Application of positive psychological nursing model combined with dietary regulation in the treatment of constipative irritable bowel syndrome / 中国实用护理杂志

ABSTRACT

Objective@#To explore the application of positive psychological nursing model combined with dietary regulation in the treatment of constipative irritable bowel syndrome.@*Methods@#A total of 100 cases of constipation-predominant irritable bowel syndrome treated from August 2017 to May 2018 were randomly divided into control group and observation group, 50 cases in each group. The control group was given routine nursing intervention, while the observation group was given active psychological nursing intervention and dietary adjustment on the basis of routine nursing. After intervention, the clinical efficacy, psychological status and quality of life of the two groups were compared.@*Results@#The total effective rate of the observation group was 92.00%(46/50), which was significantly higher than that of the control group (72.00%,36/50). The difference was statistically significant (χ2=7.862, P<0.05). The scores of Symptom Checklist-90 (SCL-90), Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) in the observation group (12.97±2.65, 10.38±1.86, 13.86±1.63, 10.02±1.11, 13.03±1.18, 5.19±0.32, 7.94±1.26, 7.34±0.88, 6.29±1.02, 9.43±1.00, 50.64±5.21, 50.14±5.26) were significantly lower than those in the control group (21.88±3.65, 18.72±1.05, 17.21±1.99, 14.43±1.29, 19.46±1.45, 6.79±0.41, 9.15±1.37, 9.22±1.16, 8.90±1.92, 14.02±1.98, 40.42±3.89, 42.77±3.85) (t=-11.114-27.610, P<0.05). The scores of anxiety, pickiness, health anxiety and social reaction in the Irritable Bowel Syndrome-Quality of Life Scale (IBS-QOL) in the observation group (92.90±12.67, 89.55±14.11, 89.09±15.25, 86.22±16.36) were significantly better than those in the control group (80.04±16.58, 80.09±15.44, 78.25±16.53, 77.79±16.23) (t=-4.358--2.587, P<0.05).@*Conclusion@#Positive psychology combined with dietary regulation intervention can improve the therapeutic effect of patients with constipation-predominant irritable bowel syndrome, improve their mental and psychological symptoms, alleviate anxiety and depression, and improve the quality of life, which is worthy of wide clinical promotion.