微信平台院外延续护理对炎症性肠病患者健康教育的干预效果  

Intervention effect of WeChat platform continuity nursing on the health education of patients with inflammatory bowel disease

作　　者：赵淑敏 王丽亚 宋青[1] 罗霜[1] ZHAO Shumin;WANG Liya;SONG Qing;LUO Shuang(Department of Nursing,Heze Medical College,Shandong Province,Heze274000,China)

机构地区：[1]菏泽医学专科学校护理系,山东菏泽274000

出　　处：《中国当代医药》2022年第15期167-171,共5页China Modern Medicine

基　　金：山东省医药卫生科技发展计划项目(2019WS350)。

摘　　要：目的探讨微信平台院外延续护理对炎症性肠病(IBD)患者健康教育的干预效果。方法选取2020年7月至2021年7月在菏泽医学专科学校附属医院消化科住院的76例IBD患者作为研究对象,采用奇偶数分组法将其分为对照组与干预组,每组各38例。对照组患者给予传统的健康教育干预,干预组患者在对照组的基础上给予微信平台的延续护理。干预3个月后,比较两组患者的焦虑和抑郁评分、生活质量、自我管理技能评分及再入院率。结果干预3个月后,干预组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组,差异有统计学意义(P<0.05);干预组患者的IBD患者生活质量问卷(IBDQ)各维度评分和总分均高于对照组,差异有统计学意义(P<0.05);干预组患者的自我管理能力各维度评分和总分均高于对照组,差异有统计学意义(P<0.05)。干预组患者的再入院率低于对照组,差异有统计学意义(P<0.05)。结论通过微信平台进行院外延续护理可改善IBD患者不良心理状态及生活质量,提高其自我管理能力,降低再入院率。Objective To explore the intervention effect of continuing care outside hospital on wechat platform on health education of patients with inflammatory bowel disease(IBD).Methods A total of 76 IBD patients hospitalized in the Department of Gastroenterology,Affiliated Hospital of Heze Medical College from July 2020 to July 2021 were selected as the research objects,and divided into control group and intervention group by odd and even grouping method,with 38 cases in each group.Patients in the control group were given traditional health education intervention,and the intervention group were given continuous care on WeChat platform on the basis of the control group.Three months after intervention,anxiety and depression scores,quality of life,self-management skills scores,and readmission rates were compared between the two groups.Results Three months after intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The scores and total scores of all dimensions of inflammatory bowel disease questionnaire in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).The scores and total scores of all dimensions of self-management ability in the intervention group were higher than those in the control group,and the differences were statistically significant(P<0.05).The readmission rate in the intervention group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion WeChat platform continuity nursing can improve the mental state and quality of life,and will enhance the level of patients′self-management skills,and reduce the rate of readmission.

关 键 词：炎症性肠病 微信平台 延续护理 健康教育 

分 类 号：R473.5[医药卫生—护理学]