective To investigate the effect of nursing interventions on outpatients with functional dyspepsia.Methods A total of 124 outpatients with functional dyspepsia were randomly assigned to the control and observation group,each consisting of 62 cases.The former received conventional therapy,while the latter were given the nursing interventions including health education and mental nursing.The dyspepsia scale and index quality of life questionnaire were employed to score in both two groups on admission and at the end of week 4 and 12,and the comparison was made between two groups.Results The total scores of the dyspepsia symptoms were markedly lower in the observation group than that in the control group at the end of week 4 and 12,with significant differences between two groups,both P<0．01(t=9．820,and 20．367 respectively),while the scores of quality of life were considerably higher,both P<0．01(t=13．086,and 11．588,respectively).Conclusion Effective nursing interventions can ameliorate the symptoms of dyspepsia in outpatients with functional dyspepsia,and rasie their quality of life.

【Key words】 Functional dyspepsia;Nursing intervention;Quality of life

功能性消化不良是常见的消化系统疾病之一，是一类由不同病理生理原因导致的多种机能紊乱而促发的症状。西方国家功能性消化不良发病率高达20％～40％，国内约占胃肠专科门诊患者1/3以上。功能性消化不良具有明显的消化不良症状，严重影响了患者的生活质量^[1,2]。功能性消化不良患者以门诊治疗者居多，但由于门诊停留时间短，很少有患者能得到系统规范的治疗和护理。本文对门诊功能性消化不良患者实施护理干预，旨在探讨护理干预对门诊功能性消化不良患者的影响，以改善其消化不良症状、提高其生活质量。

1 对象与方法

1．1 研究对象 选择自2004年6月至2007年6月来我院消化内科门诊就诊的患者124例，其诊断均符合国际公认诊断标准^[3]：①上腹痛、腹胀、反酸、嗳气、恶心和呕吐等上腹部症状超过4周；②内镜检查未发现溃疡、糜烂、肿瘤等器质性病变，也无上述疾病病史；……