延续性运动与营养管理对炎症性肠病患者营养状态与疾病获益感的干预研究

Intervention Study on the Effects of Continuous Exercise and Nutritional Management on Nutritional Status and Benefit Finding in Patients with Inflammatory Bowel Disease

摘要: 目的：探讨延续性运动与营养管理干预对炎症性肠病(IBD)患者营养状态及疾病获益感的影响。方法：采用随机对照试验设计，便利抽样纳入60例IBD患者，按照随机数字表法分为干预组和对照组，各30例。对照组给予常规照护，干预组在此基础上实施个体化运动处方与营养管理干预，干预周期为12周。比较两组在基线及干预12周后的血红蛋白(Hb)、红细胞计数(RBC)、白蛋白(Alb)、总蛋白(TP)、三头肌皮褶厚度(TSF)及疾病获益感量表评分的变化，并记录营养支持并发症发生率。结果：干预12周后，干预组RBC、Alb、TP改善幅度显著优于对照组(P < 0.05)，Hb和TSF亦明显提升(P < 0.05)。在疾病获益感方面，干预组接受、个人成长、健康行为维度的得分提升幅度大于对照组(P < 0.05)。此外，干预组营养支持并发症发生率低于对照组。结论：延续性运动与营养管理干预能够有效改善IBD患者的营养状态和疾病获益感，并降低营养支持并发症发生率。该干预模式可作为IBD患者长期管理的重要补充措施，为临床护理实践提供参考。

Abstract: Objective: To investigate the effects of continuous exercise combined with nutritional management on the nutritional status and benefit finding of patients with inflammatory bowel disease (IBD). Methods: A randomized controlled trial was conducted with 60 IBD patients recruited by convenience sampling and assigned to an intervention group (n = 30) or a control group (n = 30) using a random number table. The control group received routine care, while the intervention group additionally received an individualized exercise prescription and nutritional management program for 12 weeks. Changes in hemoglobin (Hb), red blood cell count (RBC), albumin (Alb), total protein (TP), triceps skinfold thickness (TSF), and benefit finding scores were assessed between the two groups at baseline and after 12 weeks. The incidence of nutrition-related complications was also recorded. Results: After 12 weeks, the intervention group showed significantly greater improvements in RBC, Alb, and TP compared with the control group (P < 0.05), along with notable increases in Hb and TSF (P < 0.05). In terms of benefit finding, the intervention group demonstrated significantly greater improvements in the dimensions of acceptance, personal growth, and health behaviors than the control group (P < 0.05). Furthermore, the incidence of nutrition-related complications was lower in the intervention group than in the control group. Conclusion: Continuous exercise combined with nutritional management effectively improves nutritional status and benefit finding in IBD patients while reducing the incidence of nutrition-related complications. This intervention model may serve as an important supplementary strategy for the long-term management of IBD patients and provide valuable evidence for clinical nursing practice.