反馈式饮食护理干预对溃疡性结肠炎患者心理应激状态、胃肠道功能的影响  

Effect of Feedback Diet Nursing Intervention on Psychological Stress State and Gastrointestinal Function in Patients with Ulcerative Colitis

作　　者：魏雨杉 索莉娜 阚亦非 刘珊珊 李寒雪 刘璐 寇洁 WEI Yu-shan;SUO Li-na;KAN Yi-Fei;LIU Shan-Shan;LI Han-Xue;LIU Lu;KOU Jie(International Medical Center,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,People's Hospital of Zhengzhou University,Zhengzhou,Henan 450003;Nursing Department,Henan Provincial People's Hospital,Henan Provincial Key Laboratory of Nursing Medicine,People's Hospital of Zhengzhou University,Zhengzhou,Henan 450003)

机构地区：[1]河南省人民医院国际医疗中心河南省护理医学重点实验室,郑州大学人民医院,河南郑州450003 [2]河南省人民医院护理部河南省护理医学重点实验室,郑州大学人民医院,河南郑州450003

出　　处：《中国肛肠病杂志》2024年第10期70-73,共4页Chinese Journal of Coloproctology

基　　金：河南省医学科技公关项目(SBGJ202102003)。

摘　　要：目的:探讨反馈式饮食护理干预对溃疡性结肠炎(UC)患者心理应激状态、胃肠道功能的影响。方法:将70例UC患者随机分为对照组和观察组,每组35例。对照组患者予以常规护理干预,观察组患者予以反馈式饮食护理干预,比较2组患者心理应激状态[医院焦虑抑郁量表(HADS)]、胃肠道功能[溃疡性结肠炎疾病活动指数(UCDAI)]、营养状况[主观综合营养评估量表(SGA)]及自我效能[炎症性肠病自我效能量表(IBD-SES)]。结果:干预前,2组患者HADS评分、UCDAI各维度评分、IBD-SES各维度评分比较差异无统计学意义(P>0.05);干预后,观察组患者HADS及UCDAI各维度评分均低于对照组(P<0.05);观察组患者A级营养状况占比高于对照组(P<0.05);观察组患者IBD-SES各维度评分及总分均高于对照组(P<0.05)。结论:反馈式饮食护理干预能显著改善UC患者的心理应激状态和胃肠道功能,提高其营养状况和自我效能。Objective To investigate the effect of feedback diet nursing intervention on psychological stress state and gastrointestinal function in patients with ulcerative colitis(UC).Methods Total 70 patients with UC were randomly divided into control group and observation group,35 cases in each group.The control group was given routine nursing intervention,and the observation group received feedback diet nursing intervention.The psychological stress status[hospital anxiety and depression scale(HADS)],gastrointestinal function[ulcerative colitis disease activity index(UCDAI)],nutritional status[subjective comprehensive nutrition assessment scale(SGA)]and self-efficacy[inflammatory bowel disease self-effi-cacy scale(IBD-SES)]of both groups were compared.Results Before intervention,there was no signifi-cant difference in the scores of HADS,UCDAI and IBD-SES between the two groups(P>0.05).After intervention,the scores of HADS and UCDAI in the observation group were lower than those in the control group(P<0.05).The proportion of grade A nutritional status in the observation group was higher than that in the control group(P<0.05).The IBD-SES scores and total scores in the observation group were higher than those in the control group(P<0.05).Conclusion Feedback diet nursing intervention can significantly improve the psychological stress state and gastrointestinal function of UC patients,and en-hance their nutritional status and self-efficacy.

关 键 词：溃疡性结肠炎 反馈式饮食护理 心理应激状态 胃肠道功能 

分 类 号：R473.5[医药卫生—护理学]