个性化延续护理对老年溃疡性结肠炎患者的临床效果研究

The clinical effect of individualized nursing on elderly patients with ulcerative colitis

目的探讨个性化延续护理对老年溃疡性结肠炎患者生活质量的影响。方法收集2014年1月~2015年10月入院的老年性溃疡性结肠炎患者80例,按照简单数字表法随机分为对照组和实验组各40例,对照组患者给予常规护理,实验组患者则加施个性化延续护理,比较两组患者干预前后溃疡性结肠炎相关知识与自我效能水平、健康行为合格率、生活质量与总体护理满意度等。结果实验组患者干预后溃疡性结肠炎专业性知识问卷(CCKNOW)得分与炎症性肠病自我效能量表(IBD-SES)评分比较显著高于对照组,差异有统计学意义(P<0.01);实验组患者疾病知识掌握、遵医坚持服药与遵医坚持锻炼合格率明显高于对照组,差异亦有统计学意义(P<0.05);饮食日记合格与参与自我管理合格率亦显著高于对照组,差异有统计学意义(P<0.01);实验组患者干预后肠道症状、情感职能、社会功能与炎症性肠病生活质量量表(IBDQ)评分比较显著高于对照组,差异均有统计学意义(P<0.01);实验组总体护理满意度明显优于对照组,差异亦有统计学意义(P<0.05)。结论个性化延续护理可提高老年性溃疡性结肠炎患者生活质量及护理满意度,具有临床推广应用价值。

Objective To investigate the personalized extended care for elderly quality of life in patients with ulcerative colitis affect the results. Methods 80 elderly patients hospitalized ulcerative colitis patients were randomly divided into control group and experimental group. The control group was treated with routine care and the experimental group with personalized extended care. The ulcerative colitis-related knowledge and self-efficacy, health behavior pass rate, quality of life and overall treatment satisfaction were observed. Results The IBD-SES CCKNOW score of experimental group was significantly higher than that of control group （P^0.01）. The disease knowledge level and rate of compliance of experimental group were significantly higher than that of control group （P〈0.05）. The food diary qualified to partici- pate in self-management and the passing rate of experimental group were significantly higher than that of control group （P〈0.01）. The intestinal symptoms, emotional function, social function and IBDQ score of experimental group were significantly higher than that of the eontrol group （P〈0.01）. The overall satisfaction with care in experimental group was higher than that of the control group （P〈0. 05）. Conclusion Personalized extended care for the elderly patients with ulcerative colitis can improve overall satisfaction with care and quality of life.