炎症性肠病缓解期患者在“互联网+”的基础上进行慢病管理的临床效果

Clinical Effect of"Internet Plus"for Chronic Disease Management in Patients with Inflammatory Bowel Disease in Remission Based on Self-management Ability and Quality of Life

目的探讨炎症性肠病缓解期患者在“互联网+”的基础上进行慢病管理的临床效果。方法选取广东省第二人医院2020年3月至2022年1月收治的炎症性肠病缓解期患者63例,按照随机数字表法分为对照组(31例)与观察组(32例)。对照组患者实施常规护理管理,观察组患者则实施基于“互联网+”理念的慢病管理,两组患者均持续护理至出院,并持续随访6个月。比较两组患者焦虑抑郁程度、疾病不确定感、自我效能感、用药依从性、生活质量以及肠道菌群水平。结果护理后6个月,观察组患者焦虑抑郁程度优于对照组;与护理前比较,护理后6个月两组患者的疾病不确定感评分均降低,观察组低于对照组;自我效能感评分均升高,观察组高于对照组;与护理前比,护理后两组患者用药依从性得分呈逐渐上升趋势,且观察组护理后3、6个月用药依从性高于对照组;与护理前比较,护理后6个月两组IBDQ各项评分均升高,观察组均高于对照组;与护理前比较,护理后6个月两组乳酸杆菌、双歧杆菌数量均增加,观察组均多于对照组,差异具有统计学意义(P<0.05)。结论炎症性肠病缓解期患者在“互联网+”的基础上进行慢病管理能够有效降低自身对于疾病的不确定感,增强自我效能感,加强用药依从性,改善患者焦虑抑郁程度,提高生活质量并维持肠道菌群平衡。

Objective To evaluate the clinical effect of"Internet plus"on chronic disease management in patients with inflammatory bowel disease in remission based on self-management ability and quality of life.Methods 63 patients in remission stage of inflammatory bowel disease admitted to the Second People's Hospital of Guangdong Province from March 2020 to January 2022 were selected and divided into the control group(31 cases)and the observation group(32 cases)according to random number table method.The control group received routine nursing management,while the observation group received chronic disease management based on the concept of"Internet plus".Both groups received continuous nursing until discharge,and continued follow-up for 6 months.Anxiety and depression,disease uncertainty,self-efficacy,medication compliance,quality of life and intestinal flora levels were compared between the two groups.Results At 6 months after nursing,the anxiety and depression degree of the observation group was better than that of the control group;Compared with before nursing,6 months after nursing,both groups of patients with disease uncertainty scores decreased,the observation group was lower than the control group;The scores of self-efficacy were higher of the observation group than of the control group.Compared with before nursing,the scores of medication compliance of the two groups after nursing showed a gradual upward trend,and the medication compliance of the observation group was higher than that of the control group at 3 and 6 months after nursing.Compared with before nursing,IBDQ scores were higher of both groups 6 months after nursing,and the observation group was higher than the control group.Compared with before nursing,the number of lactobacillus and bifidobacterium increased of both groups at 6 months after nursing,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Chronic disease management based on"Internet plus"for patients in remission of inflammatory bowel disease can effectively reduce their feelings of uncertainty about the disease,enhance self-efficacy,strengthen medication compliance,improve patients'anxiety and depression,improve their quality of life and maintain the balance of intestinal flora.