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Compliance of patients with peptic ulcer disease R

 
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PostWysłany: Czw 23:11, 21 Kwi 2011    Temat postu: Compliance of patients with peptic ulcer disease R

Compliance of patients with peptic ulcer disease Rehabilitation


Chinese papers League finishing. Of: Luosu Xia, Liu Renlian, Xiu-Lin Key words ulcer [Abstract] the purpose of : of nursing intervention on patients with Helicobacter pylori positive peptic ulcer disease, compliance and the impact of rehabilitation, and to find nursing, to promote the rehabilitation of patients and reduce the recurrence of purpose. Methods: 92 patients with peptic ulcer were randomly divided into intervention group and control group 46 patients were given comprehensive care intervention and usual care, compared two groups of patients to treatment compliance, treatment, recurrence rate. Results: The intervention group of patients with higher compliance rates (P <0.05), and the intervention group, patients with high efficiency, low recurrence rate. Conclusion: the effective and systematic nursing intervention can improve patient compliance, thereby contributing to the rehabilitation of peptic ulcer patients, reduce recurrence. [keyword] peptic ulcer; compliance; rehabilitation Nursing Invention's Influence on the Compliance and Rehabilitation of Peptic Ulcer Patients Abstract: Objective To observe nursing intervention's influence on the compliance and rehabilitation of helicobacter pylori (HP) positive patients, find out nursing counter measure, facilitate the patients' rehabilitating and reduce the recurrence of peptic ulcer.Methods 92 peptic ulcer patients were divided randomly into intervention group and control group, 46 patients in each one.Comprehensive nursing and routine nursing were given respectively to intervention group and control group, observe the difference in compliance to therapy, therapeutic efficacy and recurrence rate between the two groups.Results For the intervention group patients, the compliance scores are higher (P <0.05), the therapeutic efficacy are better, the recurrence rate is lower than that of the control group patients.Conclusion Efficient comprehensive nursing can rise the peptic ulcer patients' compliance, thereby facilitate the rehabilitation of the patients, reduce recurrence rate of peptic ulcer. Key words: Peptic ulcer; Compliance; Rehabilitation mainly means the occurrence of peptic ulcer in the stomach and duodenum, chronic ulcers, is one of the major digestive diseases. Peptic ulcer was chronic process, periodic seizures, rhythmic recurrence of pain characteristics and easy, taking a long time, variety, and the symptoms disappeared a short time, is caused mainly due to poor drug compliance [1]. To improve the treatment of peptic ulcer, prevention of recurrence. July 2003-January 2005 92 cases of Helicobacter pylori positive peptic ulcer of the comprehensive nursing intervention to investigate the compliance of patients on the impact of rehabilitation. 1 Subjects and methods 1.1 Object from July 2003 to January 2005 in our hospital digest specialist out-patient for the first time confirmed by electronic endoscopy combined with active peptic ulcer patients with Helicobacter pylori infection in 92 patients, 62 males and 30 females, aged 20 to 65 years, mean age (40 ± 5) years; which 36 cases of duodenal ulcer, gastric ulcer in 31 cases, 25 cases of complex ulcer. Without complications, unintentional, lung, liver, kidney and other vital organs dysfunction, pregnancy or breast-feeding women not selected. 1.2 Methods 1.2.1 Group Method 92 patients were randomly divided into two groups, the intervention group and control group were 46 cases two groups of gender, age, education level, disease severity, etc. was no significant difference (P> 0.05). All patients were treated with proton pump inhibitors and efficient anti-ulcer drugs omeprazole 20 mg or Takepron 30 mg, 1 day, 4 weeks for a course of treatment, both with amoxicillin 0.5 g, 0.5 g ornidazole combined, 2 times daily for 2 weeks of anti HP treatment. Intervention group received comprehensive care intervention, the control group routine treatment care. 2 months after the end of the treatment repeated endoscopy. Compliance of patients with the questionnaire, while the efficacy of the two groups of patients, the recurrence rate statistics. 1.2.2 Evaluation Method compliance scoring criteria: patient compliance is the compliance of medical measures and health education and behavior (referring to the precautionary measures to avoid the risk factors ) compliance [2], see Gao Yuzhen [3] such as the development rate of compliance questionnaire, including four parts, namely, examination, treatment, medication, rest and diet compliance situation, each question 4-point scale score, highest score 16 points. 1.2.3 Comprehensive nursing patients before treatment, in addition to the conventional method described medication, the medical staff but also for the intervention group developed examination, treatment, medication, rest, diet , a set of health education programs, uses one to one explanation, and asked friends to participate, relatives and friends supervision and inspection. At the same time also focused on lectures, disseminate relevant knowledge and manual, watch the VCD discs and other forms of organization of health education, allowed to understand the occurrence of peptic ulcer disease, development, treatment; guide its proper medication, rest, diet, in collaboration with various kinds of examination,[link widoczny dla zalogowanych], treatment; that adhere to the formal, systematic treatment of the importance of the importance of good habits of the role of rehabilitation; smoking during treatment, wine, tea, coffee, spicy food and the gastrointestinal damage drugs; psychological guidance and spiritual regulation and self-relaxation method, each 1 week follow-up 1 to 2 weeks; the same time, to establish the treatment for the patient file, follow-up appointment, contact the nurse and patient, ready to remind and urge the establishment of good work in health care behavior. 1.3 statistical analysis Descriptive analysis, χ2 test and other statistical methods.


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