延续性护理联合多措施干预对炎症性肠病患者的作用

Clinical effects of continuity of care combined with multi-measures combined with multi-measures intervention on patients with inflammatory bowel disease

目的 探讨延续性护理联合多措施干预对炎症性肠病患者负性情绪、营养状况及生活质量的影响。方法 选取2020年12月-2022年12月医院收治的60例炎症性肠病患者为研究对象,按组间基本资料匹配原则分为对照组和观察组,各30例。对照组行常规护理,观察组应用多种护理措施进行多项护理措施干预。比较两组患者负性情绪、营养状况、生活质量、自我效能、护理依从性及护理满意度。结果护理干预前,两组患者负性情绪评分比较差异无统计学意义(P>0.05);护理干预后,观察组焦虑自评评分(SAS)、抑郁自评评分(SDS)低于对照组,差异有统计学意义(P<0.05)。护理干预前两组患者体质量、白蛋白(ALB)、前白蛋白(PA)对比差异无统计学意义(P>0.05);护理干预后观察组患者体质量、ALB、PA均高于对照组,差异有统计学意义(P<0.05)。护理干预前两组患者炎症性肠病(中文版)生存质量问卷调查表(IBDQ)评分、自我效能评分比较差异无统计学意义(P>0.05);护理干预后观察组患者IBDQ评分、自我效能评分高于对照组,差异有统计学意义(P<0.05)。观察组患者对护理满意度评分高于对照组,差异有统计学意义(P<0.05)。结论 予以炎症性肠病患者延续性护理联合多措施干预,可对患者的心理情绪、营养状态、生活质量产生积极影响,并有效提升患者的自我效能与护理依从性,提高患者对护理的满意度。

Objective To explore the effects of continuity of care combined with multi-measure intervention on negative emotions,nutritional status and quality of life of patients with inflammatory bowel disease.Methods 60 cases of inflammatory bowel disease patients admitted to the hospital from December 2020 to December 2022 were selected as the research object,they were divided into the control group and the observation group according to the principle of matching the basic information between the groups,each with 30 cases.The control group performed routine nursing care,and the observation group applied a variety of nursing measures to carry out a number of nursing measures intervention.Negative emotions,nutritional status,quality of life,self-efficacy,nursing compliance and nursing satisfaction were compared between the two groups.Results Before nursing intervention,there was no statistically signifi cant diff erence between the negative mood scores of the two groups(P>0.05);after nursing intervention,the Self-rating Anxiety Scale(SAS)scores and Self-rating Depresson Scale(SDS)of the observation group were lower than those of the control group,and the difference was statistically signifi cant(P<0.05).There was no statistically signifi cant diff erence in the comparison of body mass,albumin(ALB),and prealbumin(PA)between the two groups before nursing intervention(P>0.05);after nursing intervention,the weight,ALB,and PA of patients in the observation group were higher than those in the control group,and the diff erence was statistically signifi cant(P<0.05).There was no statistically signifi cant difference in the Inflammatory Bowel Disease(Chinese version)Quality of Survival Questionnaire(IBDQ)scores and self-efficacy scores between the two groups before the nursing intervention(P>0.05);after the nursing intervention,patients in the observation group had higher IBDQ scores and self-efficacy scores than those in the control group,and the difference was statistically significant(P<0.05).Patients in the observation group had higher nursing satisfaction scores than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The continuity of nursing care for patients with inflammatory bowel disease,combined with multi-measure intervention,shared a positive impact on the patients'psychoemotional,nutritional status,and quality of life,and effectively enhance the patients'self-efficacy and nursing compliance,and improve the patients'satisfaction with nursing care.