IKAP理论干预对溃疡性结肠炎患者心理状态及健康行为的影响  

Effect of IKAP Theoretical Intervention on Mental State and Health Behavior in Patients with Ulcerative Colitis

作　　者：李寒雪 阚亦非 禹菲菲 魏雨杉 寇洁 LI Han-xue;KAN Yi-fei;Yu Fei-fei;WEI Yu-shan;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》2025年第1期65-67,共3页Chinese Journal of Coloproctology

基　　金：河南省卫健委省部共建项目(编号:SBGJ202102003)。

摘　　要：目的:探讨IKAP理论干预对溃疡性结肠炎(UC)患者心理状态及健康行为的影响。方法:将72例UC患者随机分为对照组和观察组,每组36例。对照组患者予以常规护理干预,观察组患者予以IKAP理论干预,比较2组患者干预前及干预3个月的症状改善情况[溃疡性结肠炎疾病活动指数(UCDAI)]、心理状态[心理韧性量表(CD-RISC)]、健康行为[健康行为自评表(SRAHP)]和生存质量[炎症性肠病生存质量问卷(IBDQ)]。结果:干预前2组患者UCDAI、CD-RISC、SRAHP、IBDQ评分比较差异无统计学意义(P>0.05);干预后,观察组患者UCDAI各维度评分均低于对照组(P<0.05);观察组患者CD-RISC、SRAHP、IBDQ各维度评分均高于对照组(P<0.05)。结论:IKAP理论干预可以有效改善UC患者的症状,提高其心理韧性、健康行为和生存质量。Objective To investigate the effect of IKAP theoretical intervention on psychological state and health behavior of patients with ulcerative colitis(UC).Methods Total 72 patients with UC were randomly divided into the control group and the observation group,36 cases in each group.The control group was given routine nursing intervention,while the observation group received IKAP theoretical intervention.Symptom improvement[ulcerative colitis disease activity index(UCDAI)],psychological state[Connor-Davidson resilience scale(CD-RISC)],health practices[self rated abilities for Health practices scale(SRAHP)]and quality of life[inflammatory bowel disease questionnaire(IBDQ)]of the two groups were compared before intervention and 3 months after intervention.Results Before intervention,there was no significant difference in the scores of UCDAI,CD-RISC,SRAHP,IBDQ between the two groups(P>0.05).After intervention,UCDAI scores in the observation group were lower than those in the control group(P<0.05).The scores of CD-RISC,SRAHP and IBDQ in the observation group were higher than those in the control group(P<0.05).Conclusion IKAP theoretical intervention can effectively improve the symptoms,psychological resilience,health practices and quality of life of UC patients.

关 键 词：溃疡性结肠炎 IKAP理论干预 心理状态 健康行为 生存质量 

分 类 号：R473.5[医药卫生—护理学]