摘要
目的结合临床实践经验,探讨Siebens领域管理模式对提升溃疡性结肠炎患者自我管理能力和肠道功能的效果。方法本研究为前瞻性随机对照试验。选择2021年8月至2022年8月河南中医药大学第五临床医学院收治的98例溃疡性结肠炎患者,按照随机数字表法分为两组,每组49例。传统组男27例,女22例,年龄(42.18±3.12)岁;Siebens组男26例,女23例,年龄(42.19±3.05)岁。传统组遵医嘱行溃疡性结肠炎常规治疗护理,Siebens组在此基础上实施Siebens领域管理模式为基础的延续性护理措施。比较两组患者干预前后肠道功能、炎症性肠病问卷(IBDQ)评分、自我管理能力评分和焦虑、抑郁评分。统计学方法采用独立样本t检验、配对t检验、χ^(2)检验。结果干预后Siebens组患者血清β防御素水平低于传统组[(61.07±6.58)mg/L比(75.31±8.63)mg/L],分泌型免疫球蛋白A(sIgA)水平高于传统组[(2.98±0.24)mg/L比(1.84±0.15)mg/L],差异均有统计学意义(均P<0.05)。干预后Siebens组患者IBDQ的肠道症状、全身症状、情感能力、社会能力评分均高于传统组,差异均有统计学意义(均P<0.05)。干预后Siebens组患者的症状管理、情绪管理、信息管理、日常生活、自我效能评分均高于传统组,差异均有统计学意义(均P<0.05)。干预后Siebens组患者的焦虑、抑郁评分均低于传统组[(3.26±0.37)分比(4.51±0.59)分、(3.15±0.29)分比(4.48±0.32)分],差异均有统计学意义(均P<0.05)。结论Siebens领域管理模式可提升溃疡性结肠炎患者的自我管理能力,改善患者肠道功能,提高患者生活质量,减轻患者负性情绪,值得进一步推广应用。
Objective To explore the effect of Siebens domain management model on improving the self-management ability and intestinal function in patients with ulcerative colitis based on clinical practice experiences.Methods It was a prospective randomized controlled trial.A total of 98 patients with ulcerative colitis admitted to The Fifth Clinical Medical College of Henan University of Chinese Medicine from August 2021 to August 2022 were selected and were divided into two groups according to the random number table method.There were 27 males and 22 females in the traditional group,aged(42.18±3.12)years;there were 26 males and 23 females in the Siebens group,aged(42.19±3.05)years.The patients in the traditional group received routine treatment and nursing of ulcerative colitis according to the doctors'advices,and the patients in the Siebens group received continuous nursing measures based on the Siebens domain management model on this basis.The intestinal function and scores of Inflammatory Bowel Disease Questionnaire(IBDQ),self-management ability,anxiety,and depression were compared between the two groups before and after intervention.Independent sample t test,paired t test,and χ^(2) test were used for statistical analysis.Results After intervention,the serumβ-defensin level in the Siebens group was lower than that in the traditional group[(61.07±6.58)mg/L vs.(75.31±8.63)mg/L],the secretory immunoglobulin A(sIgA)level was higher than that in the traditional group[(2.98±0.24)mg/L vs.(1.84±0.15)mg/L],with statistically significant differences(both P<0.05).After intervention,the scores of intestinal symptoms,systemic symptoms,emotional ability,and social ability of the IBDQ in the Siebens group were higher than those in the traditional group,with statistically significant differences(all P<0.05).After intervention,the scores of symptom management,emotion management,information management,daily life,and self-efficacy in the Siebens group were higher than those in the traditional group,with statistically significant differences(all P<0.05).After intervention,the scores of anxiety and depression in the Siebens group were lower than those in the traditional group[(3.26±0.37)points vs.(4.51±0.59)points,(3.15±0.29)points vs.(4.48±0.32)points],with statistically significant differences(both P<0.05).Conclusion Siebens domain management model can improve the self-management ability in patients with ulcerative colitis,improve their intestinal function,improve their quality of life,and reduce their negative emotions,which is worthy of further promotion and application.
作者
祖萌萌
徐影
赵宁
Zu Mengmeng;Xu Ying;Zhao Ning(Ward 2,Department of Gastroenterology,The Fifth Clinical Medical College of Henan University of Chinese Medicine(Zhengzhou People's Hospital),Zhengzhou 450000,China)
出处
《国际医药卫生导报》
2023年第3期399-403,共5页
International Medicine and Health Guidance News
基金
2022度河南省医学科技攻关计划联合共建项目(LHGJ20220802)。
