Study on the impact of holistic nursing based on behavioral change theory on patients with gastroesophageal reflux disease
行为改变理论的整体护理对胃食管反流病患者的影响研究

摘要

目的 讨论对胃食管反流病（GERD）患者实施行为改变理论的整体护理在临床上的效果。方法 选取2022.3-2023.3本院收治的GERD患者68例，根据随机分组原则分为研究组（34例，行为改变理论的整体护理）和常规组（34例，常规护理）。比较两组护理前后的RDQ反流性疾病症状积分、Morisky护理依从性、GERD-HRQL胃食管反流患者的生活质量评分。结果 护理之后，两组的RDQ评分、GERD-HRQL评分均有明显下降，其中研究组的RDQ评分、GERD-HRQL评分均比常规组更低（P＜0.05）；护理后，两组的护理依从性均有明显提升，且研究组的护理依从性比对照组更高（P＜0.05）。结论 在GERD患者护理中应用行为改变理论的整体护理模式，可以有效缓解患者的临床症状，提高其护理依从性和生活质量。

Abstract

Objective: To discuss the clinical effectiveness of holistic nursing based on behavioral change theory in patients with gastroesophageal reflux disease (GERD). Method: A total of 68 GERD patients admitted to our hospital from March 2023 to March 2023 were selected and randomly divided into a study group (34 cases, holistic care based on behavioral change theory) and a routine group (34 cases, routine care). Compare the symptom scores of RDQ reflux disease, Morisky nursing compliance, and quality of life scores of GERD-HRQL gastroesophageal reflux patients before and after nursing care between two groups. Result: After nursing, the RDQ score and GERD-HRQL score of both groups significantly decreased, with the RDQ score and GERD-HRQL score of the study group being lower than those of the conventional group (P<0.05); After nursing, the nursing compliance of both groups was significantly improved, and the nursing compliance of the study group was higher than that of the control group (P<0.05).
Conclusion  : The application of behavior change theory in the holistic nursing model of GERD patients can effectively alleviate their clinical symptoms, improve their nursing compliance and quality of life.