溃疡性结肠炎行延续性护理干预对患者出院后心理素质、用药依从性及日常生活能力的影响
Effect of Continuous Nursing Intervention for Patients with Ulcerative Colitis on Psychological Quality, Medication Compliance and Daily Living Ability after Discharge from Hospital
DOI: 10.12677/NS.2018.74024, PDF,   
作者: 陈聪英：河南省南阳医学高等专科学校第一附属医院消化内科二病区，河南 南阳
关键词: UC；延续性护理；用药依从性；日常生活能力；UC； Continuing Nursing； Medication Compliance； Daily Living Ability
摘要: 目的：探究溃疡性结肠炎(UC)行延续性护理干预对患者出院后心理素质、用药依从性及日常生活能力的影响。方法：选取2017年1月~2018年1月收治的112例UC患者临床资料予以分析，将行常规出院护理者设作对照组(56例)，行延续性护理干预者设作研究组(56例)，比较两组心理状态、用药依从性与日常生活能力。结果：两组干预后SDS、SAS评分均低于干预前，且以研究组SDS (50.47 ± 2.13)分、SAS (47.22 ± 1.71)分改善幅度更大(P < 0.05)；研究组用药依从率96.42%较对照组显著高(P < 0.05)；研究组如厕(7.51 ± 0.36)分等日常生活能力评分均高于对照组(P < 0.05)。结论：UC患者经延续性护理干预后心理状态显著改善，且用药依从性提高，预后改善，可推广。
Abstract: Objective: To explore the effect of continuous nursing intervention for patients with ulcerative colitis (UC) on their psychological quality, medication compliance and daily living ability after discharge from hospital. Methods: The clinical data of 112 patients with UC who were admitted to the Hospital between January 2017 and January 2018 were selected and analyzed. The patients who had received routine nursing after discharge were designated as the control group (n = 56), and those given continuous nursing intervention as the study group (n = 56). The psychological state, medication compliance and daily living ability in the two groups were compared between the two groups. Results: The scores of SDS and SAS after the intervention were reduced after intervention, where the SDS score was (50.47 ± 2.13) points and SAS was (47.22 ± 1.71) points in the study group, with improvement in the study group more significant than that in the control group (P < 0.05). The medication compliance rate in the study group was 96.42%, significantly higher than that in the control group (P < 0.05); the daily living ability scores in the study group where toilet going scored (7.51 ± 0.36) points, higher than the control group (P < 0.05). Conclusion: For patients with UC, continuous nursing intervention can significantly improve their psychological state, medication compliance and prognosis effect which can be popularized in clinical practice.
文章引用：陈聪英. 溃疡性结肠炎行延续性护理干预对患者出院后心理素质、用药依从性及日常生活能力的影响[J]. 护理学, 2018, 7(4): 131-135. https://doi.org/10.12677/NS.2018.74024

参考文献

[1] 周爱芳. 活动期溃疡性结肠炎行综合护理干预对患者的心理影响[J]. 现代消化及介入诊疗, 2016, 21(1): 156-158.
[2] 武玉萍, 皇菊莲, 陈晓嘉, 等. 基于“病, 证, 体质”辨证护理干预对溃疡性结肠炎病人临床症状及护理效果的影响[J]. 护理研究, 2016, 30(26): 3289-3292.
[3] 曹燕, 沈爱华. 延续性护理教育对溃疡性结肠炎的影响分析[J]. 实用临床护理学电子杂志, 2017, 2(28): 10.
[4] 刘淦琼, 叶丽婵. 溃疡性结肠炎45例灌肠护理[J]. 齐鲁护理杂志, 2016, 22(4): 69-70.
[5] 张瑾. 护理干预对溃疡性结肠炎病人复发的影响[J]. 护理研究, 2015, 18(35): 4397-4400.
[6] 朱迎, 董丽, 石红丽, 等. 溃疡性结肠炎病人服药依从性影响因素的质性研究[J]. 全科护理, 2016, 14(30): 3214-3216.
[7] 戚素英. 延续性护理对溃疡性结肠炎患者复发的影响[J]. 实用临床护理学电子杂志, 2017, 2(40): 34-44.
[8] 陈晨, 韩现红, 戴新娟, 等. 溃疡性结肠炎患者用药依从性的质性研究[J]. 中国实用护理杂志, 2015, 31(23): 1740-1744.
[9] 梁伟燕, 冯映文, 陈昭认, 等. 延续性自我管理教育在溃疡性结肠炎患者中的应用[J]. 护理实践与研究, 2015, 13(5): 10-12.
[10] 刘坤, 于晏, 王英杰, 等. 协同护理模式对溃疡性结肠炎患者生活质量和住院次数的影响[J]. 护理管理杂志, 2016, 16(1): 50-52.
[11] 吴志娟, 吉雅玲, 孙春霞, 等. 心理护理对慢性溃疡性结肠炎患者焦虑、抑郁状况及生活质量的影响[J]. 中华现代护理杂志, 2016, 22(15): 2159-2162.
[12] 蔡清华. 延续性护理干预在溃疡性结肠炎患者中的应用研究[J]. 中国肛肠病杂志, 2017, 37(5): 59-61.
[13] Richardson, A. and Whatmore, J. (2015) Nursing Essential Principles: Continuous Renal Replacement Therapy. Nursing in Critical Care, 20, 8-15. [Google Scholar] [CrossRef] [PubMed]
[14] 蔡娟. 溃疡性结肠炎患者综合护理体会[J]. 医学临床研究, 2015, 23(8): 1661-1662.
[15] 但鑫, 侯若楠, 许素环, 等. 溃疡性结肠炎患者疾病知识现状及影响因素分析[J]. 中国实用护理杂志, 2017, 33(29): 2259-2263.

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