出院后随访式延续性护理干预对溃疡性结肠炎患者的影响
摘要
目的:探讨出院后随访式延续性护理干预对溃疡性结肠炎(UC)患者的影响。方法:将84例UC患者随机分为对照组和观察组各42例,对照组给予常规护理干预,观察组在此基础上给予出院后随访式延续性护理干预,比较两组护理效果。结果:观察组出院后用药依从率高于对照组(P<0.05);两组出院后3、6个月体重高于住院期间(P<0.05),观察组出院后3、6个月体重高于对照组(P<0.05);两组出院后6个月生活质量评分高于住院期间(P<0.05),观察组出院后6个月生活质量评分高于对照组(P<0.05)。结论:UC患者出院后缺乏自我护理意识,在用药依从性方面较差,采用随访式延续性护理干预措施可以有效提高UC患者的用药依从性,改善患者出院后的营养状况和生活质量。
引文
[1] 陈晓红,谢丽华,陈小丹,等.延续性护理干预对溃疡性结肠炎患者出院后心理素质及用药依从性的影响[J].昆明医科大学学报,2016,37(6):139-142.
[2] 刘翠玲,雷国萍,刘金秀,等.家庭式延续性护理对溃疡性结肠炎患者遵医依从性及营养状况的影响[J].中国现代药物应用,2015,9(13):247-248.
[3] 梁伟燕,冯映文,陈昭认,等.延续性自我管理教育在溃疡性结肠炎患者中的应用[J].护理实践与研究,2015,30(5):10-12.
[4] Naylor MD,Brooten DA,Campbell RL,et al.Transitional care ofolder adults hospitalized with heart failure:A randomized,controlled trial[J].J Am Geriatr Soc,2004,52(5):675-584.
[5] 王海霞.难治性重症溃疡性结肠炎合并巨细胞病毒感染1例临床护理[J].齐鲁护理杂志,2017,23(5):105-106.
[6] 彭小兰,于丽娜,李政文,等.延续性护理对溃疡性结肠炎患者生活质量的影响[J].西南国防医药,2015,25(1):81-83.
[7] 李晓霞.延续性护理干预对溃疡性结肠炎患者遵医行为的影响效果观察[J].当代医学,2016,22(25):82-83.
[8] 杨玲和,吕园园,李玲霞,等.延续性护理对溃疡性结肠炎患者生活质量的影响[J].医药前沿,2015,23(22):292-293.
[9] 李春花,刘明珠.延续性护理教育对新疆维吾尔族溃疡性结肠炎病人自我护理能力和生存质量的影响[J].全科护理,2015,24(28):2805-2806.
[10] 陈晨,戴新娟,徐中芹,等.延续性中医护理应用于溃疡性结肠炎患者的实践[J].中国护理管理,2016,16(2):164-169.
[11] Popejoy LL,Moylan K,Galambos C.A review of discharge planning research of older adults 1990-2008[J].Western Journal ofNursing Research,2009,31(7):923-947.
[12] Walraven C,Oake N,Jennings A,et al.The association between continuity of care and outcomes:A systematic and criticalreview[J].Journal of Evaluation in Clinical Practice,2010,16(5):947-956.
[13] 杨琴,彭嘉丽.家庭护理干预对提高溃疡性结肠炎患者家庭治疗依从性的研究[J].当代护士(专科版),2014(1):2-3.
[14] 王晓伟,贾康妹.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[J].蚌埠医学院学报,2016,41(6):835-837.
[15] Burisch J.Crohn′s disease and ulcerative colitis.Occurrence,course and prognosis during the first year of disease in a European population-based inception cohort[J].Dan Med J,2014,61(1):4778.
[16] Baumgart DC,Berntein CN,Abas Z,et al.UC around the world:aomparing the epidemiology,diagnosis,andtreatment:proceedings of the world Digestive Health Day 2010-Inflammatory Bowel Disease Task Force meeting[J].Inflamm Bowel Dis,2011,17(2):639-644.
