关键词: 胃底折叠术, 胃食管反流, 生活质量, 影响因素分析, 护理

Abstract:

Objective To investigate the quality of life of patients after fundoplication，and to analyze the influencing factors. Methods The convenience sampling method was used to select 223 patients who were hospitalized in the gastroesophageal reflux disease surgical diagnosis and treatment center of a tertiary hospital in Beijing from March 2021 to December 2022 as the research subjects. General information questionnaire，Quality index，General Hospital Anxiety and Depression Scale，Comprehended Social Support Scale，etc. were employed for investigation. Results A total of 207 valid questionnaires were collected，and the sample loss rate was 7.2%. At 3 months after operation，the physical and psychological quality of life of the patients were significantly improved compared with those before the operation（P<0.05），but were lower than the normative level of the healthy population in China（P<0.05）. Multivariate analysis showed that age，BMI，family per capita monthly income，anxiety，depression，and the number of postoperative complications were the influencing factors of patients’ physical quality of life（P<0.05），and BMI，anxiety，and depression were the influencing factors of patients’ psychological quality of life（P<0.05）. Conclusion 3 months after fundoplication，the quality of life of the patients was significantly improved compared with that before operation，but it did not return to the normal level. Postoperative nursing staff should focus on elderly patients，as well as patients with BMI<18.5，low per capita monthly family income，many postoperative complications，anxiety，and depression. It is recommended to take early intervention measures to promote the early return of patients to society.

Key words: Fundoplication, Gastroesophageal Reflux, Quality of Life, Root Cause Analysis, Nursing Care