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目的：找出影响消化性溃疡（PU）患者生活质量（QOL）下降的原因，以便采用相应的护理措施，使其QOL及治疗效果得到提高．方法：采用分组问卷方法对118例PU患者进行调查，对结果进行统计学处理．同时对58例患者进行性激素6项的检测．结果：PU患者QOL下降严重，涉及多种因素，其中对疾病的认识和心理精神两方面的问题尤为突出，分别占50％和42％．有70名患者反映性生活受到PU的影响，但对病房组58例患者性激素6项检查均在正常值范围，其中2／3反映性生活受到PV的影响，1／3性生活正常，说明PU患者性生活的影响与性激素分泌无关．治疗19d～21d后增加了针对性护理措施的病房组58例患者全部治愈，57％～100％的病例经问卷调查QOL恢复正常功能．60例门诊组患者有8例PU未完全愈合，仅有0～58％的病例QOI。恢复正常功能．结论：护理方法的不同对治疗效果及患者QOL的提高可产生截然不同的反应．
OBJECTIVE: To find out the reasons for the decline of quality of life (QOL) in patients with peptic ulcer (PU) in order to adopt corresponding nursing measures to improve their QOL and therapeutic effect. Methods: 118 cases of PU patients were surveyed by group questionnaire, and the results were statistically analyzed. At the same time, 58 patients were tested for sex hormone 6 items. Results: The QOL in PU patients declined seriously, involving a variety of factors, including the awareness of the disease and the psychology of the two aspects of the problem is particularly prominent, accounting for 50% and 42%. 70 patients reflect the impact of sexual life by PU, but 58 cases of ward sex hormone test in 6 patients were in the normal range, of which 2/3 reflect the impact of life by PV, 1/3 sex life is normal, indicating PU The impact of sexual life of patients has nothing to do with the secretion of sex hormones. Fifty-eight patients in ward with targeted nursing intervention increased after treatment from 19d to 21d, and QOL in 57% ~ 100% returned to normal after questionnaire. Eighty patients in the 60 outpatient group did not heal completely, and only 0 to 58% of the patients had QOI. Restore normal function CONCLUSIONS: Different nursing methods have distinctly different responses to the treatment effect and the improvement of QOL in patients.