标题：生活方式干预在溃疡性结肠炎患者延续性护理中的应用

      作者：马卫平，陈亚丽，刘晓，来宇旭，刘晨    安康市中心医院消化病科内镜室，陕西 安康 725000

      卷次： 2019年30卷21期

      【摘要】 目的 探讨生活方式干预在溃疡性结肠炎患者延续性护理中的应用效果。方法 选取2017年2月至2018年2月安康市中心医院收治的经肠镜确诊为溃疡性结肠炎患者92例，采用随机数表法分为观察组和对照组，每组46例。对照组采取传统出院护理指导，观察组在对照组基础上进行生活方式干预延续性护理，连续干预2个月，比较两组患者干预前后的健康状态、疾病进展情况、生存质量、焦虑抑郁情况、遵医依从性以及复发率，分别采用健康状况量表(SF-36)、溃疡性结肠炎疾病活动指数(UCDAI)、炎症性肠病患者生存质量量表-(IBDQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、遵医依从性量表进行评价。结果 与干预前比较，两组患者干预后的SF-36各条目评分、IBDQ评分、遵医依从性评分升高，UCDAI评分、SAS评分、SDS评分减低，差异均具有统计学意义(P<0.05)；干预后，观察组患者的SF-36各条目评分均高于对照组，差异均具有统计学意义(P<0.05)；观察组患者干预后的 IBDQ评分、饮食依从评分、运动依从评分、服药依从评分分别为(168.42±15.80)分、(3.41±0.33)分、(3.21±0.67)分、(28.99±2.28)分，均明显高于对照组的(142.52±15.76)分、(2.86±0.37)分、(2.06±0.55)分、(24.31±2.43)分，差异均具有统计学意义(P<0.05)；观察组患者干预后的UCDAI评分、SAS评分、SDS评分分别为(2.35±0.49)分、(35.78±4.73)分、(37.82±4.60)分，均明显低于对照组的(3.97±0.42)分、(43.65±5.16)分、(45.39±5.06)分，差异均具有统计学意义(P<0.05)；观察组患者的复发率13.04%，明显低于对照组的30.43%，差异具有统计学意义(P<0.05)。结论 生活方式干预可以提高溃疡性结肠炎患者的生活质量以及降低疾病复发率。
      【关键词】 肠镜检查；溃疡性结肠炎；生活方式干预；延续性护理；遵医依从性；生存质量
      【中图分类号】 R473.6 【文献标识码】 A 【文章编号】 1003—6350（2019）21—2853—04

Application of lifestyle intervention in continuous nursing for patients with ulcerative colitis.
MA Wei-ping, CHENYa-li, LIU Xiao, LAI Yu-xu, LIU Chen. Department of Gastroenterology, the Central Hospital of Ankang City, Ankang725000, Shaanxi, CHINA
【Abstract】 Objective To explore the application effect of lifestyle intervention on continuous nursing for pa-tients with ulcerative colitis (UC). Methods Ninety-two patients confirmed with UC by enteroscope who were admit-ted to the Central Hospital of Ankang City from February 2017 to February 2018 were enrolled. They were divided intoobservation group and control group by random number table method, with 46 patients in each group. The control groupwas given traditional discharge nursing guidance. On this basis, the observation group was given lifestyle interventionfor continuous intervention. The intervention was continued for 2 months. Health status, disease progression, quality oflife, anxiety and depression, treatment compliance, and recurrence rate before and after intervention were compared be-tween the two groups. The short form 36 health survey (SF-36), UC-disease activity index (UCDAI), inflammatory bow-el disease questionnaire (IBDQ), Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and treatmentcompliance scale were applied for evaluation. Results After intervention, scores of SF-36, IBDQ and compliance inboth groups were increased, while scores of UCDAI, SAS and SDS were decreased (P<0.05). After intervention, scoresof SF-36 in observation group were higher than those in control group (P<0.05). After intervention, scores of IBDQ, di-etary compliance, exercise compliance, and medication compliance in observation group were (168.42±15.80) points,(3.41 ± 0.33) points, (3.21 ± 0.67) points, and (28.99 ± 2.28) points, respectively, which were significantly higher than(142.52±15.76) points, (2.86±0.37) points, (2.06±0.55) points, and (24.31±2.43) points in control group (P<0.05). Afterintervention, scores of UCDAI, SAS, and SDS in observation group were (2.35±0.49) points, (35.78±4.73) points, and(37.82±4.60) points, respectively, which were significantly lower than (3.97±0.42) points, (43.65±5.16) points, (45.39±5.06) points in control group (P<0.05). The recurrence rate of observation group was significantly lower than that of con-trol group (13.04% vs 30.43%, P<0.05). Conclusion Lifestyle intervention can improve the quality of life and reducedisease recurrence rate of UC patients.
      【Key words】 Enteroscopy; Ulcerative colitis; Lifestyle intervention; Continuous nursing; Treatment compliance;Quality of life·护理·doi:10.3969/j.issn.1003-6350.2019.21.040基金项目：陕西省自然科学基金资助项目(编号：2016JM8136)