目的 探讨医护联合门诊模式在消化性溃疡患者中的应用效果.方法 采用目的抽样法,选取2015年1月—2017年2月在宁波大学医学院附属医院消化中心内科门诊治疗的消化性溃疡患者108例为研究对象,随机分为对照组和试验组,每组各54例.试验组患者采用医护联合门诊模式对患者进行诊疗,对照组则采用传统的门诊模式,比较两组患者的疾病知识掌握情况、服药依从性和生活习惯状况.结果 治疗第1、2、6周,试验组患者的疾病知识掌握情况优于对照组,差异有统计学意义(P<0.01);治疗第2周,试验组患者服药依从性优于对照组,差异有统计学意义(P<0.05);治疗第1、2、6周,试验组吸烟、饮酒人数少于对照组,差异有统计学意义(P<0.05).结论 医护联合门诊模式有利于改善患者的不良生活习惯,提高患者的疾病知识水平和服药依从性.%Objective To explore the application effects of nurse-physician combined outpatient service in peptic ulcer patients. Methods A total of 108 cases of peptic ulcer patients who were being treated in the digestive center of the Affiliated Hospital of Medical College of Ningbo University from January 2015 to February 2017 were recruited in the research by purposive sampling method, and randomly divided into experimental group and control group, with 54 cases in each. Nurse-physician combined outpatient service was provided to the patients in the experimental group, while the patients in the control group received traditional outpatient mode. Disease knowledge, medication compliance and lifestyle were compared between the two groups. Results In the 1st, 2nd and 6th week, patients' disease knowledge in the experimental group was better than that in the control group, and the difference was statistically significant (P<0.01). In the 2nd week, the medication compliance of the experimental group was better than that of the control group, with statistically significant (P<0.05). In the 1st, 2nd and 6th week, the number of smoking and drinking people was less than that of the control group, and the difference was statistically significant (P<0.05). Conclusions The nurse-physician combined outpatient service is beneficial to improve the knowledge level and medication compliance of patients and plays an important role in changing unhealthy living habits.
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