环境干预方案在炎症性肠病患者中的应用效果  

Application Effect of Environmental Intervention Programs in Patients with Inflammatory Bowel Disease

作　　者：刘丽娜 王颖 LIU Lina;WANG Ying(Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China;不详)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中外医学研究》2025年第4期96-99,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨环境干预方案对炎症性肠病患者症状、生活质量及营养状态的影响。方法:选取2022年2月—2024年2月在徐州医科大学附属医院就诊的104例炎症性肠病患者为研究对象,按照随机数表法将患者分为干预组和对照组,各52例。对照组患者接受常规随访护理,干预组患者接受环境干预方案。通过问卷调查和临床评估,记录并比较两组患者症状变化[简单临床结肠炎活动指数(SCCAI)]、生活质量[炎症性肠病生活质量量表(IBDQ)]和营养状态[前白蛋白(PA)、血清白蛋白(ALB)、转铁蛋白(TF)]。结果:干预2个月后,干预组SCCAI评分低于对照组,差异有统计学意义(P<0.05)。干预2个月后,干预组肠道症状、全身症状评分高于对照组,差异有统计学意义(P<0.05)。干预2个月后,两组患者情感功能、社会功能评分比较,差异无统计学意义(P>0.05)。干预2个月后,干预组PA、ALB、TF高于对照组,差异有统计学意义(P<0.05)。结论:改善空气质量、饮用水和居住环境等环境因素,可显著减轻患者的症状,提高其生活质量,并改善营养状态,在炎症性肠病的管理中,考虑环境因素的干预是必要的。Objective:To investigate the impact of environmental intervention programs on symptoms,quality of life,and nutritional status in patients with inflammatory bowel disease.Method:A total of 104 patients with inflammatory bowel disease who were treated at the Affiliated Hospital of Xuzhou Medical University from February 2022 to February 2024 were selected as subjects.The patients were randomly divided into intervention group and control group using a random number table method,with 52 patients in each group.The control group received routine follow-up care,while the intervention group received environmental intervention program.Symptom changes[simple clinical colitis activity index(SCCAI)],quality of life[inflammatory bowel disease quality of life scale(IBDQ)]and nutritional status[prealbumin(PA),serum albumin(ALB),transferrin(TF)]of the two groups were recorded and compared by questionnaire and clinical evaluation.Result:After 2 months of intervention,the SCCAI score of the intervention group was lower than that of the control group,and the difference was statistically significant(P<0.05).After 2 months of intervention,the scores of intestinal symptoms and systemic symptoms in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).After 2 months of intervention,there was no significant difference in emotional function and social function scores between the two groups(P>0.05).After 2 months of intervention,PA,ALB and TF in the intervention group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusion:Improving environmental factors such as air quality,drinking water,and living conditions can significantly alleviate symptoms,enhance quality of life,and improve nutritional status in patients.Considering environmental factor interventions is necessary in the management of inflammatory bowel disease.

关 键 词：炎症性肠病 环境 临床转归 生活质量 营养状态 

分 类 号：R473.5[医药卫生—护理学]