5A+5R护理模式对老年溃疡性结肠炎患者心理状态、自我效能及生活质量的影响研究  

Effect of 5A’s and 5R’s nursing on psychological state,self-efficacy and quality of life of elderly patients with ulcerative colitis

作　　者：谷楠 卢静 阎莉[1] Gu Nan;Lu Jing;Yan Li(Operation Room Nursing,The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,Jiang-su,China;Department of Gastrointestinal Surgery,The Affiliated Huai’an No.1 People’s Hospital of Nanjing Medical University,Huai’an 223300,Jiangsu,China)

机构地区：[1]南京医科大学附属淮安第一医院手术室,江苏淮安223300 [2]南京医科大学附属淮安第一医院胃肠外科,江苏淮安223300

出　　处：《结直肠肛门外科》2020年第4期497-501,共5页Journal of Colorectal & Anal Surgery

基　　金：南京医科大学科技发展基金(NMUB2018143)。

摘　　要：目的研究5A+5R护理模式对老年溃疡性结肠炎患者心理状态、自我效能及生活质量的影响。方法纳入2017年7月至2019年6月我院收治的98例老年溃疡性结肠炎患者为研究对象,根据入院顺序单双号分为对照组与观察组,每组各49例,其中对照组实施常规护理,观察组实施5A+5R护理模式,干预时限为住院期间及出院后3个月内。于干预前及干预结束时,分别采用焦虑抑郁量表(HADS)、炎症性肠病自我效能量表(IBD-SES)、炎症性肠病患者生活质量量表(IBDQ)评估两组心理状态、自我效能及生活质量。结果干预前,两组焦虑评分、抑郁评分比较差异均无统计学意义(均P>0.05);干预后,两组两个指标评分均低于干预前,且观察组均低于对照组(均P<0.05)。干预前,两组压力与情绪管理、医疗护理管理、病症管理、缓解期维持管理及总量表评分比较差异均无统计学意义(均P>0.05);干预后,两组各指标评分均高于干预前,且观察组均高于对照组(均P<0.05)。干预前,两组肠道症状、全身症状、情感功能、社会功能及总量表评分比较差异均无统计学意义(均P>0.05);干预后,对照组各指标评分与组内干预前比较差异均无统计学意义(均P>0.05),观察组各指标评分均高于组内干预前及对照组干预后(均P<0.05)。结论采用5A+5R护理模式可有效缓解老年溃疡性结肠炎患者焦虑、抑郁情绪,提高患者自我效能水平及生活质量。Objectives To investigate the effect of 5A’s and 5R’s nursing on psychological state,self-efficacy,and quality of life of elderly patients with ulcerative colitis.Methods Ninety-eight elderly patients with ulcerative colitis admitted to our hospi⁃tal from July 2017 to June 2019 were included.Patients were assigned to treatment group and control group,with 49 patients in each group,according to their medical recording number.Patients in the control group received routine nursing during hospitaliza⁃tion and three months after discharge,while the patients in the treatment group received 5A’s and 5R’s nursing.Hospital Anxi⁃ety and Depression Scale(HADS),Inflammatory Bowel Disease Self-Efficacy Scale(IBD-SES),and Inflammatory Bowel Disease Questionnaire(IBDQ)were used to evaluate patients’psychological state,self-efficacy level and quality of life before and after the intervention,respectively.Results Before the intervention,the two groups were comparable in HADS(P>0.05).Both scores of anxiety and depression decreased after the intervention and were significantly lower in the treatment group than in the control group(P<0.05).Before the intervention,stress and emotion management,medical care management,disease management,remis⁃sion maintenance management,and total scale scores were comparable between the two groups(P>0.05).These scores increased after the intervention and were significantly higher in the treatment group than in the control group(P<0.05).Before the interven⁃tion,intestinal symptoms,general symptoms,emotional function,social function,and total scale scores were similar between the two groups(P>0.05).After the intervention,these scores remained unchanged in the control group(P>0.05).However,they increased in the treatment group(P<0.05),and they were significantly higher in the treatment group than in the control group(P<0.05).Conclusion In elderly patients with ulcerative colitis,5A’s and 5R’s nursing could effectively relieve anxiety and depres⁃sion,improve their self-efficacy a

关 键 词：溃疡性结肠炎 5A+5R护理模式 老年患者 

分 类 号：R473.5[医药卫生—护理学]