营养支持、自我管理干预对急性加重期溃疡性结肠炎患者疗效的影响

Effects of nutritional support and self-management intervention on therapeutic effects of acute exacerbation of ulcerative colitis

目的探究营养支持、自我管理干预对急性加重期溃疡性结肠炎患者疗效的影响。方法选取我院2011年9月至2014年9月急性加重期溃疡性结肠炎患者90例为研究对象,随机分为干预组与对照组两组,每组45例。给予干预组患者营养支持和自我管理干预,给予对照组患者常规护理干预,比较两组患者临床疗效、术后胃肠道反应和并发症发生率、术后白蛋白变化情况及术后恢复时间。结果干预组患者治疗总有效率为91.11%,显著高于对照组(P<0.05);干预组术后胃肠道反应及并发症发生率显著低于对照组(P<0.05);干预组术后5 d、10 d时白蛋白水平显著高于对照组(P<0.05);干预组患者术后进食时间、大便成形时间、住院时间显著短于对照组(P<0.05)。结论给予急性加重期溃疡性结肠炎患者营养支持、自我管理干预能有效提高患者治疗有效率,减少术后并发症的发生,促进肠道功能早期恢复,有利于提高患者生活质量。

Objective To study effects of nutritional support and self-management intervention on therapeutic effects of acute exacerbation of ulcerative colitis. Methods 90 cases of acute exacerbation of ulcerative colitis in our hospital from September 2011 to September 2014 were selected, they were divided into the intervention group andthe control group（each 45 cases） randomly. The intervention group received nutritional support and self-management intervention, the control group received conventional nursing intervention, clinical efficacy after the treatment, postoperative gastrointestinal reactions, complication rate, changes of postoperative albumin and postoperative recovery time in the two groups were compared. Results Effective rate of the intervention group 91.11% was significantly higher than the control group（71.11%）（P〈0.05）; postoperative gastrointestinal reactions and complication rate of the intervention group were significantly lower than the control group（P〈0.05）; albumin level of the intervention group at postoperative 5d and 10 d were significantly higher than the control group（P〈0.05）;postoperative feeding time, stool moulding time, length of stay of the intervention group were significantly shorter than the control group（P〈0.05）. Conclusion Nutritional support and self-management intervention in treating acute exacerbation of ulcerative colitis can improve effective rate of treatment effectively, reduce postoperative complications, promote early recovery of intestinal function, is advantageous in improving the patient＇s quality of life.