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目的探讨个体化生活方式干预对妊娠期妇女胃食管反流症状及生活质量的影响。方法抽取经反流疾病问卷(Reflux Diagnostic Questionnaire,RDQ)确诊为胃食管反流病(Gastroesophageal Reflux Disease,GERD)的106名孕妇,使用信封法将其随机分为对照组和实验组,对照组采用常规围生保健,实验组在此的基础上实行连续的个体化生活方式干预,比较3个月后2组孕妇的胃食管反流症状和生活质量。采用SPSS17.0对数据进行统计学分析。结果 (1)干预3个月后实验组孕妇胃食管反流症状得分(12.62±3.13)分,与对照组(14.01±2.96)分相比较低,差异有统计学意义(t=2.315,P=0.023);(2)干预3个月后实验组生活质量总得分(70.28±12.15)分,高于对照组[(62.13±13.20)]分,差异有统计学意义(t=-3.261,P=0.002),同时在情绪压力、睡眠障碍、饮食问题3个维度上实验组得分高于对照组,差异有统计学意义(t=-4.738,P<0.001;t=-3.287,P=0.001;t=-2.978,P=0.004)。结论个体化生活方式干预能够减轻妊娠期妇女胃食管反流症状,改善其生活质量。
Objective To explore the influence of individualized lifestyle intervention on the symptoms of gastroesophageal reflux and quality of life in pregnant women. Methods 106 pregnant women diagnosed with Gastroesophageal Reflux Disease (GERD) by Reflux Diagnostic Questionnaire (RDQ) were enrolled and randomly divided into control group and experimental group by envelope method. The control group Conventional perinatal health care, experimental group on the basis of the implementation of continuous individualized lifestyle intervention, compared 3 months after the two groups of pregnant women, gastroesophageal reflux symptoms and quality of life. The data were analyzed by SPSS17.0. Results (1) The scores of gastroesophageal reflux symptom (12.62 ± 3.13) in experimental group after 3 months intervention were lower than those in control group (14.01 ± 2.96), the difference was statistically significant (t = 2.315, P = 0.023); (2) After 3 months of intervention, the total score of quality of life in the experimental group was (70.28 ± 12.15) points higher than that in the control group [(62.13 ± 13.20)], the difference was statistically significant (t = -3.261, P = 0.002). At the same time, the score of experimental group was higher than that of control group in the three dimensions of emotional stress, sleep disturbance and diet (t = -4.738, P <0.001; t = -3.287, P = 0.001; = -2.978, P = 0.004). Conclusion Individualized lifestyle intervention can relieve the symptoms of gastroesophageal reflux in pregnant women and improve their quality of life.