个案管理结合信息化延续护理对炎症性肠病患者的影响

Influence of case management combined with information continuous nursing on inflammatory bowel disease

目的探讨个案管理结合信息化延续护理对炎症性肠病患者的影响。方法选取2019年3月至2020年3月复旦大学附属华山医院北院消化科收治的82例炎症性肠病患者,采用随机数字表法分为A、B组,每组各41例。A组给予常规护理,B组在此基础上实施个案管理结合信息化延续护理。比较两组生活质量、病情改善效果、护理满意度评分。结果整体分析发现:组间、时间点比较及交互作用差异均有统计学意义(P<0.05),进一步两两比较,组内比较:B组干预后各个时间点各维度得分及生活质量总分均高于干预前,差异有统计学意义(P<0.05),A组在情感能力、社会能力两个维度不同时间点指标得分均高于干预前,差异有统计学意义(P<0.05);组间比较:B组干预后各个时间点各维度得分及生活质量总分均高于A组,差异有高度统计学意义(P<0.01);干预后,两组疾病活动指数评分均低于干预前,且B组低于A组,差异有统计学意义(P<0.05或P<0.01);B组疾病缓解期人数明显多于A组,差异有统计学意义(P<0.05);干预后B组护理满意度高于A组,差异有统计学意义(P<0.05)。结论个案管理结合信息化延续护理能提高炎症性肠病患者的生活质量,促进患者疾病康复,提高患者护理满意度。

Objective To explore the effect of case management combined with information continuous nursing on inflammatory bowel disease.Methods A total of 82 patients with inflammatory bowel disease admitted to the Department of Gastroenterology,North Hospital of Huashan Hospital Affiliated to Fudan University from March 2019 to March 2020 were selected.The patients were divided into group A and group B by random number table method,with 41 cases in each group.Group A was given routine nursing,and group B was given case management combined with information continuing nursing on this basis.Quality of life,improvement effect and nursing satisfaction score were compared between the two groups.Results The overall analysis showed that there were statistically significant differences between groups,time points and interaction(P<0.05),further pairings and intra-group comparisons:the scores of all dimensions and total quality of life of group B at each time point after intervention were higher than those before intervention,the differences were statistically significant(P<0.05),the scores of emotional competence and social competence in group A at different time points were higher than those before intervention,the differences were statistically significant(P<0.05);and the scores of all dimensions and total quality of life in group B were significantly higher than those in group A at each time point after intervention,the different were highly statistically significant(P<0.01);after intervention,disease activity index scores of group were lower than before intervention,and group B was lower than group A,the differences were statistically significant(P<0.05 or P<0.01);the number of patients in remission stage in group B was significantly higher than that in group A,the difference was statistically significant(P<0.05);after intervention,nursing satisfaction of group B was higher than that of group A,the difference was statistically significant(P<0.05).Conclusion Case management combined with information continuous nursing can improve the quality of life of patients with inflammatory bowel disease,promote the rehabilitation of patients and improve the nursing satisfaction of patients.