基于家庭赋权的督导跟进式护理对炎症性肠病患者的影响  

Influence of family empowerment-based supervised follow-up nursing on patients with inflammatory bowel disease

作　　者：陈莎[1] 何海芬 祁灵珍 周燕[1] Chen Sha;He Haifen;Qi Lingzhen;Zhou Yan(Department of Gastroenterology,Lishui Central Hospital,Lishui 323000,China)

机构地区：[1]丽水市中心医院消化内科,丽水323000

出　　处：《中国实用护理杂志》2025年第10期727-733,共7页Chinese Journal of Practical Nursing

基　　金：浙江省医药卫生科技计划项目(2024KY566)。

摘　　要：目的探究基于家庭赋权的督导跟进式护理对炎症性肠病(IBD)患者自我护理能力和生命质量的影响,为改善患者治疗态度、提高患者遵医行为提供参考。方法采用随机对照研究方法,以便利抽样法选取2021年1月至2023年6月丽水市中心医院消化内科收治的100例IBD患者,采用随机数字表法分为研究组(实施基于家庭赋权的督导跟进式护理)与对照组(实施常规延续护理)。分别于干预前、干预3个月后,对比2组患者自我护理能力、用药依从性、疾病控制效果以及生命质量。结果最终纳入IBD患者99例,其中研究组50例,男27例,女23例,年龄(39.55±5.21)岁;对照组49例,男28例,女21例,年龄(40.24±7.16)岁。干预前,2组患者自我护理能力、用药依从性、疾病控制效果以及生命质量差异无统计学意义(均P>0.05)。干预3个月后,研究组患者自我护理能力总分、用药依从性得分、生命质量总分分别为(141.27±13.48)、(91.02±4.69)、(185.21±9.51)分,高于对照组的(120.17±11.08)、(85.69±4.49)、(173.58±9.27)分,差异均有统计学意义(t=-8.50、-5.77、-6.16,均P<0.05);研究组患者疾病控制效果总分为(100.77±9.42)分,低于对照组的(125.99±7.87)分,差异有统计学意义(t=14.44,P<0.05)。结论基于家庭赋权的督导跟进式护理应用于IBD患者中,能提高患者自我护理能力,改善患者用药依从性,还可以增强患者疾病控制效果,提高生命质量。Objective To explore the impact of family empowerment-based supervised follow-up nursing on the self-care ability and quality of life of patients with inflammatory bowel disease(IBD),and to provide references for improving the treatment attitudes and compliance behaviors of patients.MethodsA randomized controlled study was conducted.Convenience sampling was used to select 100 IBD patients admitted to the Department of Gastroenterology at Lishui Central Hospital from January 2021 to June 2023.The patients were randomly divided into a study group(receiving family empowerment-based supervised follow-up nursing)and a control group(receiving routine continuing care).Before the intervention and three months after the intervention,the self-care ability,medication compliance,disease control effect,and quality of life were compared between the two groups.ResultsA total of 99 IBD patients were included,with 50 in the study group,27 males and 23 females,aged(39.55±5.21)years old,and 49 in the control group,28 males and 21 females,aged(40.24±7.16)years old.Before the intervention,there were no statistically significant differences in self-care ability,medication compliance,disease control effect,and quality of life between the two groups(all P>0.05).After three months of intervention,the self-care ability,medication compliance and quality of life scores in the study group were(141.27±13.48),(91.02±4.69),(185.21±9.51)points,which were higher than the control group(120.17±11.08),(85.69±4.49),(173.58±9.27)points,respectively.The differences were statistically significant(t=-8.50,-5.77,-6.16,all P<0.05).The disease control effect score in the study group was(100.77±9.42)points,lower than the control group(125.99±7.87)points,the differences was statistically significant(t=14.44,P<0.05).ConclusionsFamily empowerment-based supervised follow-up nursing can improve the self-care ability,medication compliance,disease control effect,and quality of life in IBD patients.

关 键 词：炎症性肠病 家庭赋权 督导跟进 延续护理 自我护理能力 生命质量 

分 类 号：R473.5[医药卫生—护理学]