连续护理干预对溃疡性结肠炎患者医嘱依从性及疾病复发率的影响研究
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摘要
目的探讨连续护理干预对溃疡性结肠炎患者医嘱依从性及疾病复发率的影响。方法选取2017年3月—2018年3月收治的溃疡性结肠炎患者88例,随机分为两组,每组44例。研究组采取连续护理干预,对照组采取常规护理干预。比较两组患者护理干预后的医嘱依从性及疾病复发率等情况。结果研究组患者在护理干预后的2周、4周、8周的医嘱依从性均高于对照组(P<0.05);研究组患者在护理干预后的4周、8周、12周的疾病复发率均低于对照组(P>0.05);研究组患者护理干预后的SAS评分及SDS平均均低于对照组(P<0.05)。结论将连续护理干预应用在溃疡性结肠炎患者的治疗中,患者对疾病的认知水平得到提升,护理质量内涵有效提高,护患关系得到加强,有效促进提高患者的医嘱依从性,患者生活质量及不良情绪得到改善,疾病复发率显著降低,连续护理干预值得临床推广应用。
Objective To explore the effect of continuous nursing intervention on the compliance of doctor's advice and the recurrence rate of ulcerative colitis. Methods 88 patients with ulcerative colitis admitted from March 2017 to March2018 were selected and randomly divided into two groups, 44 cases in each group. The study group adopted continuous nursing intervention and the control group adopted routine nursing intervention. The compliance of doctor's advice and recurrence rate of disease after nursing intervention were compared between the two groups. Results The doctor's advice compliances of patients in the study group in 2 weeks, 4 weeks, 8 weeks after the intervention were higher than those in the control group(P<0.05); The recurrence rates of patients in the study group at 4, 8 and 12 weeks after nursing intervention were lower than those in the control group(P>0.05). The SAS scores and SDS in the study group were lower than those in the control group(P<0.05). Conclusion Applying continuous nursing intervention in the treatment of ulcerative colitis is good for patients, with cognitive level of diseases improved. The nursing quality connotation is improved and relationship between nurses and patients is strengthened. Besides, it can effectively improve the patient's physician compliance, quality of life and bad mood. Disease recurrence rate decreases significantly, and continuous nursing intervention is worth clinical application.
Objective To explore the effect of continuous nursing intervention on the compliance of doctor's advice and the recurrence rate of ulcerative colitis. Methods 88 patients with ulcerative colitis admitted from March 2017 to March2018 were selected and randomly divided into two groups, 44 cases in each group. The study group adopted continuous nursing intervention and the control group adopted routine nursing intervention. The compliance of doctor's advice and recurrence rate of disease after nursing intervention were compared between the two groups. Results The doctor's advice compliances of patients in the study group in 2 weeks, 4 weeks, 8 weeks after the intervention were higher than those in the control group(P<0.05); The recurrence rates of patients in the study group at 4, 8 and 12 weeks after nursing intervention were lower than those in the control group(P>0.05). The SAS scores and SDS in the study group were lower than those in the control group(P<0.05). Conclusion Applying continuous nursing intervention in the treatment of ulcerative colitis is good for patients, with cognitive level of diseases improved. The nursing quality connotation is improved and relationship between nurses and patients is strengthened. Besides, it can effectively improve the patient's physician compliance, quality of life and bad mood. Disease recurrence rate decreases significantly, and continuous nursing intervention is worth clinical application.
引文
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[4]陶思玉,金婧.心理行为干预对溃疡性结肠炎焦虑抑郁患者的影响分析[J].重庆医学,2016,45(32):4596-4599.
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[7]刘华,王治伦,侯亚玲.连续性护理对心肌梗死患者心绞痛发作及生活质量的影响[J].中国地方病防治杂志,2017,8(4):412-414.
[8]许珊珊,戴新娟.炎症性肠病患者延续护理的研究进展[J].中华护理杂志,2017,14(7):113-116.
[9]柏亚妹,宋玉磊,卞秋桂,等.炎症性肠病患者服药依从性及其影响因素研究[J].中国全科医学,2017,20(32):4018-4022.
[10]孙叶飞,徐蕾.预警性护理干预对减少胃肠外科术后并发症的效果[J].中国医科大学学报,2016,45(8):756-758.
[11]周琦.护理干预对烧伤植皮术患者术后疼痛感及负性情绪的影响[J].中华医学杂志(英文版),2016,6(12):89-91.
[12]李艳,姚小丽,欧秀球,等.探讨优质护理干预对卵巢畸胎瘤患者心理状态及生活质量、治疗依从性的影响[J].中华肿瘤防治杂志,2016,10(S2):379-380.
[13]潘春霞.优质护理干预对尿毒症血液透析患者负性情绪的影响分析[J].中华肿瘤防治杂志,2016,20(S1):347-348.
[14]汪敏,刘茜,官莉,等.延续性护理对降压药物治疗的依从性及效果的影响分析[J].重庆医学,2016,45(22):3115-3116.
[2]LIGHTNER A L,MATHIS K L,DOZOIS E J,et al.Results at Up to 30 Years After Ileal Pouch-Anal Anastomosis for Chronic Ulcerative Colitis[J].Inflamm Bowel Dis,2017,23(5):781-790.
[3]李军祥,谭祥,毛堂友.溃疡性结肠炎中西医结合治疗策略[J].中国中西医结合杂志,2017,37(4):398-400.
[4]陶思玉,金婧.心理行为干预对溃疡性结肠炎焦虑抑郁患者的影响分析[J].重庆医学,2016,45(32):4596-4599.
[5]COLOMBEL JF,SANDS BE,RUTGEERTS P,et al.The safety of vedolizumab for ulcerative colitis and Crohn's disease[J].Gut,2017,66(5):839-851.
[6]高森阳,张迎迎,李凯钰,等.赋能干预对溃疡性结肠炎术后疗效影响研究[J].中国实用外科杂志,2016,36(11):1220-1223.
[7]刘华,王治伦,侯亚玲.连续性护理对心肌梗死患者心绞痛发作及生活质量的影响[J].中国地方病防治杂志,2017,8(4):412-414.
[8]许珊珊,戴新娟.炎症性肠病患者延续护理的研究进展[J].中华护理杂志,2017,14(7):113-116.
[9]柏亚妹,宋玉磊,卞秋桂,等.炎症性肠病患者服药依从性及其影响因素研究[J].中国全科医学,2017,20(32):4018-4022.
[10]孙叶飞,徐蕾.预警性护理干预对减少胃肠外科术后并发症的效果[J].中国医科大学学报,2016,45(8):756-758.
[11]周琦.护理干预对烧伤植皮术患者术后疼痛感及负性情绪的影响[J].中华医学杂志(英文版),2016,6(12):89-91.
[12]李艳,姚小丽,欧秀球,等.探讨优质护理干预对卵巢畸胎瘤患者心理状态及生活质量、治疗依从性的影响[J].中华肿瘤防治杂志,2016,10(S2):379-380.
[13]潘春霞.优质护理干预对尿毒症血液透析患者负性情绪的影响分析[J].中华肿瘤防治杂志,2016,20(S1):347-348.
[14]汪敏,刘茜,官莉,等.延续性护理对降压药物治疗的依从性及效果的影响分析[J].重庆医学,2016,45(22):3115-3116.