跟踪回访延伸护理在神经性厌食症患者中的应用及效果

目的探讨跟踪回访延伸护理在神经性厌食症(AN)患者中的干预效果。方法以随机数字表法将2016年9月至2017年9月该院收治的80例AN患者分为对照组和试验组,每组40例。对照组给予常规护理,试验组在对照组基础上给予跟踪回访延伸护理,比较两组进食障碍调查问卷(EDE-Q)评分,行为抑制/激活系统量表(BIS/BAS)评分及Frost多维完美主义心理量表(FMPS)评分。结果干预后,两组EDE-Q各维度(限制进食、关注饮食、关注体质量和关注体型)评分均明显下降(P<0.05),且试验组下降幅度大于对照组(P<0.05);两组BIS评分、FMPS评分均明显下降(P<0.05),BAS评分均明显升高(P<0.05),且试验组下降或升高幅度均大于对照组(P<0.05)。结论在AN患者中实施定期跟踪回访延伸护理干预,能有效改善患者饮食状态及心理状态,值得临床推广使用。

Application and effect of tracking follow-up extended care in patients with anorexia nervosa

Objective To explore the intervention effect of tracking follow-up extended care in the patients with anorexia nervosa(AN).Methods Eighty patients with AN in the hospital from September 2016 to September 2017.09 were divided into the control group(n=40)and experimental group(n=40)according to the random number table method.The control group was given the routine nursing care,while the experimental group was given the tracking follow-up extended care on the basis of the control group.Then the eating disorder investigation questionnaire(EDE-Q)score,behavioral inhibition/activation system scale(BIS/BAS)score and Frost multidimensional psychological perfectionism scale(FMPS)score were compared between the two groups.Results After intervention,the scores in all dimensions of EDE-Q scores(restricted eating,paying attention to diet,body mass and body type)in the two groups were decreased significantly(P<0.05),moreover the decrease amplitude in the experimental group was greater than that in the control group(P<0.05).The BIS score and FMPS score in both groups were decreased significantly(P<0.05),while the BAS score was increased significantly(P<0.05),moreover the decrease amplitude or increase amplitude in the experimental group was greater than that in the control group(P<0.05).Conclusion Implementing the tracking follow-up extended nursing intervention in the patients with AN can effectively improve the patients′dietary status and psychological status,which is worthy of clinical promotion.