基于微信平台以TTM为导向的健康宣教法对溃疡性结肠炎患者正性情感、负性情感及自护能力的影响  

Impact of TTM-oriented health promotion and education method based on WeChat platform on positive emotions,negative emotions,and self-care ability of patients with ulcerative colitis

作　　者：卓丽丽 诸葛玮玮[1] 丁银蓉 Li-Li Zhuo;Wei-Wei Zhuge;Yin-Rong Ding(Department of Gastroenterology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou 325000,Zhejiang Province,China)

机构地区：[1]温州医科大学附属第一医院消化内科,浙江省温州市325000

出　　处：《世界华人消化杂志》2021年第19期1144-1150,共7页World Chinese Journal of Digestology

摘　　要：背景溃疡性结肠炎(ulcerative colitis,UC)的病程长,易反复发作,影响患者的情感状态、生存质量,提高UC患者的疾病认识及自护能力对防治UC具有重要的作用.目前,临床上普遍使用微信平台作为媒介对出院患者进行健康宣教,但内容多局限于基础护理,宣教效果不佳.目的探讨基于微信平台以行为分阶段转变理论模型(the transtheoretical model and stages of change,TTM)为导向的健康宣教法对UC患者正性情感、负性情感及自护能力的影响.方法选取2019-01/2020-02间我院收治的63例UC患者,按照随机数字表法分为对照组31例、观察组32例.对照组采用微信平台常规健康宣教,观察组采用基于微信平台以TTM为导向的健康宣教法.比较两组干预前及干预24 wk后的正性情感与负性情感得分、自护能力、生存质量及24 wk内的血便、复发情况.结果干预后,两组正性情感得分升高,负性情感得分下降,且观察组正性情感得分高于对照组,负性情感得分低于对照组(P<0.05);干预后,两组自护能力量表各维度得分及总分均升高,且观察组高于对照组(P<0.05);干预后,两组炎症性肠病生存质量问卷各维度得分及总分均升高,且观察组高于对照组(P<0.05);观察组24 wk内的血便复发率(6.25%比29.03%)、UC复发率(0比22.58%)低于对照组,且无血便复发时间、无UC复发时间长于对照组(P<0.05).结论基于微信平台以TTM为导向的健康宣教法能够增进UC患者的正性情感,减轻负性情感,并可提高患者的自护能力,改善生存质量,减少复发风险.BACKGROUND Ulcerative colitis(UC)has a long course and is prone to recurring attacks,which affects the emotional state and quality of life of patients.Improving the disease awareness and self-care ability of UC patients has an important role in the prevention and treatment of UC.At present,the WeChat platform is commonly used clinically as a medium to carry out health education and education for discharged patients,but the content is mostly limited to basic nursing,and the effect of the education is not satisfactory.AIM To investigate the impact of WeChat platform-based health education method based on the transtheoretical model and stages of change(TTM)on the positive emotions,negative emotions,and self-care of patients with UC.METHODS A total of 63 UC patients admitted to our hospital between January 2019 and February 2020 were selected and divided into a control group of 31 cases and an observation group of 32 cases according to the random number table method.In the control group,the WeChat platform was used for regular health education,and the WeChat platform-based TTM-oriented health education method was used in the observation group.The scores of positive and negative emotions,self-care ability,quality of life,bloody stool,and recurrence were compared between the two groups before intervention and 24 wk after intervention.RESULTS After the intervention,the positive emotion scores of the two groups increased,while the negative emotion scores decreased.The positive emotion scores were higher and the negative emotion scores were lower in the observation group than in the control group(P<0.05).After the intervention,the total score and scores of all dimensions of the Self-Care Ability Scale(ESCA)increased in both groups;the increases in the observation group were higher than those of the control group(P<0.05).The total score and scores of all dimensions of inflammatory bowel disease quality of life questionnaire(IBDQ)increased in both groups after intervention;and the increases in the observation group were hig

关 键 词：微信平台 行为分阶段转变理论模型 健康宣教 溃疡性结肠炎 情感状态 自护能力 

分 类 号：R473.5[医药卫生—护理学]