院外健康教育对溃疡性结肠炎患者生活质量的影响

Influence of the out-hospital health education on the quality of life in patients with ulcerative colitis

目的：探讨院外健康教育对溃疡性结肠炎患者生活质量的影响。方法选取182例溃疡性结肠炎患者，按随机数字表法分成研究组和对照组，举办溃疡性结肠炎院外健康教育班。研究组患者及家属每个月进行集中健康教育，对照组患者仅在研究组进行集中教育时进行电话随访，为期1年。观察干预结束后两组患者的治疗有效率、疾病复发率及生活质量的得分情况。结果研究结束时研究组有8例患者失访，对照组有5例患者失访。研究组患者出院后1年的治疗有效率为90．36％（75/83），对照组为72．09％（62/86），两组比较差异有统计学意义（χ^2＝9．183，P＝0．002）。研究组患者出院后1年的复发率为20．89％（19/83），对照组为39．53％（34/86），两组比较差异有统计学意义（χ^2＝7．825， P＝0．005）。教育后研究组生活质量总分优于对照组，差异有统计学意义（t ＝11．428，P ＜0．05）。结论院外健康教育能够降低溃疡性结肠炎患者的复发率，提高治疗有效率及生活质量。

Objective To explore the influence of the out-hospital health education on the quality of life in patients with ulcerative colitis （UC）.Methods One hundred and eighty-two UC patients were chosen and divided into the control group and the study group according to the random number table .The out-hospital health education of UC was held .The patients and their families in the study group received the health education every month, and the control group received the telephone follow-up every month for one year .The effective rate of treatment, the rate of recurrence and the score of quality of life were observed in two groups after the intervention .Results The cases of loss of follow-up at the end of study were 8 cases in the study group , and were 5 cases in the control group .The effective rate of treatment one year after the discharge was 90 .36%（75/83） in the study group, and was 72.09% （62/86） in the control group, and the difference was statistically significant （χ^2 =9.183, P=0.002）.The rate of recurrence one year after the discharge was 20.89%（19/83） in the study group, and was 39.53%（34/86） in the control group, and the difference was statistically significant （χ^2 =7.825, P=0.005）.The score of quality of life in the study group was better than that of the control group, and the difference was statistically significant （t =11.428,P〈0.05）.Conclusions The out-hospital health education can reduce the rate of recurrence , and improve the effective rate of treatment and quality of life of UC patients .