摘要
目的探讨以家庭为中心的延续性护理干预对溃疡性结肠炎(UC)患者服药依从性及疾病活动度的影响。方法选择2020年5月—2023年4月青岛市城阳区人民医院收治的80例UC患者为研究对象,按照随机数字表法将其分为对照组和观察组,各40例。对照组采用延续性常规护理,观察组实施以家庭为中心的延续性护理干预,均护理3个月。比较两组服药依从性、自护能力、疾病活动度。结果护理前,两组服药依从性、自护能力、疾病活动度比较,组间差异无统计学意义(P>0.05)。护理后,观察组服药依从性评分(6.55±1.20)分高于对照组,自我管理能力测定量表中自我概念评分(21.96±3.10)分、健康认知评分(18.12±2.09)分、自我管理意识评分(36.41±5.01)分、自我管理能力评分(30.07±4.02)分均高于对照组,UC疾病活动指数中便血评分(1.21±0.23)分、腹泻评分(1.23±0.27)分、内镜表现评分(1.03±0.20)分、医生评估评分(1.16±0.25)分均低于对照组,组间差异有统计学意义(P<0.05)。结论以家庭为中心的延续性护理干预能够提高UC患者服药依从性、自护能力,加快症状改善。
Objective To explore the impact of family centered continuous care interventions on medication adherence and disease activity in patients with ulcerative colitis(UC).Methods 80 UC patients admitted to the People's Hospital of Chengyang District,Qingdao from May 2020 to Apil 2023 were selected as the research subjects and they were randomly divided into a control group and an observation group,with 40 patients in each group.The control group received continuous routine nursing care,while the observation group received family centered continuous nursing intervention,both of which lasted for 3 months.Compare medication adherence,self-care ability,and disease activity between the two groups.Results Before nursing care,there was no statistically significant difference in medication adherence,self-care ability,and disease activity between the two groups(P>0.05).After nursing,the observation group's medication compliance score(6.55±1.20)points was higher than the control group,and the self-concept score(21.96±3.10)points,health cognition score(18.12±2.09)points,self-management awareness score(36.41±5.01)points,and self-management ability score(30.07±4.02)points in the Self-Management Ability Scale were higher than those of the control group,and the UC Disease Activity Index had a stool blood score(1.21±0.23)points,diarrhea score(1.23±0.27)points,endoscopic performance score(1.03±0.20)points,and physician evaluation score(1.16±0.25)points were all lower than the control group,with statistically significant differences between the two groups(P<0.05).Conclusion Family centered continuous nursing interventions can improve medication adherence,selfcare ability,and accelerate symptom improvement in UC patients.
作者
段晓霞
杨贝贝
DUAN Xiaoxia;YANG Beibei(Department of Gastroenterology,Chengyang District People's Hospital,Qingdao Shandong,266000,China;Department of Internal Medicine,Daxing Town Central Health Hospital,Linshu Shandong,276700,China)
出处
《反射疗法与康复医学》
2023年第19期129-132,共4页
Reflexology And Rehabilitation Medicine
关键词
溃疡性结肠炎
以家庭为中心
延续性护理干预
服药依从性
自护能力
疾病活动度
Ulcerative colitis
Centered around the family
Continuous nursing intervention
Medication compliance
Self care ability
Disease activity
作者简介
段晓霞(1986-),女,山东临沂人,本科,主管护师,研究方向:消化内科护理。
