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Individualized nursing intervention improves clinical therapeutic efficacy, psychological status and quality of life in patients with gastric ulcer

AIM: To explore the effect of individualized nursing intervention on clinical therapeutic efficacy, psychological status and quality of life in gastric ulcer patients.

METHODS: Ninety-six patients with chronic gastric ulcer treated from January 2011 to December 2013 at our hospital were randomly divided into either a study group or a control group, with 48 patients in each group. The two groups received routine treatment for gastric ulcer. The control group was given routine nursing, while the study group was given individualized nursing measures. The patients of the two groups were followed for 6 mo after discharge. The clinical curative effect was observed, psychological status was assessed using the self-rating anxiety scale (SAS) and self-rating depression scale (SDS), and quality of life was assessed using the Nottingham health questionnaire (NHP).

RESULTS: The total effective rate was significantly higher in the study group than in the control group (91.7% vs 68.8%, P < 0.01). At 3 and 6 mo after treatment, SAS and SDS scores of the two groups were significantly decreased compared with pretreatment values (53.3 ± 4.8 vs 65.5 ± 4.6, P < 0.05, 41.1 ± 4.2 vs 65.5 ± 4.6, P < 0.01; 58.8 ± 5.2 vs 64.1 ± 4.2, P < 0.05, 53.3 ± 4.8 vs 64.1 ± 4.2, P < 0.01; 52.8 ± 4.4 vs 62.1 ± 4.9, P < 0.05, 40.7 ± 4.2 vs 62.1 ± 4.9, P < 0.01; 58.5 ± 5.5 vs 61.5 ± 4.7, P < 0.05, 55.8 ± 4.7 vs 61.5 ± 4.7, P < 0.01), and the decreases were more significant in the study group (53.3 ± 4.8 vs 58.8 ± 5.2, P < 0.05, 41.1 ± 4.2 vs 53.3 ± 4.8, P < 0.01; 52.8 ± 4.4 vs 58.5 ± 5.5, P < 0.05, 40.7 ± 4.2 vs 55.8 ± 4.7, P < 0.01). At 3 and 6 mo, NHP scores were significantly decreased in the two groups compared with pretreatment values (P < 0.05), and the decreases were more significant in the study group (P < 0.05).

CONCLUSION: Individualized nursing intervention can effectively improve clinical efficacy, adverse psychological status, and quality of life in patients with gastric ulcer.