COX健康行为互动模式对溃疡性结肠炎患者自我管理能力及生活质量的影响  

Effect of interaction model of client health behavior on self-management ability and quality of life in patients with ulcerative colitis

作　　者：邢瑞英[1] 常妞平[2] 李红梅[3] 晋庆霞 杨长青[4] Xing Ruiying;Chang Niuping;Li Hongmei;Jin Qingxia;Yang Changqing(Pharmaceutical Department,Peace Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China;General Surgery I,Peace Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China;Outpatient Service,Peace Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China;Department of Gastroenterology,Peace Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]长治医学院附属和平医院药剂科,长治046000 [2]长治医学院附属和平医院普外一科,长治046000 [3]长治医学院附属和平医院门诊,长治046000 [4]长治医学院附属和平医院消化内科,长治046000

出　　处：《中华现代护理杂志》2019年第31期4058-4062,共5页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金项目(8160030001)。

摘　　要：目的 探讨COX健康行为互动模式(IMCHB)对溃疡性结肠炎(UC)患者自我管理能力及生活质量的影响.方法 采用便利抽样法选取2016年6月-2018年1月在长治医学院附属和平医院住院治疗的84例UC患者为研究对象,随机分为观察组和对照组各42例.在常规药物治疗的基础上,对照组接受常规护理干预,观察组应用IMCHB指导护理干预.分别于干预前、干预3个月后,应用炎症性肠病自我效能量表(IBD-SES)、自拟自我管理行为问卷测评患者自我管理能力,应用炎症性肠病生活质量量表(IBDQ)测评患者生活质量.结果 最终观察组40例、对照组41例纳入研究.干预前两组患者IBD-SES、IBDQ各维度得分对比,差异无统计学意义(P>0.05).干预后,观察组IBD-SES量表中压力和情绪管理、缓解期的维持管理得分分别(78.83±10.37)、(46.83±3.58)分,高于对照组的(70.27±10.82)、(44.27±3.61)分,观察组IBDQ中全身症状、情感能力得分分别(20.25±2.68)、(60.65±4.24)分,高于对照组(18.32±3.01)、(58.37±4.82)分,差异均有统计学意义(P<0.05).干预后,观察组饮食记录、锻炼记录合格率分别80.00%(32/40)、85.00%(34/40),高于对照组的51.22%(21/40)、60.98%(25/40),差异有统计学意义(P<0.05).结论 IMCHB对UC患者自我管理能力及生活质量均有良好的促进作用.Objective To explore the effect of interaction model of client health behavior (IMCHB) on self-management ability and quality of life in patients with ulcerative colitis (UC). Methods A total of 84 UC patients hospitalized from June 2016 to January 2018 were enrolled by convenience sampling method. They were randomly divided into observation group and control group with 42 cases in each group. Based on routine drug treatment, the control group received routine nursing intervention, while the observation group applied IMCHB to guide nursing intervention. Before intervention and 3 months after the intervention, the patients' self-management ability was assessed with the Inflammatory Bowel Disease Self-efficacy Scale (IBD-SES) and self-designed Self-Management Behavior Questionnaire, and the patients' quality of life was assessed with the Inflammatory Bowel Disease Questionnaire (IBDQ). Results At the end, 40 cases in the observation group and 41 cases in the control group were included in the study. There was no statistically significant difference in IBD-SES and IBDQ scores between the two groups before intervention (P> 0.05). After intervention, the scores of "stress and emotional management" in IBD-SES scale and "maintenance management in remission period" in observation group were (78.83±10.37), (46.83±3.58) respectively, higher than those in control group [(70.27±10.82), (44.27±3.61)], the scores of systemic symptoms and emotional ability in observation group were (20.25 ±2.68), (60.65±4.24) respectively, higher than those in control group [(18.32±3.01) and (58.37±4.82)]and the differences were statistically significant (P< 0.05). After intervention, the qualified rates of dietary records and exercise records in the observation group were 80.00%(32/40) and 85.00%(34/40), respectively, which were higher than those in the control group [51.22%(31/40) and 60.98%(25/40)] with statistical significance (P<0.05). Conclusions IMCHB can promote the self-management ability and quality of life of UC patients.

关 键 词：结肠炎 溃疡性 COX健康行为互动模式 自我管理能力 生活质量 

分 类 号：R47[医药卫生—护理学]