摘要
目的:探讨基于慢性疾病轨迹模式的护理干预在溃疡性结肠炎病人中的应用效果。方法:选取溃疡性结肠炎病人86例,按照抽签法分为观察组(采用基于慢性疾病轨迹模式的护理干预)和对照组(常规护理干预),各43例。比较2组干预前后健康促进生活方式和症状困扰程度差异。结果:干预前和出院当天,2组病人一般活动、工作、情绪、人际关系、走路、兴趣的症状困扰率差异均无统计学意义(P>0.05),症状困扰程度差异亦无统计学意义(P>0.05);出院4周,观察组一般活动、工作、情绪、兴趣的症状困扰率均低于对照组(P<0.05),症状困扰程度明显优于对照组(P<0.01)。干预前,2组病人健康促进生活方式各维度差异均无统计学意义(P>0.05);出院当天和出院4周,观察组各维度得分均高于对照组(P<0.05~P<0.01)。结论:基于慢性疾病轨迹模式的护理干预有助于降低病人症状困扰率和困扰程度,提高病人健康促进生活方式。
Objective:To explore the application effects of nursing intervention based on chronic disease trajectory model in patients with ulcerative colitis.Methods:A total of 86 patients with ulcerative colitis were divided into the observation group(using nursing intervention based on chronic disease trajectory model)and control group(using conventional nursing intervention)according to lottery method(43 cases in each group).The health promotion lifestyle and symptom distress were compared between two groups before and after intervention.Results:There was no statistical significance in the differences of the symptom distress rate of general activity,work,mood,interpersonal relationship,walking and interest between two groups after intervention and on the day of discharge(P>0.05),and there was no statistical significance in the disturburance degree between two groups(P>0.05).After 4 weeks of discharge,the disturbance rate of general activity,work,mood and interest in the observaton group was higher than those in control group(P<0.05),but the disturburance degree in the observation group was significant bettter than that in control group(P<0.01).Before intervention,there was no statistical significance in all dimensions of health-promoting lifestyle between two groups(P>0.05).On the day of discharge and 4 weeks after discharge,the scores of all dimensions in the observation group were higher than those in control group(P<0.05 to P<0.01).Conclusions:Nursing intervention based on chronic disease trajectory model is helpful to reduce the rate and degree of symptom distress,and improve the health promoting lifestyle of patients.
作者
刘玉
刘晨晨
刚侠
LIU Yu;LIU Chenchen;GANG Xia(Department of Gastroenterology,The People′s Hospital of Fuyang,Fuyang Anhui 236000,China)
出处
《蚌埠医学院学报》
CAS
2024年第6期789-793,共5页
Journal of Bengbu Medical College
关键词
慢性疾病轨迹模式
溃疡性结肠炎
健康促进生活方式
症状困扰
chronic disease trajectory model
ulcerative colitis
health promotion lifestyle
symptom disturbance
作者简介
刘玉(1983-),女,主管护师.
