凌云

[摘要] 目的 探讨护理干预对功能性消化不良患者情绪的影响。 方法 选取2013年1～6月到本院消化内科诊治的功能性消化不良焦虑抑郁患者142例，根据入院就诊顺序将其分为干预组和对照组，每组71例，对照组给予常规护理措施，干预组在对照组护理基础上给予用药护理、饮食护理、心理护理、疾病知识健康教育及行为护理等干预措施。采用焦虑自评量表（SAS）和抑郁自评量表（SDS）分析比较两组治疗前后的消化道症状评分及患者焦虑、抑郁评分。 结果 治疗后，两组患者的消化道症状评分均明显下降，且干预组下降程度明显大于对照组，两组差异有统计学意义（P<0.01）；两组患者的SAS、SDS评分均下降，且干预组下降程度比对照组更明显，两组差异有统计学意义（P<0.01）。 结论 对功能性消化不良焦虑抑郁患者实施护理干预，可改善临床症状，提高临床治疗效果，改善患者的生活质量，值得临床进一步推广应用。

[关键词] 护理干预；功能性消化不良；焦虑；抑郁

[中图分类号] R473.5 [文献标识码] B [文章编号] 1674-4721（2014）08（b）-0148-03

[Abstract] Objective To investigate the influence of nursing intervention on the emotion of patiants with functional dyspepsia. Methods 142 cases of patients with functional dyspepsia having anxiety or depression at Department of Gastroenterology in our hospital from January 2013 and June 2013 were selected and divided into two intervention group （71 cases） and control group （71 cases） according to the order of admission，the routine nursing was adopted for the control group；Medication care，diet care，psychological care，illness and health education，behavior care were added to the intervention group based on the control group.Self-rating anxiety scale （SAS） and self-rating depression scale （SDS） were used to analyze the gastrointestinal symptom scores and anxiety，depression in two groups before and after treatment. Results After treatment，gastrointestinal symptom scores of both groups were significantly decreased，and the decline in the intervention group was greater than that of the control group，the difference was significant （P<0.01）；SAS，SDS scores of two groups were decreased，and the extent of the intervention group decreased more significantly than that of the control group，the difference was significant （P<0.01）. Conclusion Nursing intervention on patients with functional dyspepsia with anxiety and depression can improve clinical symptoms，improve clinical outcomes，improve patients′ quality of life，is worthy of further clinical application.

[Key words] Nursing intervention；Functional dyspepsia；Anxiety；Depression

功能性消化不良在临床上是一种常见的功能性胃肠病，主要临床症状为食欲差、上腹疼痛、腹胀、恶心、嗳气等，症状可反复或持续发作，病程>1个月或在以往12个月中累计>12周。通过实验室各项检查，功能性消化不良者均没有出现实质性器质变化，在消化门诊科，功能性消化不良患者约占30%，是一种常见病和多发病。对于此疾病的发病原因，目前尚不明确，一般认为精神心理因素是主要发病原因，临床上一般采用药物治疗。本院对功能性消化不良焦虑抑郁患者采取药物治疗的同时，实施护理干预措施，探讨其对患者不良情绪的影响。

1 资料与方法

1.1 一般资料

选用本院2013年1～6月消化内科门诊部接收的功能性消化不良焦虑抑郁患者142例，均符合功能性消化不良罗马Ⅲ诊断标准[1]，主要临床症状有消化不良、腹痛、腹胀、食欲差等，通过彩超和CT检查均没有出现肠道、肝、胰等器质性病变，无其他遗传性、慢性病等病史。根据……