高压氧结合院外延续照护在溃疡性结肠炎治疗中的应用  

Hyperbaric oxygen combined with out-of-hospital continuing nursing in treating ulcerative colitis

作　　者：姬学光 倪晓琴[2] 刘娟娟[3] Ji Xueguang;Ni Xiaoqin;Liu Juanjuan(Department of Gastroenterology,Yan’an University Affiliated Hospital,Yan’an 716000,China)

机构地区：[1]延安大学附属医院消化内科,陕西省延安716000 [2]延安大学附属医院呼吸内科,陕西省延安716000 [3]延安大学附属医院心脑血管医院全科医学科,陕西省延安716000

出　　处：《中华航海医学与高气压医学杂志》2021年第3期345-349,共5页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的研究高压氧结合基于三维质量评价模式的院外延续照护在溃疡性结肠炎患者中的应用及影响患者生活质量的因素。方法以延安大学附属医院2018年1-12月以及2019年1-12月治疗的各60例溃疡性结肠炎患者作为研究对象,医院2018年1-12月采用常规院外延续性护理措施,2019年1-12月采取基于三维质量评价模式的院外延续照护模式,2组患者的护理时间均为3个月。比较2组患者的负面情绪、生活质量、自我护理能力,分析影响患者生活质量的危险因素。结果经过护理后,2组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均有明显下降,且观察组与对照组比较[(33.14±3.86 vs.43.55±3.77),(35.47±2.95 vs.45.46±3.46)]下降较明显,差异有统计学意义(P<0.05);观察组患者的生理功能(t=2.563,P=0.012)、生理职能(t=3.539,P=0.001)、躯体疼痛(t=2.448,P=0.016)、一般健康(t=5.301,P<0.001)、精力(t=2.489,P=0.014)、社会功能(t=3.860,P<0.001)、情感职能(t=5.883,P<0.001)、心理健康(t=3.729,P<0.001)等指标显著高于对照组;经过护理后,2组患者的用药依存性、心理调节能力、睡眠状况、饮食调节以及疼痛识别评分均显著上升,且观察组患者的用药依存性、心理调节能力、睡眠状况、饮食调节以及疼痛识别评分显著高于对照组;不同的性别、文化程度、月收入、婚姻状况、精神状况、运动、生活方式、饮酒、吸烟以及合并慢性疾病情况的患者生活质量评价差异存在统计学意义(P<0.05);通过多因素分析,性别、文化程度、月收入、婚姻状况、精神状况、运动、生活方式、饮酒、吸烟以及合并慢性疾病均为影响患者生活质量的独立危险因素。结论高压氧结合基于三维质量评价模式的院外延续照护对溃疡性结肠炎患者负面情绪以及生活质量的改善具有积极的意义;同时在对患者的治疗中,建议对未婚、月收入较低、负面情绪较高�Objective To study the application of hyperbaric oxygen(HBO)combined with out-of-hospital continuing nursing based on three-dimensional quality evaluation model in patients with ulcerative colitis,and investigate the factors influencing patients’quality of life.Methods All research objects were treated with HBO in Yan’an University Affiliated Hospital.The patients(n=60)with ulcerative colitis treated from January 2018 to December 2018 were selected as the control group;while the patients(n=60)treated from January 2019 to December 2019 were selected as the observation group.The control group received the conventional out-of-hospital continuing nursing,while the observation group received out-of-hospital continuing nursing based on three-dimensional quality evaluation model.The nursing time for both groups were three months.The negative emotions,quality of life,and self-care ability of the two groups were compared,and the risk factors affecting the quality of life were analyzed.Results After nursing,the Zung self-rating anxiety scale(SAS)and Zung self-rating depression scale(SDS)scores of the two groups decreased significantly,and the observation group decreased more significantly than the control group in terms of the SAS scores(33.14±3.86 vs.43.55±3.77)and the SDS scores(35.47±2.95 vs.45.46±3.46),and the differences were statistically significant(P<0.05).The physical functioning(t=2.563,P=0.012),role physical(t=3.539,P=0.001),bodily pain(t=2.448,P=0.016),general health(t=5.301,P<0.001),vitality(t=2.489,P=0.014),social functioning(t=3.860,P<0.001),role emotional(t=5.883,P<0.001),mental health(t=3.729,P<0.001),and other indicators of the observation group were significantly higher than those of the control group.After nursing,the assessment scores of drug dependence,psychological adjustment ability,sleep quality,diet adjustment,and pain recognition in the observation group were significantly higher than those in the control group;the differences in quality of life assessment involving gender,education level

关 键 词：高压氧 溃疡性结肠炎 生命质量 负面情绪 危险因素 

分 类 号：R473.5[医药卫生—护理学]