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基于行为转变阶段模式的健康管理在溃疡性结肠炎患者中的应用

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目的 探讨基于行为转变阶段模式的健康管理在溃疡性结肠炎(UC)患者中的应用效果.方法 选取郑州大学第一附属医院2023年1-12月收治的116例UC患者,按护理方法分为转变组(58例)、对照组(58例).对照组接受常规护理措施,转变组在对照组的基础上接受行为转变阶段模式下的健康管理.比较两组并发症发生率、健康行为、自我效能[炎症性肠病自我效能量表(IBD-SES)]、生活质量[炎症性肠病生活质量量表(IBDQ)].结果 转变组并发症发生率(1.72%)低于对照组(13.79%)(P<0.05),遵医用药、健康饮食、适当运动等健康行为完成率高于对照组(P<0.05),IBD-SES评分高于对照组(P<0.05),IBDQ评分高于对照组(P<0.05).结论 对UC患者实施行为转变阶段模式下的健康管理,能降低并发症发生率,改善健康行为,提高自我效能感、生活质量.
Impact of Health Management in Patients with Ulcerative Colitis Under the Behavior Change Stage Model
Objective To explore the application effect of health management in ulcerative colitis(UC)under the behavior change stage model.Methods A total of 116 UC patients from January to December 2023 in the First Affiliated Hospital of Zhengzhou University were selected and divided into transformation group(58 cases)and control group(58 cases)according to nursing methods.The control group received routine nursing measures,while the transformation group received health management under the behavior transformation stage model on this basis.The complication rate,health behavior,self-efficacy[inflammatory bowel disease self-efficacy scale(IBD-SES)],and quality of life[inflammatory bowel disease quality of life scale(IBDQ)]were compared between the two groups before and after intervention for 2 months.Results The incidence of complications in the transformation group(1.72%)was lower than that in the control group(13.79%)(P<0.05),and the completion rate of health behaviors such as medication adherence,healthy diet,and appropriate exercise was higher than that in the control group(P<0.05),the IBD-SES score was higher than that in the control group(P<0.05),and the IBDQ score was higher than that in the control group(P<0.05).Conclusion Implementing health management under the behavior change stage model for UC patients can reduce the incidence of complications,improve health behaviors,and enhance self-efficacy and quality of life.

ulcerative colitisbehavior transitionhealth managementhealthy behaviorquality of life

郭慧霞、张春晖、王婷婷

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郑州大学第一附属医院消化内一科,河南郑州 450000

溃疡性结肠炎 行为转变 健康管理 健康行为 生活质量

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(23)