摘要
目的探讨认知行为干预联合含铋剂四联疗法治疗对胃十二指肠溃疡患者生活质量的影响。方法将榆林市第二医院收治的120例胃十二指肠溃疡患者作为研究对象,按就诊先后顺序随机分为干预组和对照组,每组60例。2组均采用含铋剂四联疗法治疗并实施常规护理,干预组在此基础上接受认知行为干预。采用SF-36量表评价2组患者的生活质量,采用我院自行设计的《患者满意度问卷调查表》调查患者的满意度。比较2组患者的临床疗效、生活质量改善情况、并发症发生情况和满意度。结果干预组治疗总有效率为96.67%（58/60）,对照组治疗总有效率为81.67%（49/60）,干预组治疗总有效率显著高于对照组（P〈0.05）。干预组SF-36量表各维度得分均高于对照组（P〈0.05）。干预组并发症发生率低于对照组,满意度高于对照组,比较差异均有统计学意义（P〈0.05）。结论认知行为干预联合含铋剂四联疗法治疗对胃十二指肠溃疡可提高疗效,显著改善生活质量,提高满意度,具有临床推广应用价值。
Objective To investigate the effect of combination therapy with cognitive behavior on the quality of life of patients with gastroduodenal ulcer. Methods The patients with gastroduodenal ulcer treated in our hospital from April 2015 to April 2017 were randomly divided into intervention group and control group according to the order of treatment. Both groups were treated with bismuth-containing quadruple therapy and routine nursing was performed. The intervention group received cognitive behavior on this basis. SF-36 scale was used to evaluate the quality of life of the two groups of patients,and the prognosis of the patients was evaluated. The patient satisfaction was investigated by the self-designed questionnaire of patient satisfaction questionnaire. The clinical efficacy,treatment compliance,quality of life improvement,prognosis and satisfaction were compared between the two groups. Results The total effective rate was 96. 67%（ 58/60） in the intervention group and 81. 67%（ 49/60） in the control group. The total effective rate of the intervention group was significantly higher than that of the control group（ P 〈0. 05）. The scores of SF-36 scale in the intervention group were higher than those in the control group（ P 〈0. 05）. The incidence of complications in the intervention group was lower than that in the control group,and the satisfaction rate was higher than that of the control group（ P 〈0. 05）. Conclusion Cognitive behavioral intervention combined with bismuth quadruple therapy for gastroduodenal ulcer can improve the patient＇s compliance and efficacy,significantly improve the quality of life of patients,improve patient satisfaction,with clinical application value.
出处
《中国生化药物杂志》
CAS
2017年第7期393-395,共3页
Chinese Journal of Biochemical Pharmaceutics
关键词
认知行为干预
含铋剂四联疗法
胃十二指肠溃疡
疗效
生活质量
预后
cognitive behavioral intervention
bismuth-containing quadruple therapy
gastroduodenal ulcer
efficacy
quality of life
prognosis
