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基于循证指导的中医延续护理对轻中度活动期溃疡性结肠炎的临床疗效观察 被引量:10

Observation of clinical effects of evidence-based TCM continuous care on patients with ulcerative colitis
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摘要 目的:探讨基于循证的中医延续护理方案在轻中度溃疡性结肠炎(Ulcerative Colitis,UC)患者中的应用效果。方法:纳入68例2017年6月-2019年5月收治于北京中医药大学东方医院脾胃肝胆科住院的轻中度活动期溃疡性结肠炎患者,按照随机数字表法分为试验组和对照组,两组各34例患者,两组患者均口服美沙拉嗪肠溶片联合清肠温中方治疗,其中,对照组采用常规护理方法,试验组在对照组的基础上给予基于循证指导的中医延续护理方案,3个月后观察患者的梅奥(Mayo)评分,采用炎症性肠病生活质量量表(Inflammatory Bowel Disease Questionnaire,IBDQ)评定生活质量,克罗恩病与溃疡性结肠炎知识问卷(Crohn's and Colitis Knowledge Score,CCKNOW)评估知识水平,自我效能问卷评估患者自我效能,比较两组有无差异。结果:干预3个月后两组患者的疾病严重程度,生活质量,疾病知识水平及自我效能均优于治疗前(P<0.05或P<0.01),其中,在改善患者生活质量方面,试验组明显优于对照组(P<0.05)。结论:基于循证指导的中医延续护理方案可以减轻疾病的严重程度,改善生活质量,提高患者的知识水平及自我效能水准,值得临床推广应用。 Objective:To explore the application effect of evidence-based traditional Chinese medicine(TCM)continuous care scheme on patients with mild to moderate ulcerative colitis.Methods:From June 2017 to May 2019,68 patients with ulcerative colitis who were admitted to the Department of Gastroenterology,Dongfang Hospital of Beijing University of Chinese Medicine were included in the study.68 cases were divided evenly into the experimental group and the control group.Both groups were treated with mesalazide enteric-coated tablets combined with Qingchang Wenzhong Decoction.The control group was treated with routine nursing methods,and the experimental group was given continuous nursing scheme based on evidence-based guidance.The Mayo score was observed 3 months later;Life quality was assessed using IBDQ scale;Knowledge level was assessed by the knowledge questionnaire(CCKNOW)for Crohn's disease and ulcerative colitis;Self-efficacy questionnaires assessed patients'self-efficacy.The differences between the two groups were compared.Results:After three months of intervention,the disease severity,quality of life,disease knowledge level and self-efficacy of the patients in the experimental group were better than those before treatment(P<0.05 or P<0.01).Among them,the experimental group was significantly superior to the control group in improving the quality of life of the patients(P<0.05).Conclusion:The continuation of TCM nursing program based on evidence-based guidance can reduce the severity of the disease,promote the quality of life,and improve the knowledge and self-efficacy of patients.It is worthy of clinical application.
作者 胡海荣 唐玲 许冰 田亚娟 陈默岩 石晓君 蔡玲玲 王梁敏 Hu Hairong;Tang Ling;Xu Bing;Tian Yajuan;Chen Moyan;Shi Xiao Jun;Cai Lingling;Wang Liangmin
出处 《中医临床研究》 2021年第12期71-74,共4页 Clinical Journal Of Chinese Medicine
基金 北京中医药大学基本科研业务费项目(2017-JYB-JS-165) 北京中医药大学青年教师项目《中西医结合护理健康教育对门诊溃疡性结肠炎患者自我管理能力的影响》(2018-JYBZZ-JS158)。
关键词 循证护理 中医护理 延续护理 溃疡性结肠炎 Evidence-based nursing TCM nursing Continuous nursing Ulcerative colitis
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