新疆医科大学学报

目的探讨综合干预对2次幽门螺杆菌(Hp)根除失败的焦虑患者的影响。方法调查2014年10月—2015年10月在新疆维吾尔自治区人民医院门诊就诊的2次Hp根除失败患者的焦虑程度,并对其进行综合干预,1个月后随访,采用焦虑自评量表(SAS)进行评估,比较综合干预前、后2次Hp根除失败患者的焦虑程度。结果选择2次Hp根除失败的焦虑患者94例,经综合干预3例轻度焦虑患者失访,1例中度焦虑患者失访,1例重度焦虑患者失访,失访率为5.3%(5/94),89例2次Hp根除失败的焦虑患者经过综合干预后16例恢复正常,39例轻度焦虑,30例中度焦虑,4例重度焦虑;89例2次Hp根除失败的焦虑患者综合干预前的焦虑评分平均值为102.19分,干预后的焦虑评分平均值为76.81分,综合干预前、后的焦虑评分差异有统计学意义(Z=-3.564,P=0.000)。结论综合干预可以改善2次Hp根除失败患者的焦虑程度。

Objective To explore the effect of comprehensive intervention on the anxiety of twice Helicobacter pylori( Hp) eradication failure. Methods The anxiety levels of the patients with twice failed Hp eradication from October 2014 to October 2015 digestive department in Xinjiang Uyghur Autonomous Region People' s Hospital were surveyed and the comprehensive intervention were implemented on them. After 1 months follow-up,the anxiety levels of patients with Hp eradication failure were compared before and after comprehensive intervention by anxiety self rating scale( SAS) assessment. Results 94 cases with anxiety causing by twice HP eradication failure were collected. After comprehensive intervention,3 mild anxiety patients,1 case of mode anxiety patients and 1 case of severe anxiety patient lost in the follow-up,so the lost rate of follow-up was 5. 3 %. After comprehensive intervention,in 89 anxiety patients,16 cases returned to normal,39 cases of mild anxiety,30 cases of moderate anxiety,4 cases of severe anxiety; Before the intervention,the anxiety score of 89 cases of HP eradication failure anxiety patients were 102. 19,while the score value was 76. 81 after the comprehensive intervention,and the difference was statistically significance( Z =- 3. 564,P = 0. 000). Conclusion Comprehensive intervention can improve patients' anxiety causing by failure of Hp eradication.