Effect of psychological nursing intervention on anxiety level and quality of life in patients with gastrointestinal peptic ulcer.

IF 1.8 4区 医学 Q3 GASTROENTEROLOGY & HEPATOLOGY World Journal of Gastrointestinal Surgery Pub Date : 2024-09-27 DOI:10.4240/wjgs.v16.i9.2953
Xiao-Rong Zhang, Yan-Song Li, Ya-Na Xu
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Abstract

Background: Peptic ulcer is a common gastrointestinal disease, and psychological intervention has an important influence on its occurrence and development.

Aim: To investigate the effect of psychological nursing intervention on the anxiety level and quality of life of patients with gastrointestinal peptic ulcers.

Methods: Two groups of patients with peptic ulcer were selected from January to December 2012, with 60 cases in each group, and psychological nursing intervention and routine treatment were respectively performed. Psychological nursing interventions include cognitive behavioral therapy, psychological support and relaxation training. Self-rating anxiety scale (SAS) and quality of life questionnaire were used to evaluate the anxiety level and quality of life of patients before, during and after treatment.

Results: The SAS scores of the experimental group significantly decreased over the course of treatment, from 52.3 before treatment to 30.5 after treatment, while SAS scores of the control group did not change significantly. Meanwhile, the experimental group's quality of life score (SF-36) significantly improved over the course of treatment, from 65.2 to 85.2, while the control group remained stable. Further analysis showed that sex and age had no significant influence on the effect of psychotherapy. Both men and women, young and old, showed similar trends in anxiety relief and improved quality of life after treatment.

Conclusion: Psychological nursing-based intervention program has a positive effect on the anxiety level and quality of life of patients with gastrointestinal peptic ulcer.

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心理护理干预对消化性溃疡患者焦虑水平和生活质量的影响。
背景:目的:探讨心理护理干预对消化性溃疡患者焦虑程度及生活质量的影响:选取2012年1月-12月消化性溃疡患者两组,每组60例,分别进行心理护理干预和常规治疗。心理护理干预包括认知行为疗法、心理支持和放松训练。采用焦虑自评量表(SAS)和生活质量问卷对患者治疗前、治疗中和治疗后的焦虑水平和生活质量进行评价:结果:在治疗过程中,实验组的焦虑自评量表得分明显下降,从治疗前的 52.3 分降至治疗后的 30.5 分,而对照组的焦虑自评量表得分无明显变化。同时,实验组的生活质量评分(SF-36)在治疗过程中明显提高,从 65.2 分提高到 85.2 分,而对照组则保持稳定。进一步的分析表明,性别和年龄对心理疗法的效果没有明显影响。无论男女老少,治疗后焦虑缓解和生活质量改善的趋势相似:以心理护理为基础的干预方案对消化性溃疡患者的焦虑水平和生活质量有积极影响。
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