以健康信念模型为基础的护理干预对溃疡性结肠炎患者肠胃功能、自我护理能力的影响  

The Impact of Nursing Interventions Based on the Health Belief Model on Gastrointestinal Function and Self-Care Ability in Patients with Ulcerative Colitis

作　　者：洪春梅 HONG Chunmei(Department of Internal Medcine,Youxi County Traditional Chinese Medicine Hospital,Sanming 365100,China)

机构地区：[1]尤溪县中医医院内三科,三明365100

出　　处：《中国医药指南》2024年第36期41-44,共4页Guide of China Medicine

摘　　要：目的试验对象选择溃疡性结肠炎患者,旨在评价以健康信念模型为基础的护理干预应用价值。方法样本录入时间选择2022年6月至2024年6月,入组对象均选自本院确诊为溃疡性结肠炎的患者,共计78例,经随机数字表法进行分组处理,入组患者被划分为占比均等的两组(对照组、观察组),每组39例,对照组予以常规护理,观察组予以健康信念模型为基础的护理干预。对比两组患者生活质量、胃肠功能、负性情绪以及自我护理能力。结果护理前,两组患者生活质量评分、自我护理能力评分、肠胃功能各项评分无统计学意义(P>0.05);护理措施执行后,生活质量评分、自我护理能力评分较高一组均为观察组,和对照组比较有统计学意义(P<0.05);肠胃功能改善效果评估结果显示,观察组各项评分均较高(P<0.05)。护理前,两组入试者SAS、SDS评分对比无统计学意义(P>0.05);护理后,SAS、SDS评分相比,观察组患者评分低(P<0.05)。结论溃疡性结肠炎患者予以健康信念模型为基础的护理干预可全面提升自我护理能力以及整体生活质量,有利于促进肠胃功能恢复。Objective The trial subjects were selected from patients with ulcerative colitis,aiming to evaluate the application value of nursing interventions based on the health belief model.Methods The sample entry period was selected from June 2022 to June 2024.The enrolled subjects were all patients diagnosed with ulcerative colitis in our hospital,totaling 78 cases.They were randomly divided into two groups(control group and observation group)with equal proportions,39 cases in each group.The control group received routine nursing care,while the observation group received nursing interventions based on health belief models.The quality of life,gastrointestinal function,negative emotions,and self-care ability of the two groups of patients were compared.Results Before nursing care,there was no statistical difference between the quality of life scores,self�care ability scores,and gastrointestinal function scores of the two groups of patients(P>0.05).After the implementation of nursing measures,the higher quality of life scores and self-care ability scores were in the observation group,which differed from those of the control group(P<0.05),and the assessment of the effect of improvement of gastrointestinal function showed that all scores were higher in the observation group(P<0.05).Before nursing care,there was no difference in the comparison of SAS and SDS scores between the two groups of enrolled subjects(P>0.05).After nursing care,SAS and SDS scores were lower compared to those of patients in the observation group(P<0.05).Conclusions Nursing interventions based on the health belief model for patients with ulcerative colitis can comprehensively improve their self-care ability and overall quality of life,promote gastrointestinal function recovery.

关 键 词：健康信念模型 护理干预 溃疡性结肠炎 肠胃功能 自我护理能力 

分 类 号：R574[医药卫生—消化系统] R473.5[医药卫生—内科学]