授权理论在腹泻型肠易激综合征患者中的应用效果  

Application of empowerment theory on patients with irritable bowel syndrome with diarrhea

作　　者：刘淑艳[1] 付培德[2] 黄岚[1] 潘金凤[1] 刘铁夫[1] 

机构地区：[1]哈尔滨医科大学附属第四医院消化内科,150001 [2]哈尔滨医科大学附属第四医院影像科,150001

出　　处：《中华现代护理杂志》2013年第30期3720-3723,共4页Chinese Journal of Modern Nursing

基　　金：黑龙江省教育厅科学技术研究项目（12531427）

摘　　要：目的 探讨应用授权理论对腹泻型肠易激综合征（IBS-D）患者进行护理的临床效果.方法 选取IBS-D患者64例,按随机数字表法随机分为对照组和观察组各32例.对照组采用常规护理,观察组在对照组的基础上采用授权理论进行护理干预,比较两组患者治疗效果及治疗前后的依从性,采用肠易激综合征专用生活质量量表（IBS-QOL）评估两组患者的生活质量.结果 实施干预后,观察组治疗的总有效率为84.3％,对照组为59.5％,两组比较,差异有统计学意义（x2 =4.95,P ＜0.05）.干预后观察组治疗依从性（36.12 ±5.84）分,对照组（29.51 ±5.36）分,两组比较,差异有统计学意义（t=4.717,P＜0.01）；干预前,两组患者IBS-QOL各维度评分比较,差异无统计学意义（P＞0.05）；实施干预后,除挑食维度外,观察组患者IBS-QOL各个维度评分均高于对照组,差异有统计学意义（P＜0.05）.结论 授权理论能有效地提高IBS-D患者的生活质量及治疗依从性,增强治疗效果.Objective To explore the clinical effect of application of empowerment theory on patients with irritable bowel syndrome with diarrhea （IBS-D）. Methods Sixty-four patients with IBS-D were chosen and randomly divided into two groups, each with 32 eases. The control group received routine nursing care, and the experimental group received empowerment theory for nursing intervention on the basis of routine nursing care. The curative effect and treating compliance in the two groups were compared, and the quality of life before and after intervention was assessed by IBS-QOL. Results The curative effect was 84.3% in the experimental group after intervention, and 59.5% in the control group, and the difference was statistically significant （Xz =4.95, P 〈0.05）. The score of treating compliance was （36.12 -＋5.84） in the experimental group after intervention, and （29.51 ＋5.36） in the control group, and the difference was statistically significant （t ：4. 717 ,P 〈0.01 ）. The scores of IBS-QOL in all factors between two groups were no statistically significant before intervention （ P 〉 0.05）. The scores of IBS-QOL in all factors excluding picky eaters dimension in the experimental group after intervention were higher than those of the control group, and the differences were statistically significant （ P 〈 0.05）. Conclusions Empowerment theory helps to improve the patients＇ quality of life and treating compliance, and enhance the curative effects.

关 键 词：腹泻 肠易激综合征 生活质量 授权理论 

分 类 号：R473.5[医药卫生—护理学]