Observational Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Sep 27, 2024; 16(9): 2953-2960
Published online Sep 27, 2024. doi: 10.4240/wjgs.v16.i9.2953
Effect of psychological nursing intervention on anxiety level and quality of life in patients with gastrointestinal peptic ulcer
Xiao-Rong Zhang, Yan-Song Li, Ya-Na Xu
Xiao-Rong Zhang, Ya-Na Xu, Department of Neurology, Wuhan Fourth Hospital, Wuhan 430030, Hubei Province, China
Yan-Song Li, Department of Nursing, Bengbu Railway Police College, Bengbu 233000, Anhui Province, China
Author contributions: Xu YN was the guarantor and designed the study; Li YS and Zhang XR critically revised the article for important intellectual content.
Institutional review board statement: The study was reviewed and approved by Wuhan Fourth Hospital (Approval No. 2023-489).
Informed consent statement: All study participants or their legal guardian provided informed written consent prior to study enrollment.
Conflict-of-interest statement: There are no conflicts of interest to report.
Data sharing statement: No additional data are available.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ya-Na Xu, MM, Nurse, Department of Neurology, Wuhan Fourth Hospital, No. 473 Hanzheng Street, Qiaokou District, Wuhan 430030, Hubei Province, China. 137252539@qq.com
Received: April 8, 2024
Revised: May 13, 2024
Accepted: July 1, 2024
Published online: September 27, 2024
Processing time: 162 Days and 22.7 Hours
Abstract
BACKGROUND

Peptic ulcer is a common gastrointestinal disease, and psychological intervention has an important influence on its occurrence and development.

AIM

To investigate the effect of psychological nursing intervention on the anxiety level and quality of life of patients with gastrointestinal peptic ulcers.

METHODS

Two groups of patients with peptic ulcer were selected from January to December 2012, with 60 cases in each group, and psychological nursing intervention and routine treatment were respectively performed. Psychological nursing interventions include cognitive behavioral therapy, psychological support and relaxation training. Self-rating anxiety scale (SAS) and quality of life questionnaire were used to evaluate the anxiety level and quality of life of patients before, during and after treatment.

RESULTS

The SAS scores of the experimental group significantly decreased over the course of treatment, from 52.3 before treatment to 30.5 after treatment, while SAS scores of the control group did not change significantly. Meanwhile, the experimental group's quality of life score (SF-36) significantly improved over the course of treatment, from 65.2 to 85.2, while the control group remained stable. Further analysis showed that sex and age had no significant influence on the effect of psychotherapy. Both men and women, young and old, showed similar trends in anxiety relief and improved quality of life after treatment.

CONCLUSION

Psychological nursing-based intervention program has a positive effect on the anxiety level and quality of life of patients with gastrointestinal peptic ulcer.

Keywords: Gastrointestinal peptic ulcer; Psychological nursing; Anxiety level; Quality of life; Cognitive behavioral therapy

Core Tip: In this study, peptic ulcer as a common gastrointestinal disease, has attracted much attention due to its unique pain and potential serious complications. In addition to physical problems, people with the disease often suffer from psychologically related burdens, especially anxiety. Therefore, the treatment strategy should focus on the relief of physical symptoms and psychological anxiety of patients. In order to explore the impact of psychological nursing intervention on the anxiety level and quality of life of patients with peptic ulcer, so as to better treatment, this study divided peptic ulcer patients into two groups, psychological nursing intervention and conventional treatment.