保护动机理论下延续性护理对炎症性肠病患者营养状况、生活质量及治疗依从性的影响
Effects of Continuous Nursing on the Nutritional Status,Quality of Life,and Treatment Compliance of Patients with Inflammatory Bowel Disease under Protective Motivation Theory
王亚培 1田丹丹 1仝承玲1
作者信息
- 1. 郑州大学第一附属医院 河南郑州 450000
- 折叠
摘要
目的:探讨保护动机理论下延续性护理对炎症性肠病患者营养状况、生活质量及治疗依从性的影响.方法:选取 2022年 5 月1 日～2023 年5 月31 日住院治疗的96 例炎症性肠病患者按随机数字表法分为对照组和观察组各48 例,对照组采用常规护理,观察组在对照组基础上采用保护动机理论下延续性护理.比较两组营养情况[白蛋白(ALB)和血清前白蛋白(PA)水平]、生活质量[采用生命质量问卷(IBDQ)]和治疗依从性.结果:护理后,两组 ALB、PA 水平均高于护理前(P<0.05),且观察组高于对照组(P<0.05);护理后,两组肠道症状、全身症状、社会能力、情感能力评分均高于护理前(P<0.05),且观察组高于对照组(P<0.05);两组护理后生活、服药依从性评分均高于护理前(P<0.05),且观察组高于对照组(P<0.05).结论:炎症性肠病患者实施保护动机理论下延续性护理,能够改善其营养状态,提高治疗依从性和生活质量,获得较好预后.
Abstract
Objective:To investigate the effect of continuous nursing on the nutritional status,quality of life,and treatment compliance of patients with inflammatory bowel disease under the protective motivation theory.Methods:A total of 96 patients with inflammatory bowel disease who were hospitalized from May 1,2022 to May 31,2023 were randomly divided into a control group and an observation group,with 48 cases in each group,using the random number table method.The control group received routine care,while the observation group re-ceived continuous nursing under the protective motivation theory base on the control group.The nutritional status[albumin(ALB)and pre-albumin(PA)levels],quality of life[using the Inflammatory Bowel Disease Questionnaire(IBDQ)],and treatment adherence were com-pared between two groups.Results:After nursing,the levels of ALB and PA in both groups were higher than those before nursing(P<0.05),and the observation group has higher levels than the control group(P<0.05).After nursing,the scores of intestinal symptoms,sys-temic symptoms,social ability,and emotional ability in both groups were higher than those before nursing(P<0.05),and the observation group has higher scores than the control group(P<0.05).The scores of IBDQ and treatment compliance after nursing in both groups were higher than those before nursing(P<0.05),and the scores of observation group was higher than the control group(P<0.05).Conclusion:Implementing continuous nursing under protective motivation theory in patients with inflammatory bowel disease can improve their nutrition-al status,enhance treatment compliance and quality of life,and achieve better prognosis.
关键词
炎症性肠病/保护动机理论/延续性护理/生活质量/白蛋白/血清前白蛋白Key words
Inflammatory bowel disease/Protective motivation theory/Continuing nursing/Quality of life/Albumin/Prealbumin引用本文复制引用
出版年
2024
NETL
NSTL
万方数据