王红霞

[摘要] 目的 探讨综合护理干预对十二指肠溃疡（DU）患者生活质量的影响。 方法 选择2012年2月～2015年6月我院收治的DU患者182例，按照住院号奇偶的原则分为对照组和观察组，每组91例。对照组采取常规护理方法，实验组在对照组基础上增加综合护理干预措施，比较两组的护理效果。 结果 实验组的总有效率为97.80%，显著高于对照组的78.02%（P<0.05）。护理干预前，两组生活质量综合评定问卷（GQOLI-74）各维度评分差异无统计学意义（P>0.05）；护理干预后，两组的GQOLI-74各维度评分有所提高（P<0.05），且观察组GQOLI-74各维度评分高于对照组（P<0.05）。观察组的护理满意度为98.90%，显著高于对照组的76.92%（P<0.05）。 结论 综合护理干预能显著改善DU患者的生活质量，提高护理满意度，对DU的临床治疗效果具有较好的促进作用，值得推广应用。

[关键词] 十二指肠溃疡；优质综合护理干预；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2016）02（b）-0192-03

Impact of comprehensive nursing intervention on the quality of life in patients with duodenal ulcer

WANG Hong-xia

Chinese Traditional Medicine Hospital of Haiyang City in Shandong Province，Haiyang 263800，China

[Abstract] Objective To investigate the impact of comprehensive nursing intervention on the quality of life in patients with duodenal ulcer（DU）. Methods 182 cases of patients with DU diagnosed in our hospital were selected and randomly divided into control group and experimental group according to the parity of their admission number，with 91 cases in each group.In control group，conventional treatment was adopted.In experimental group，conventional treatment plus intervention was adopted.The nursing effects between the two groups was compared. Results The total effective rate in the experimental group was 97.80%，which was higher than 78.02% of control group（P<0.05）.Before nursing intervention，there were no significant differences in two groups of GQOLI-74 dimension score（P>0.05）.After nursing intervention，GQOLI-74 dimension score in two groups was improved（P <0.05），and GQOLI-74 dimension score in experimental group was higher than that of control group（P<0.05）.The nursing satisfaction in experimental group was higher than that of control group（P<0.05）. Conclusion Comprehensive nursing intervention can significantly improve the quality of life for patients with DU，increase nursing satisfaction.It has a good effect on the clinical treatment of DU，and it is worth popularizing.

[Key words] Duodenal ulcer；Comprehensive nursing intervention；Quality of life

十二指肠溃疡（duodenal ulcer，DU）在临床上较为常见，也是消化系统中的常见病、多发病，其发病机制是患者胃部消化液对胃黏膜产生消化损伤，从而导致胃消化液对十二指肠组织造成损伤[1]。随着病程的不断发展，可造成出血、穿孔、肠梗阻等严重并发症[2]。DU是幽门螺杆菌（Helicobacter pylori，HP）感染引起，同时由不良心态、情绪波动、心理压力、劳累过度、生活不规律、抽烟酗酒、睡眠不足、恶性环境等因素引起，多呈慢性反复发作[3]。该病的治疗不仅以服用抑制胃酸、保护胃黏膜、促进胃动力等药物为主要手段[4]，而且还要结合生物-心理-社会模式，更注重心理、社会对患者的影响，即三分治、七分养，护理重于治疗[5]。本研究对在我院住院的DU患者采取综合性护理干预，极大提高了患者的生活质量及工作满意度，现报道如下。

1 资料与方法

1.1 一般资料

选择2012年2月～2015年6月我院收治的经纤维胃镜检查和病理活检分析确诊为DU的182例患者，均为首次发病，且临床症状均表现为上腹部疼痛、反跳痛、恶心、呕吐、嗳气反酸，伴有消化系统障碍。……