MPNFS模式的护理干预对炎症性肠病大便失禁患者不良情绪及生活质量的影响  

Effects of MPNFS nursing intervention on negative emotions and quality of life in patients with inflammatory bowel disease and fecal incontinence

作　　者：张萍[1] 李慧[1] 周玉 陈冬[1] 严安 ZHANG Ping;LI Hui;ZHOU Yu;CHEN Dong;YAN An(Department of Nursing,Jiangsu Provincial Hospital of Traditional Chinese Medicine,Jiangsu Province,Nanjing210029,China;the Second Clinical School of Xuzhou Medical University,Jiangsu Province,Xuzhou221004,China)

机构地区：[1]江苏省中医院护理部,江苏南京210029 [2]徐州医科大学第二临床医学院,江苏徐州221004

出　　处：《中国医药导报》2024年第31期160-164,共5页China Medical Herald

基　　金：教育部人文社会科学研究项目(19YJCZH147)。

摘　　要：目的探讨MPNFS模式的护理干预对炎症性肠病大便失禁患者不良情绪及生活质量的影响。方法选择2022年6月至2023年6月江苏省中医院消化科104例炎症性肠病大便失禁患者,按照随机数字表法将其分为对照组和试验组,各52例。对照组予常规治疗及护理,试验组在对照组基础上实施MPNFS模式的护理干预,均干预12周。比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、自我感受负担调查表(SPBS)评分、大便失禁评分(CCIS)、炎症性肠病患者生活质量问卷(IBDQ)评分。结果干预后,两组SAS、SDS、SPBS,及CCIS均低于干预前,且试验组低于对照组(P<0.05)。干预后,两组IBDQ评分均高于干预前,且试验组高于对照组(P<0.05)。结论MPNFS模式的护理干预可改善炎症性肠病大便失禁患者不良情绪,减轻疾病负担,缓解其大便失禁症状,提高患者生活质量。Objective To explore the effects of MPNFS nursing intervention on negative emotions and quality of life in patients with inflammatory bowel disease and fecal incontinence.Methods A total of 104 patients with inflammatory bowel disease and fecal incontinencewere selected from the Department of Gastroenterology,Jiangsu Provincial Hospital of Traditional Chinese Medicine from June 2022 to June 2023.According to the method of random number table,they were divided into control group and experimental group,with 52 cases in each group.The control group received conventional treatment and nursing,and the experimental group received MPNFS mode of nursing intervention on the basis of the control group,all intervention for 12 weeks.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),self-perceived burden scale(SPBS),Cleveland clinic incontinence score(CCIS),and inflammatory bowel disease questionnaire(IBDQ)before and after intervention were compared between the two groups.Results After intervention,the SAS score,SDS score,SPBS score,and CCIS of both groups were lower than before intervention,and the experimental group was lower than the control group(P<0.05).After intervention,the IBDQ scores of both groups were higher than before intervention,and the experimental group was higher than the control group(P<0.05).Conclusion The nursing intervention of MPNFS mode can improve the negative emotions of patients with inflammatory bowel disease and fecal incontinence,reduce the disease burden,alleviate their symptoms of fecal incontinence,and improve their quality of life.

关 键 词：炎症性肠病 大便失禁 MPNFS模式 不良情绪 生活质量 

分 类 号：R473[医药卫生—护理学]