胃食管反流病与精神心理、自主神经功能关系的研究进展

PDCA循环护理管理模式在伴有功能性消化不良脑梗死患者中的临床应用

目的

观察PDCA循环护理管理模式对伴有功能性消化不良脑梗死患者的临床应用.

方法

选取伴有功能性消化不良脑梗死患者86例, 按照就诊顺序编号, 采用随机数字表分为对照组和观察组各43例, 对照组给予常规护理, 观察组在对照组基础上应用PDCA循环管理模式, 观察2组患者焦虑、抑郁评分, 消化系统症状评分, 生活质量评分变化情况.

结果

入院时和入院2 wk时问卷有效回收率均为100%. 护理后2组焦虑自评量表、抑郁自评量表评分均比护理前降低, 差异有统计学意义(P<0.05); 且观察组变化明显低于对照组(P<0.05). 与护理前比较, 2组消化系统症状评分均下降, 差异有统计学意义(P<0.05); 且护理干预后观察组明显低于对照组, 差异有统计学意义(P<0.05). 与护理前比较, 2组生活质量评分均升高, 差异有统计学意义(P<0.05); 且护理干预后观察组升高明显于对照组, 差异有统计学意义(P<0.05).

结论

应用PDCA循环护理管理模式能降低伴有功能性消化不良脑梗死患者的负面心理情绪, 改善消化系统症状和提高患者生活质量.

Clinical effects of PDCA cycle-based nursing care in elderly gastroesophageal reflux disease patients with anxiety and depression

AIM

To observe the clinical effects of PDCA cycle-based nursing care in elderly gastroesophageal reflux disease (GERD) patients with anxiety and depression.

METHODS

Seventy-two GERD patients with anxiety and depression were selected and randomly divided into a control group and an observation group, with 36 cases in each group. Both groups received routine nursing care, and the observation group was additionally given PDCA cycle-based nursing care. The quality of life score, clinical symptom scores, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores and compliance were compared between the two groups.

RESULTS

SAS and SDS scores were significantly lower in both groups after nursing than before nursing (P < 0.05), and SAS and SDS scores were significantly lower in the observation group than the control group (P < 0.05). Clinical symptoms and quality of life scores were significantly improved in both groups after nursing (P < 0.05), and the improvement was more significant in the observation group (P < 0.05). Compared with the control group, patient compliance was significantly better in the observation group (P < 0.05).

CONCLUSION

PDCA cycle-based nursing care can improve clinical symptoms, reduce anxiety and depression, and improve patient compliance in elderly GERD patients with anxiety and depression.

Risk factors for gastroesophageal reflux disease

Gastroesophageal reflux disease, a common disease of the digestive tract that can be caused by various factors, seriously harms the patients' life quality due to the repeated episodes. Here we discuss the risk factors for gastroesophageal reflux disease, in order to assist in the prevention and treatment of the disease.