Abstract:

Objective　To explore the effect of feedback nursing based on the emotional adaptation theory for patients with functional dyspepsia (FD). Methods　One hundred and twenty patients with FD treated at Second Hospital, Tianjin Medical University from January 2022 to January 2023 were selected as the study objects. They were divided into a control group and an observation group by the random number table method, with 60 cases in each group. There were 34 males and 26 females in the control group; they were (40.23±6.59) years old. There were 33 males and 27 females in the observation group; they were (41.15±6.70) years old. The control group took routine nursing care, and the observation group feedback nursing based on the emotional adaptation theory, for 3 months. The scores of clinical symptoms, anxiety, depression, and quality of life before and after the intervention and treatment compliance were compared between the two groups. t and χ² tests were applied. Results　After the intervention, the scores of postprandial fullness, upper abdominal pain, bloating, and loss of appetite in the observation group were lower than those in the control group [(1.35±0.22) vs. (2.01±0.30), (1.03±0.10) vs. (1.65±0.27), (1.19±0.20) vs. (1.78±0.34), and (1.10±0.15) vs. (1.68±0.26)], with statistical differences between the two groups (all P<0.001); the scores of Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) in the observation group were lower than those in the control group [(15.06±2.72) vs. (18.95±3.52) and (18.63±3.54) vs. (22.09±4.17)], with statistical differences between the two groups (both P<0.05); the treatment compliance rate of the observation group was higher than that of the control group [95.00% (57/60) vs. 80.00% (48/60)], with a statistical difference between the two groups (P=0.013); the score of Gastrointestinal Quality of Life Index (GIQLI) of the observation group was lower than that of the control group [(95.66±9.42) vs. (102.34±10.41)], with a statistical difference (P<0.001). Conclusion　The application of feedback nursing based on the emotional adaptation theory in patients with FD can alleviate their clinical symptoms, and improve their anxiety and depression emotions, treatment compliance rate, and quality of life.

Key words:

Functional dyspepsia, Feedback nursing, Emotional adaptation theory, Quality of life

摘要：

目的　探讨情感适应理论反馈式护理在于功能性消化不良（FD）患者中的应用效果。方法　选取天津医科大学第二医院2022年1月至2023年1月收治的120例FD患者为研究对象，按随机数字表法分为两组。对照组60例，男34例，女26例，年龄（40.23±6.59）岁，采用常规护理干预3个月；观察组60例，男33例，女27例，年龄（41.15±6.70）岁，采用情感适应理论下的反馈式护理干预3个月。比较两组干预前后临床症状评分、焦虑评分、抑郁评分、生活质量评分及治疗依从性。采用t检验、χ²检验进行统计分析。结果　干预后，观察组餐后饱胀感（1.35±0.22）分、上腹部疼痛（1.03±0.10）分、胀气（1.19±0.20）分、食欲不振（1.10±0.15）分，均低于对照组［（2.01±0.30）分、（1.65±0.27）分、（1.78±0.34）分、（1.68±0.26）分］，两组比较差异均有统计学意义（均P<0.001）；观察组汉密尔顿焦虑量表（HAMA）评分为（15.06±2.72）分、汉密尔顿抑郁量表（HAMD）评分为（18.63±3.54）分，均低于对照组［（18.95±3.52）分、（22.09±4.17）分］，两组比较差异均有统计学意义（均P<0.001）；观察组治疗依从率［95.00%（57/60）］高于对照组［80.00%（48/60）］，两组比较差异有统计学意义（P=0.013）；观察组胃肠道生活质量指数（GIQLI）评分低于对照组［（95.66±9.42）分比（102.34±10.41）分］，两组比较差异有统计学意义（P<0.001）。结论　FD患者应用情感适应理论下的反馈式护理能缓解临床症状，改善焦虑、抑郁情绪，同时能提升患者的治疗依从率和生活质量。

关键词:

功能性消化不良, 反馈式护理, 情感适应理论, 生活质量