授权教育对炎症性肠病患者情绪、自我效能感、遵医行为及生活质量的影响

Influences of authorized education on mood, self-efficacy, compliance behavior and quality of life in patients with inflammatory bowel disease

目的 探讨授权教育对炎症性肠病（IBD）患者情绪、自我效能感、遵医行为及生活质量的影响.方法 以入院病例号为编号,根据随机数字表将160例IBD患者随机分成两组,每组80例.对照组患者采用常规教育方法实施教育,观察组患者采用授权教育方法实施教育.干预前及干预后3个月,比较两组患者情绪、自我效能感、遵医行为及生活质量变化情况.结果 教育后,观察组焦虑自评量表（SAS）和抑郁自评量表（SDS）评分较教育前明显改善,且低于对照组得分,差异具有统计学意义（P〈0.05）;观察组自我效能感评分和健康调查简表（SF-36）得分优于教育前,且高于对照组评分,差异具有统计学意义（P均〈0.05）;观察组院外各项内容遵医行为优于对照组,差异具有统计学意义（P〈0.05）.结论 授权教育可有效改善炎症性肠病患者的负性情绪,提高自我效能感水平,改善院外遵医行为,使患者多方面受益.

Objective To investigate the influences of authorized education on mood, self-efficacy, compliance behavior and quality of life in patients with inflammatory bowel disease （IBD）.Methods A total of 160 patients with IBD were randomly divided into two groups according to the random number table, and each group had a total of 80 cases. The patients in the control group were treated with the conventional education method, and the patients in the observation group were given education by the authorized education method. Three months before and after interventions, the emotion, self-efficacy, compliance behavior and quality of life of the patients in the two groups were compared.Results After the education, the SAS and SDS scores of the observation group were significantly improved than those before education, which were lower than those of the control group （P〈0.05）; the self-efficacy score and SF-36 score of the observation group were better than those before education （P〈0.05）, which were higher than those of the control group as well （P〈0.05）; the compliance behavior of the observation group outside the hospital were better than that of the control group （P〈0.05）.Conclusions Authorized education can effectively improve the negative emotions of patients with IBD, the level of self-efficacy and hospital compliance, which make patients benefit in many ways.