刘义兰

[摘要]目的 探讨系統护理干预对慢性胃炎合并胃溃疡患者的疗效、不良心理及生活质量的影响。方法 选取2015年3月23日～2016年3月23日我院收治的120例慢性胃炎合并胃溃疡患者，将其随机分为观察组与对照组，各60例。对照组采用常规护理，观察组采用系统护理干预，比较两组患者的治疗效果、自我管理能力、生活质量及焦虑、抑郁程度。结果 观察组患者HP转阴率高于对照组，不良事件发生率高于对照组，临床症状消失时间短于对照组，自我管理能力高于对照组，差异有统计学意义（P<0.05）。护理前，两组患者生活质量各指标及焦虑、抑郁评分比较，差异均无统计学意义（P>0.05）；护理后，观察组生活质量各指标评分高于对照组，焦虑、抑郁评分低于对照组，差异有统计学意义（P<0.05）。结论 系统护理干预在慢性胃炎合并胃溃疡患者中效果显著，能够提高患者生活质量，改善患者焦虑、抑郁情绪，提高患者依从性、HP转阴率、自我管理能力评分。

[关键词]系统护理干预；慢性胃炎；胃溃疡；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0189-04

Application of system nursing intervention in patients with chronic gastritis and gastric ulcer

LIU Yi-lan

Department of Nursing，the People′s Hospital of Lanshan District in Shandong Province，Linyi 276000，China

[Abstract]Objective To explore the effect of system nursing intervention on the curative effect，adverse psychological and quality of life of patients with chronic gastritis complicated with gastric ulcer.Methods 120 patients with chronic gastritis complicated with gastric ulcer in our hospital from March 23th 2015 to March 23th 2016 were selected and randomly divided into the observation group and the control group，with 60 cases in each group.The control group was given routine nursing and the observation group was given system care interventions.The treatment effect，self-management ability，quality of life and anxiety and depression degree were compared between two groups.Results The HP negative rate in the observation group was higher than that in the control group，the adverse event rate was lower than that in the control group，clinical symptoms disappear time was shorter than that in the control group，self-management ability was higher than that in the control group，and the differences were statistically significant （P<0.05）.Before nursing，there were no significant differences in the scores of indexes in quality of life and SAS，SDS in two groups （P>0.05）；after nursing，the scores of indexes in quality of life in the observation group was higher than that in the control group，the scores of SAS and SDS were lower than those in the control group，and the differences were statistically significant （P<0.05）.Conclusion Systematic nursing intervention has significant effect in patients with chronic gastritis complicated with gastric ulcer，which can improve the quality of life of patients，improve anxiety and depression in patients，improve patient compliance，HP negative rate and self-management ability score.

[Key words]Systematic nursing intervention；Chronic gastritis；Gastric ulcer；Quality of lifeendprint

随着人们饮食规律的改变和生活方式的改变，胃溃疡和慢性胃炎发生率逐渐上升，早期常使用药物治疗，其能够保护胃黏膜，防止病情恶化，但由于胃溃疡和慢性胃炎均属于反复性发作疾病，单方面使用药物治疗，无法在根本上进行缓解[1]。需通过加强患者自我保健意识，从而提高患者依从性和配合度，确保治疗方案的持续性，提高整体疗效，改善患者生活质量，降低不良事件的发生率[2]。本文旨在探索系统护理干预对慢性胃炎合并胃溃疡患者的临床意义，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年3月23日～2016年3月23日慢性胃炎合并胃溃疡患者120例，随机分别为观察组与对照组，各60例。……