基于生存质量及其影响因素探讨炎症性肠病精准护理方案

Discussion on Precise Nursing Plan for Inflammatory Bowel Disease Based on Quality of Life and Its Influencing Factors

目的通过分析炎症性肠病患者的生存质量及其影响因素,探索建立炎症性肠病的精准护理方案。方法应用一般资料调查表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、一般健康状况问卷(SF-36)和炎症性肠病生存质量问卷(IBDQ),方便选取广东省中医院消化内科门诊及病房在2015年1月—2017年1月期间符合该研究纳入标准以及知情同意的IBD缓解期患者94例,对其HRQOL评估和相关影响因素进行探讨,分析受试者HRQOL的主要影响因素,从而为建立精准的炎症性肠病护理方案提供依据。结果受试者的生理机能(85.51±22.764)分、生理职能(69.15±38.87)分、精力(64.68±21.21)分、一般健康状况(45.37±15.90)分、情感职能(69.5±39.91)分、躯体疼痛(76.99±12.28)分、精神健康(71.36±18.01)分、社会功能(75±27.25)分等8项维度得分均低于常模水平,影响IBD患者生存质量的主要因素是焦虑和抑郁[(SAS和SDS的平均得分分别为(42.23±11.77)分和(42.56±11.67)分],年龄、性别、生育情况等对精神因素存在影响。结论从精准护理角度出发,需要根据年龄、性别、生育情况及情绪情况,建立精准的护理方案,提高其生存质量,从而改善临床预后。

Objective By analyzing the quality of life of patients with inflammatory bowel disease and its influencing factors, an accurate nursing plan for inflammatory bowel disease was established. Methods General Information Survey, SAS,SDS, General Health Status Questionnaire（SF-36） and IBDQ were used to convenient select Guangdong Provincial Hospital of Traditional Chinese Medicine Gastroenterology outpatients and wards from January 2015 to January 2017 were eligible for inclusion in this study and 94 patients with IBD remission during the period of assessment, their HRQOL assessments and related influencing factors were discussed, and the main subjects of HRQOL were analyzed. Influencing factors provide the basis for the establishment of a precise inflammatory bowel disease care program. Results Subjects＇ physiological function（85.51±22.764）points, physiological function（69.15±38.87）points, energy（64.68±21.21）points, general health status（45.37±15.90）points, emotional function（69.5 ±39.91）points, physical pain（76.99 ±12.28）points,（71.36 ±18.01）points of（75 ±27.25）points of mental health social function the eight dimensions were all lower than the norm. The main factors influencing the quality of life of IBD patients were anxiety and depression [（average scores for SAS and SDS were（42.23 ±11.77）points and（42.56±11.67）points], respectively. Age,gender, parental status, etc. have an influence on mental factors. Conclusion From the perspective of precision care, it is necessary to establish precise nursing programs based on age, gender, parental status, and mood conditions to improve the quality of life and improve clinical outcomes.