[1]冯敏,马维晋.个性化干预对胃食管反流病患者生活质量的影响[J].西部中医药,2025,38(11):108-111.[doi:10.12174/j.issn.2096-9600.2025.11.18]
　FENG Min,MA Weijin.Effects of Individualized Intervention on Quality of Life in GERD Patients[J].Western Journal of Traditional Chinese Medicine,2025,38(11):108-111.[doi:10.12174/j.issn.2096-9600.2025.11.18]
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个性化干预对胃食管反流病患者生活质量的影响()

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年11期
页码:
108-111
栏目:
临床研究
出版日期:
2025-11-15

文章信息/Info

Title:
Effects of Individualized Intervention on Quality of Life in GERD Patients
作者:
冯敏, 马维晋
武威市中医医院，甘肃 武威 733000
Author(s):
FENG Min, MA Weijin
Wuwei Hospital of TCM, Wuwei 733000, China
关键词:
胃食管反流病; 个性化护理; 生活质量; SF-36量表; 护理满意度
Keywords:
GERD; individualized nursing; quality of life; SF-36 scale; nursing satisfaction
分类号:
R248.1
DOI:
10.12174/j.issn.2096-9600.2025.11.18
文献标志码:
B
摘要:
目的探讨个性化干预对胃食管反流病（gastroesophageal reflux disease，GERD）患者生活质量的影响，分析其在症状缓解及健康促进方面的临床价值，为优化GERD护理方案提供依据。 方法选取74例GERD患者作为研究对象，采用随机数字表法分为对照组和观察组各37例。对照组接受常规护理，包括饮食指导、用药管理、健康宣教等；观察组在对照组基础上实施个性化护理干预，具体措施包括个体化评估、定制化饮食计划、心理干预、生活方式调整等，同时通过日记记录患者症状变化，动态调整护理计划。两组患者均连续干预4周。干预前后采用健康相关生活质量量表（the MOS 36-item short-form health survey，SF-36）评估生活质量，记录胸骨后疼痛、烧心、嗳气、反酸等症状的缓解时间，并统计护理满意度。 结果护理前，两组SF-36评分差异无统计学意义（P＞0.05）；护理后，两组评分均升高，且观察组高于对照组（P＜0.05）。观察组胸骨后疼痛、烧心、嗳气、反酸症状缓解时间均短于对照组，两组比较差异均有统计学意义（P＜0.05）。观察组护理满意度高于对照组（P＜0.05）。 结论个性化护理干预可针对GERD患者的个体差异提供精准护理，有效缩短症状缓解时间，并通过改善患者心理状态、调整生活方式，提升其整体生活质量。该护理模式值得在临床推广，未来可结合远程随访技术进一步优化护理路径。
Abstract:
ObjectiveTo provide the reference for the optimization of GERD nursing project by exploring the effects of individualized intervention on quality of life in GERD patients, and analyzing clinical values of the projects in symptom remission and health promotion. MethodsA total of 74 GERD patients were chosen as the object of study, and allocated to the control group and the observation group using random number table method with 37 cases in each. The control group received routine nursing covering dietary guidance, administration management and health education, while individualized intervention was implemented in the observation group, the concrete measures contained individualized assessment, tailored diet plan, psychological intervention and lifestyle adjustment, simultaneously, the changes of symptoms were recorded using diary to dynamically adjust nursing projects. Both groups were intervened for four weeks continuously. SF-36 was adopted to evaluate quality of life before and after the intervention, to record the relief time of the symptoms of retrosternal pain, heartburn, eructation and sour regurgitation, and to add up nursing satisfaction. ResultsThe difference had no statistical meaning in SF-36 scales before nursing between the two groups (P>0.05); after nursing, the scores were raised in the two groups, and the observation group was higher than the control group (P<0.05). The observation grou was shorter than the control group in the relief time of the symptoms of retrosternal pain, heartburn, eructation and sour regurgitation, and the difference was statistically significant (P<0.05). Nursing satisfaction of the observation group was higher than that of the control group (P<0.05). ConclusionIndividualized nursing could provide precise care tailored to GERD patients, effectively shorten the relief time of the symptoms, and promote overall quality of life by improving patients’ psychological state and adjusting lifestyle. The nursing mode is worthy of clinical promotion, its combination with remote follow-up in the future could further optimize nursing pathway.

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备注/Memo

备注/Memo:
冯敏（1983—），女，副主任护师。研究方向：内科护理。
更新日期/Last Update: 2025-11-15