溃结方保留灌肠联合细节护理干预对溃疡性结肠炎缓解期患者自我效能及遵医行为的影响

Effect of Retention Enema of Kuijie Decoction Combined with Detailed Nursing Intervention on Self Efficacy and Compliance Behavior of Patients with Ulcerative Colitis at Remission Stage

目的:探讨溃结方保留灌肠联合细节护理干预对溃疡性结肠炎(UC)缓解期患者自我效能及遵医行为的影响。方法:选取2015年11月至2017年3月郑州市中医院64例UC患者,随机数字表法分组,各32例。对照组采用柳氮磺吡啶+常规护理,研究组采用溃结方保留灌肠+细节护理干预,两组均持续治疗3个月。统计对比两组干预前后自我效能评分(IBD-SES)、遵医行为(治疗依从性)、护理满意度。结果:干预前两组IBD-SES分值比较,差异无统计学意义(P>0.05),干预后两组IBD-SES分值较干预前增高,且研究组较对照组高,差异有统计学意义(P<0.05);两组治疗依从性相比存在明显差异,且研究组治疗依从率93.75%(30/32)较对照组65.63%(21/32)高,差异有统计学意义(P<0.05);两组护理满意度存在明显差异,且研究组总满意度93.75%(30/32)较对照组68.75%(22/32)高,差异有统计学意义(P<0.05)。结论:联合采用溃结方保留灌肠及细节护理对溃疡性结肠炎缓解期患者实施干预,可有效改善其自我效能感,提高治疗依从性及护理满意度,利于减少医疗纠纷。

Objective: To discuss the effect of retention enema of Kuijie decoction combined with detail nursing intervention on self efficacy and compliance behavior in patients with ulcerative colitis(UC) at remission stage. Methods: 64 cases of UC in Zhengzhou Hospital of Traditional Chinese Medicine from November 2015 to March 2017 were randomly divided into 2 groups, with each 32 cases. The control group was treated with sulfasalazine and routine care. The study group was treated with retention enema of Kuijie decoction + detail nursing intervention, and the two groups were treated for 3 months. The self-efficacy scores(IBD-SES), compliance behaviors(treatment compliance) and nursing satisfaction was compared between the two groups before and after intervention. Results: There was insignificant difference in IBD-SES scores between the two groups before intervention(P>0.05). After intervention, the scores of IBD-SES in the two groups were higher than those before the intervention, and the study group was higher than the control group(P<0.05). There was significant difference in the treatment compliance between the two groups, and the treatment compliance rate of the study group was 93.75%(30/32), higher than that of the control group 65.63%(21/32)(P<0.05). There was significant difference between the two groups in nursing satisfaction, and the total satisfaction degree of the study group was 93.75%(30/32), higher than that of the control group 68.75%(22/32)(P<0.05). Conclusion: Retention enema of Kuijie decoction combined with detail nursing intervention on patients with ulcerative colitis(UC)at remission stage can effectively improve the self-efficacy, improve treatment compliance and nursing satisfaction and reduce the medical disputes.