基于循证理念的整体护理对肠易激综合征患者心理状态、生活质量及疾病认知的影响  

Impact of evidence-based holistic nursing on mental state, quality of life, and disease cognition in patients with irritable bowel syndrome

作　　者：欧华妙[1] 韩燕萍[1] 陈益耀[1] 蓝程[1] OU Hua-miao;HAN Yan-ping;CHEN Yi-yao;LAN Cheng(Department of Gastroentrology,Hainan General Hospital,Haikou 570311,Hainan,CHINA)

机构地区：[1]海南省人民医院消化内科,海南海口570311

出　　处：《海南医学》2020年第9期1213-1217,共5页Hainan Medical Journal

基　　金：国家自然科学基金(编号:81160057)。

摘　　要：目的探讨基于循证理念的整体护理对肠易激综合征(IBS)患者心理状态、生活质量及疾病认知的影响。方法对海南省人民医院消化内科2017年6月至2019年8月收治的90例IBS患者按随机数表法分为对照组与观察组,每组45例,分别给予临床常规护理与基于循证理念的整体护理方案进行干预,连续干预4周,比较两组患者护理干预前后的肠道症状、心理状态和生活质量,并统计两组患者对疾病认知情况。结果护理后两组患者的症状严重指数、频率指数及焦虑自评表(SAS)及抑郁自评表(SDS)评分均较护理前显著下降,且观察组较对照组下降更明显,差异统计学意义(P<0.05);护理后,两组患者IBS专用生活质量量表(IBS-QOL)表中的人际关系、性功能、社会功能、挑食、健康忧虑、躯体意念、行为障碍、烦躁不安评分均较护理前明显提高,且观察组较对照组提高更明显,差异均有统计学意义(P<0.05);观察组患者对疾病认知优秀率为46.67%,明显高于对照组的28.89%,差异有统计学意义(P<0.05)。结论基于循证理念的整体护理能有效改善IBS患者的临床症状,缓解其负性心理情绪,并提高患者对疾病认知程度及其生活质量,值得临床推广。Objective To explore the effect of evidence-based holistic nursing on psychological status, quality of life, and disease cognition in patients with irritable bowel syndrome(IBS). Methods The 90 patients with IBS admitted to the Department of Gastroenterology, Hainan General Hospital from June 2017 to August 2019 were divided into a control group and an observation group according to the random number table method, with 45 patients in each group,which were given routine clinical care and evidence-based holistic nursing, respectively, continuously for 4 weeks. The intestinal symptoms, psychological state, and quality of life of the two groups before and after nursing intervention were compared, and the patients’ awareness of the disease was recorded. Results The symptoms severity index, frequency index, self-rating anxiety scale(SAS), and self-depressing scale(SDS) scores of the two groups of patients after nursing were significantly lower than those before nursing, and decrease in the observation group was more significant than that in the control group(P<0.05). After nursing, the interpersonal relationship, sexual function, social function, picky eaters,health anxiety, physical ideation, behavioral disorder, and restlessness scores in the IBS-specific Quality of Life Scale(IBS-QOL) table of the two groups after nursing were significantly higher than those before nursing, and increase in the observation group was significantly higher than that in the control group(P<0.05). The excellent cognitive rate of patients in the observation group was 46.67%, which was significantly higher than 28.89% in the control group(P<0.05).Conclusion Evidence-based holistic nursing can effectively improve the clinical symptoms of patients with IBS, alleviate their negative psychological emotions, and improve their awareness of the disease and quality of life, which is worthy of clinical promotion.

关 键 词：肠易激综合征 循证 整体护理 肠道症状 心理状态 生活质量 疾病认知 

分 类 号：R473.5[医药卫生—护理学]