基于遗忘曲线理论的护理对策对炎性肠病患者自我管理能力和疾病复发率影响

Influence of amnesia curve theory-based nursing countermeasures on self-management ability and disease recurrence rate of patients with inflammatory bowel disease

目的探讨基于遗忘曲线理论的护理对策对炎性肠病患者自我管理能力和疾病复发率影响。方法选取商丘市中心医院2020年1月~2021年1月收治的48例炎性肠病患者作为对照组,实施常规护理。选取商丘市中心医院2021年2月~2022年2月收治的48例炎性肠病患者作为观察组,实施基于遗忘曲线理论的护理干预。比较两组患者干预前及干预后不同时间疾病知识掌握情况、自我管理能力和干预后疾病复发率情况。结果观察组干预7d、1个月、3个月后疾病知识评分分别为(47.53±6.03)分、(43.13±6.20分)、(40.26±6.23)分,对照组干预7d、1个月、3个月后疾病知识评分分别为(42.10±5.74)分、(38.19±6.18)分、(34.57±5.43)分,干预后同一时间观察组疾病知识掌握评分高于对照组(P<0.05);观察组干预7d、1个月、3个月干预后自我管理能力评分分别为(27.15±2.89)分、(25.01±2.74)分、(22.15±2.40)分、对照组自我管理能力评分分别(23.41±3.02)分、(21.24±2.57)分、(19.12±1.57)分,干预后同一时间观察组自我管理能力评分高于对照组(P<0.05);观察组疾病复发16.67%(8/48)低于对照组39.58%(19/48)(P<0.05)。结论基于遗忘曲线理论的护理对策能有效提高炎性肠病患者对疾病相关知识的掌握程度,提高自我管理能力,降低疾病复发率,值得临床推广使用。

Objective To explore the effect of amnesia curve theory-based nursing countermeasures based on self-management ability and disease recurrence rate of patients with inflammatory bowel disease(IBD).Methods Forty-eight patients with inflammatory bowel disease from January 2020 to January 2021 in Shangqiu Central Hospital were selected as control group and given routine nursing care.Forty-eight patients with inflammatory bowel disease admitted to Shangqiu Central Hospital from February 2021 to February 2022 were selected as the observation group and given nursing intervention based on amnesia curve theory.The disease knowledge,self-management ability and disease recurrence rate at different time after intervention were compared between the two groups.Results The disease knowledge scores of the observation group were(47.53±6.03)points,(43.13±6.20 points)points and(40.26±6.23)points after 7 days,1 month and 3 months of intervention,respectively;the disease knowledge scores of the control group were(42.10±5.74)points,(38.19±6.18)points and(34.57±5.43)points after 7 days,1 month and 3 months of intervention,respectively;At the same time after intervention,the disease knowledge mastery score of the observation group was higher than that of the control group(P<0.05).The self-management ability scores of the observation group were(27.15±2.89)points,(25.01±2.74)points and(22.15±2.40)points after 7 days,1 month and 3 months of intervention,respectively;the self-management ability scores of the control group were(23.41±3.02)points,(21.24±2.57)points and(19.12±1.57)points,respectively;At the same time after the intervention,the self-management ability score of the observation group was higher than that of the control group(P<0.05).The disease recurrence rate in the observation group was 16.67%(8/48)lower than that in the control group 39.58%(19/48)(P<0.05).Conclusion The nursing countermeasures based on amnesia curve theory can effectively improve the mastery of disease-related knowledge,improve self-management ability and reduce the recurrence rate of inflammatory bowel disease patients.It is worthy of clinical use.