健康行为互动下责任制整体护理模式在溃疡性结肠炎患者中的应用效果  

Application effects of responsibility system-based holistic nursing mode under health behavior interaction in patients with ulcerative colitis

作　　者：苏海燕 SU Haiyan(First Ward of Department of Gastroenterology of the First Affiliated Hospital of Nanyang Medical College,Nanyang 473000 Henan,China)

机构地区：[1]南阳医学高等专科学校第一附属医院消化内科一病区,河南南阳473000

出　　处：《中国民康医学》2023年第21期176-179,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察健康行为互动(IMCHB)下责任制整体护理模式在溃疡性结肠炎(UC)患者中的应用效果。方法:选取2020年7月至2022年5月该院收治的106例UC患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各53例。对照组给予常规护理,观察组在对照组基础上给予IMCHB下责任制整体护理模式。比较两组护理前后健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]评分、自我效能感[炎症性肠病自我效能量表(IBD-SES)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、生命质量[炎症性肠病生活质量量表(IBDQ)]评分及不良事件发生率。结果:护理后,两组IBD-SES、HPLP-Ⅱ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组IBDQ评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05);观察组不良事件发生率为5.66%,低于对照组的18.87%,差异有统计学意义(P<0.05)。结论:IMCHB下责任制整体护理模式应用于UC患者,可提高自我效能感和生命质量,缓解负性情绪,促进健康行为形成,降低不良事件发生风险,效果优于单纯常规护理。Objective:To observe application effects of responsibility system-based holistic nursing mode under health behavior interaction(IMCHB)in patients with ulcerative colitis(UC).Methods:A prospective study was conducted on 106 UC patients admitted to this hospital from July 2020 to May 2022.They were divided into control group and observation group according to the random number table method,53 cases in each group.The control group was given routine nursing,while the observation group was given the responsibility system-based holistic nursing mode under IMCHB on the basis of that of the control group.The health behavior[health promotion lifestyle profile-Ⅱ(HPLP-Ⅱ)]score,the self-efficacy[inflammatory bowel disease-self-efficacy scale(IBD-SES)]score,the negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]score,the quality of life[inflammatory bowel disease quality of life scale(IBDQ)]score,and the incidence of adverse events were compared between the two groups before and after the nursing.Results:After the nursing,the scores of IBD-SES and HPLP-Ⅱ in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The SAS and SDS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The IBDQ scores of the two groups were higher than those before the nursing,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the observation group was 5.66%,which was lower than 18.87%in the control group,and the difference was statistically significant(P<0.05).Conclusions:The responsibility system-based holistic nursing mode under IMCHB in the UC patients can improve self-efficacy and the quality of life,alleviate

关 键 词：健康行为互动 溃疡性结肠炎 责任制整体护理 自我效能感 负性情绪 

分 类 号：R473.5[医药卫生—护理学]