基于生活方式的延续护理在溃疡性结肠炎患者中的应用效果观察

Effect of Lifestyle-based Extended Care in Patients with Ulcerative Colitis

目的:观察基于生活方式的延续护理在溃疡性结肠炎(UC)患者中的应用效果。方法:选取我院2021年1月至2023年1月收治的92例溃疡性结肠炎患者,将其随机分为对照组和观察组,每组46例。对照组患者采用常规延续护理,观察组患者采用基于生活方式的延续护理,均护理2个月,比较2组患者护理前后炎症性肠病生存质量量表(IBDQ)、溃疡性结肠炎疾病活动指数(UCDAI)及遵医性量表评分。结果:护理前2组患者IBDQ、UCDAI评分比较差异无统计学意义(P>0.05),护理后2组患者IBDQ评分显著高于护理前,UCDAI评分显著低于护理前,且观察组IBDQ评分显著高于对照组,UCDAI评分显著低于对照组,差异具有统计学意义(P<0.05);护理前2组患者饮食、运动、服药遵医性评分比较差异无统计学意义(P>0.05),护理后2组患者饮食、运动、服药遵医性评分均显著高于护理前,且观察组各项遵医性评分均显著高于对照组,差异具有统计学意义(P<0.05)。结论:基于生活方式的延续护理能够促进UC病情控制,有效提高患者的遵医性和生活质量。

Objective To observe the effect of lifestyle-based extended care in patients with ulcerative colitis(UC).Methods s Total 92 patients with ulcerative colitis admitted to our hospital from January 2021 to January 2023 were randomly divided into the control group and the observation group,with 46 patients in each group.The control group received routine extended care,and the observation group received lifestyle-based extended care for 2 months.The inflammatory bowel disease quality of life scale(IBDQ),UC disease activity index(UCDAI)and compliance scale scores were compared between the two groups before and after care.Results There was no significant difference in IBDQ and UCDAI scores between the two groups before care(P>0.05).After care,the IBDQ scores of both groups were significantly higher than before nursing,while the UCDAI scores were significantly lower than before nursing.The IBDQ score was significantly higher in the observation group than in the control group while the UCDAI score was significantly lower in the observation group than in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in diet,exercise and medication compliance scores between the two groups before care(P>0.05).After care,diet,exercise and medication compliance scores of patients in both groups were significantly higher than before care,and the compliance scores were significantly higher in the observation group than in the control group,and the difference was statistically significant(P<o.05).Conclusion Lifestyle-based extended care can promote the control of UC and effectively improve the compliance and quality of life of patients.