[17] Coleman EA,Smith JD,Frank JC,et al.Preparing patients andcaregivers to participate in care delivered across settings:Thecare transitions intervention[J].Journal of the American Geriatrics Society,2004,52(11):1817-1825.
[18] 刘淑英,邱瑞霞,袁梅,等.院外健康教育对溃疡性结肠炎患者生活质量的影响[J].中华现代护理杂志,2014,20(30):3839-3842.
[19] Chow SKY,Wang FKY,Chan T,et al.Community nursing services forpost discharge chronically ill patients[J].Journal of Clinical Nursing,2008,17(7):260-271.
[2] 刘翠玲,雷国萍,刘金秀,等.家庭式延续性护理对溃疡性结肠炎患者遵医依从性及营养状况的影响[J].中国现代药物应用,2015,9(13):247-248.
[3] 梁伟燕,冯映文,陈昭认,等.延续性自我管理教育在溃疡性结肠炎患者中的应用[J].护理实践与研究,2015,30(5):10-12.
[4] Naylor MD,Brooten DA,Campbell RL,et al.Transitional care ofolder adults hospitalized with heart failure:A randomized,controlled trial[J].J Am Geriatr Soc,2004,52(5):675-584.
[5] 王海霞.难治性重症溃疡性结肠炎合并巨细胞病毒感染1例临床护理[J].齐鲁护理杂志,2017,23(5):105-106.
[6] 彭小兰,于丽娜,李政文,等.延续性护理对溃疡性结肠炎患者生活质量的影响[J].西南国防医药,2015,25(1):81-83.
[7] 李晓霞.延续性护理干预对溃疡性结肠炎患者遵医行为的影响效果观察[J].当代医学,2016,22(25):82-83.
[8] 杨玲和,吕园园,李玲霞,等.延续性护理对溃疡性结肠炎患者生活质量的影响[J].医药前沿,2015,23(22):292-293.
[9] 李春花,刘明珠.延续性护理教育对新疆维吾尔族溃疡性结肠炎病人自我护理能力和生存质量的影响[J].全科护理,2015,24(28):2805-2806.
[10] 陈晨,戴新娟,徐中芹,等.延续性中医护理应用于溃疡性结肠炎患者的实践[J].中国护理管理,2016,16(2):164-169.
[11] Popejoy LL,Moylan K,Galambos C.A review of discharge planning research of older adults 1990-2008[J].Western Journal ofNursing Research,2009,31(7):923-947.
[12] Walraven C,Oake N,Jennings A,et al.The association between continuity of care and outcomes:A systematic and criticalreview[J].Journal of Evaluation in Clinical Practice,2010,16(5):947-956.
[13] 杨琴,彭嘉丽.家庭护理干预对提高溃疡性结肠炎患者家庭治疗依从性的研究[J].当代护士(专科版),2014(1):2-3.
[14] 王晓伟,贾康妹.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[J].蚌埠医学院学报,2016,41(6):835-837.
[15] Burisch J.Crohn′s disease and ulcerative colitis.Occurrence,course and prognosis during the first year of disease in a European population-based inception cohort[J].Dan Med J,2014,61(1):4778.
[16] Baumgart DC,Berntein CN,Abas Z,et al.UC around the world:aomparing the epidemiology,diagnosis,andtreatment:proceedings of the world Digestive Health Day 2010-Inflammatory Bowel Disease Task Force meeting[J].Inflamm Bowel Dis,2011,17(2):639-644.
[17] Coleman EA,Smith JD,Frank JC,et al.Preparing patients andcaregivers to participate in care delivered across settings:Thecare transitions intervention[J].Journal of the American Geriatrics Society,2004,52(11):1817-1825.
[18] 刘淑英,邱瑞霞,袁梅,等.院外健康教育对溃疡性结肠炎患者生活质量的影响[J].中华现代护理杂志,2014,20(30):3839-3842.
[19] Chow SKY,Wang FKY,Chan T,et al.Community nursing services forpost discharge chronically ill patients[J].Journal of Clinical Nursing,2008,17(7):260-271.