协同护理模式对溃疡性结肠炎患者生活质量和住院次数的影响分析

Analysis of Effect of Collaborative Nursing Model on the Quality of Life and Hospitalization Frequency of Patients with Ulcerative Colitis

目的分析对溃疡性结肠炎患者采取协同护理模式的效果以及对其生活质量与住院次数的影响。方法通过数字随机法,将方便选取该院2016年1月—2017年12月接收治疗并实施常规护理的39例溃疡性结肠炎患者作为对照组,另选择同期接收治疗并实施协同护理模式的39例溃疡性结肠炎患者作为研究组,对比两组患者的护理效果。结果 (1)研究组护理后的IL-23水平为(23.95±6.66)μmol/L、IL-17水平为(30.88±4.22)μmol/L,均依次低于对照组的(31.28±5.59)μmol/L、(42.00±3.62)μmol/L,差异有统计学意义(t=5.264、12.490,P=0.032、0.018);研究组护理后SAS评分为(42.08±3.00)分、SDS评分为(34.20±2.80)分,均依次低于对照组的(50.20±3.26)分、(46.32±2.74)分,差异有统计学意义(t=11.446、19.320,P=0.020、0.011)。(2)研究组护理后的疾病复发次数与住院次数均显著少于对照组,差异有统计学意义(t=76.542、93.530,P=0.000,0.000);且对照组护理后的生活质量评分低于研究组,差异有统计学意义(P<0.05)。结论在溃疡性结肠炎患者治疗过程中积极融合协同护理模式,不仅可以显著改善其焦虑抑郁情绪,缓解机体的炎症反应,而且还能大幅度改善患者的生活质量,降低疾病复发次数与住院次数,该护理模式值得全面推广。

Objective To analyze the effect of collaborative nursing model on the quality of life and hospitalization frequency of patients with ulcerative colitis. Methods 39 cases of patients with ulcerative colitis admitted and treated in our hospital for routine nursing in our hospital from January 2016 to December 2017 were convenient selected as the control group, while 39 cases of patients with ulcerative colitis admitted and treated in our hospital for collaborative nursing model at the same period were selected as the research group, and the nursing effect was compared between the two groups. Results the IL-23 level and IL-17 level after nursing in the research group were lower than those in the control group[（23.95±6.66） μmol/L, （30.88±4.22）μmol/L vs （31.28±5.59）μmol/L,（42.00±3.62） μmol/L], and the differences were statistically significant, t=5.264, 12.490, P=0.032, 0.018,and the SAS score and SDS score in the research group after nursing were lower than those in the control group[（42.08±3.00）points,（34.20±2.80）points vs （50.20±3.26）points,（46.32±2.74）points,and the differences were statistically significant（t=11.446, 19.320, P=0.020, 0.011）], and the disease recurrence frequency and hospitalization frequency in the research group after nursing were obviously lower than those in the control group,and the differences were statistically significant（t=76.542, 93.530, P=0.000, 0.000）, and the quality of life score in the control group after nursing was lower than that in the research group, and the difference was statistically significant（P〈0.05）. Conclusion The collaborative nursing model in treatment of patients with ulcerative colitis can not only obviously improve the anxiety and depression emotions, relieve the inflammatory reactions of organs, greatly improve the quality of life of patients, and reduce the disease recurrence frequency and hospitalization frequency, and it is worth comprehensive promotion.