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自我管理干预对炎性肠病患者自我效能与疾病关注状况的影响 被引量:5

Effects of self-management intervention on the self-efficacy and the concerns of disease of patients with IBD
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摘要 目的探讨自我管理干预对炎性肠病(IBD)患者自我效能和疾病关注状况的影响。方法采用便利抽样法选取北京协和医院消化内科2017年5月至2017年11月就诊的100例炎性肠病患者为研究对象,根据随机对照原则分为对照组和干预组,各50例。对照组接受为期6个月的常规健康教育的干预措施。干预组接受为期6个月的自我管理干预措施,包括药物自我管理、症状自我管理、生活方式自我管理和心理社会状况的自我管理。干预前后采用自我效能、生活质量和疾病关注状况等工具进行测评。结果对照组6个月后自我效能得分低于干预组,疾病关注状况得分高于干预组,生活质量方面,全身症状得分低于干预组。结论自我管理干预不仅能够提高IBD患者自我效能,还能降低患者对疾病的关注度,有利于改善IBD患者全身症状,是患者慢性病管理的一种有效方法。 Objective To explore the effects of self-management intervention on the self-efficacy and the concerns of disease of patients with inflammatory bowel disease.Methods A total of 100 Inflammatory bowel disease(IBD)patients in gastroenterology department of Peking Union Medical College Hospital,were selected as research objects from May to November 2017 by convenience sampling method,and were randomly divided into the control group(n=50)and the intervention group(n=50).The control group received intervention measures for routine health education for six months.The intervention group received a six-month intervention measure,including self-management of drug,lifestyle,symptoms and psychosocial status.After six months,we compared the self-efficacy,the quality of life,and the concerns of disease of patients.Results The self-efficacy of disease at the six months after intervention in the control group was significantly reduced and the concerns was improved compared with the intervention group;In term of the quality of life,the systemic symptom was significantly reduced compared with the intervention group.Conclusions Self-management intervention can improve the self-efficacy and reduce the concerns of disease of patients with IBD,and it is apparent to improve the quality of life of IBD patients.It is an effective method for the management of chronic diseases.
作者 关玉霞 尤丽丽 叶维 卢敏 李宾宾 吕红 赵艳伟 GUAN Yu-xia;YOU Li-li;YE Wei;LU Min;LI Bin-bin;LYU Hong;ZHAO Yan-wei(Dept.of Geastroenterology,Peking Union Medical College Hospital,CAMS&PUMC,Beijing 100730,China)
出处 《基础医学与临床》 CSCD 2018年第11期1572-1576,共5页 Basic and Clinical Medicine
关键词 自我管理 炎性肠病 自我效能 生活质量 疾病关注状况 self-management inflammatory bowel disease self-efficacy the quality of life the concerns of disease
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