门诊系统化管理对溃疡性结肠炎缓解期患者心理状态及生活质量的影响  

Effect of outpatient systematic management on the mental health and quality of life in patients with ulcerative colitis

作　　者：邓琼[1] 周丽华[1] 李汉华[1] 秦芩[1] 

机构地区：[1]四川省人民医院消化内窥镜中心,成都市610072

出　　处：《中华护理杂志》2012年第10期905-907,共3页Chinese Journal of Nursing

摘　　要：目的探讨门诊系统化管理对溃疡性结肠炎(UC)缓解期患者心理状态及生活质量的影响。方法对志愿入组且确诊为UC缓解期的62例患者,在入组时与入组1年后分别采用症状自评量表(SCL-90)、中文版炎症性肠病问卷(IBDQ)、自制患者依从性调查表,以及UC疾病活动指数(UCDAI)进行评价和比较。结果 1年后,SCL-90评分显示,入组前患者的躯体化、强迫症状、人际关系敏感、抑郁、焦虑、偏执等因子评分高于入组1年后,差异有统计学意义(P<0.05),敌对及精神病性2个因子的评分差异无统计学意义(P>0.05);IBDQ得分入组前低于入组1年后,差异有统计学意义(P<0.05);医嘱的依从情况入组后1年明显好于入组前,差异有统计学意义(P<0.05)。结论门诊系统化管理可提高UC患者的生存质量,改善其心理状态和依从性。Objective To evaluate the effect of outpatient systematic management on the mental health and quality of life in patients with ulcerative colitis（UC） during remission period. Method Sixty-two UC patients received outpatient systematic management during the remission period. The patients were investigated with the Symptom Checklist 90（SCL-90）,Chinese-version of Inflammatory Bowel Disease Questionnaire（IBDQ） a self-designed questionnaire about patient compliance,and Ulcerative Colitis Disease Activity Index（DAI）. Results One year later,the factor scores of somatization,compulsion,interpersonal relationship,depression,anxiety and paranoia in SCL-90 were significantly lower than before（P〈0.05）,while there was no significant differences in the factor scores of hostility and psychopathy（P〉0.05）,the scores of IBDQ and compliance were significantly higher than before（P〈0.05）, Conclusion Outpatient systematic management can improve the UC patients＇ mental health and . quality of life,enhance patient compliance,so as to reduce the recurrence rate.

关 键 词：结肠炎 溃疡性 门诊医疗 生活质量 

分 类 号：R473.5[医药卫生—护理学]