专业团队多途径健康教育模式对炎症性肠病患者自我管理的影响  

Effect of multi-channel health education model by professional team on self-management of patients with inflammatory bowel disease

作　　者：刘晓琳[1] 牛俊坤[1] 吴静[1] 李树安[1] 缪应雷[1] Liu Xiaolin;Niu Junkun;Wu Jing;Li Shu′an;Miao Yinglei(Department of Gastroenterology,First Affiliated Hospital of Kunming Medical University,Yunnan Institute of Digestive Diseases,Kunming 650032,China)

机构地区：[1]昆明医科大学第一附属医院消化内科,云南省消化疾病研究所,650032

出　　处：《中华消化杂志》2021年第2期112-117,共6页Chinese Journal of Digestion

基　　金：国家自然科学基金(U1802282,81660100,81670501,81960108);云南省基础研究计划(2019FE001(-036));云南省卫生计生委医学领军人才(L-201607)。

摘　　要：目的探讨专业团队多途径健康教育模式对IBD患者药物治疗依从性、疾病知识掌握情况和复发率的影响,为制订科学的健康教育措施提供依据。方法选择2016年2月至2019年2月在昆明医科大学第一附属医院就诊的IBD患者,根据是否参加过健康教育分为干预组(100例)和对照组(138例)。分别采用Morisky药物依从性量表8(MMAS-8)和中文版克罗恩病与溃疡性结肠炎知识问卷(CCKNOW)评估患者的药物依从性和对疾病相关知识的掌握情况。比较干预组和对照组患者的MMAS-8评分、药物依从性差的比例、CCKNOW评分和随访48周时的疾病复发率。统计学方法采用两样本t检验和卡方检验。结果干预组患者的MMAS-8总分和CCKNOW总分均高于对照组[(5.58±1.96)分比(4.47±1.44)分、(10.87±4.21)分比(9.23±4.65)分],差异均有统计学意义(t=-5.06、-2.79,P均<0.05)。干预组患者药物依从性差的比例和随访48周时的疾病复发率均低于对照组[56.0%(56/100)比86.2%(119/138)、20.0%(20/100)比31.9%(44/138)],差异均有统计学意义(χ2=38.18、4.17,P均<0.05)。结论专业团队多途径健康教育可有效改善IBD患者的药物依从性和对疾病知识的掌握情况,提高患者自我管理能力,降低复发率。Objective To explore the effect of multi-channel health education model by professional team on drug compliance,disease knowledge and recurrence in rate of inflammatory bowel disease(IBD)patients,so as to provide basis for formulating scientific health education measures.Methods From February 2016 to February 2019,IBD patients visited First Affiliated Hospital of Kunming Medical University were selected.According to whether they received health education,the patients were divided into intervention group(100 cases)and control group(138 cases).Morisky medication adherence scale-8(MMAS-8)and Chinese version of Crohn′s and colitis knowledge score(CCKNOW)were used to evaluate treatment compliance and disease knowledge.The score of MMAS-8,the proportion of poor drug compliance,CCKNOW score and recurrence rate at 48 weeks of follow-up were compared between the intervention group and control group.Two sample t test and chi-square test were used for statistical analysis.Results The total scores of MMAS-8 and CCKNOW of the intervention group were both higher than those of the control group(5.58±1.96 vs.4.47±1.44,10.87±4.21 vs.9.23±4.65),and the differences were statistically significant(t=-5.06 and-2.79,both P<0.05).The proportion of patients with poor drug compliance and recurrence rate at 48 weeks of follow up of the intervention group were both lower than those of the control group(56.0%,56/100 vs.86.2%,119/138;20.0%,20/100 vs.31.9%,44/138),and the differences were statistically significant(χ2=38.18 and 4.17,both P<0.05).Conclusions Multi-channel health education by professional team can effectively improve the drug compliance and disease knowledge in IBD patients,improve patient self-management ability,and reduce the recurrence rate.

关 键 词：炎症性肠病 健康教育 自我管理 药物依从性 疾病知识 

分 类 号：R473.5[医药卫生—护理学]