互动型医患协作模式在溃疡性结肠炎患者家庭管理中的应用研究
|
摘要
目的探讨互动型医患协作模式对溃疡性结肠炎患者依从性、自我护理能力和生活质量的影响。方法将90例患者按随机数字表法分为干预组和对照组,各45例。对照组给予常规指导,干预组采用互动型医患协作模式进行干预,包括定期电话随访、门诊复查和微信互动。干预12个月后比较两组患者的依从性、自我护理能力和生活质量。结果干预后,干预组患者在用药、检查、饮食和生活行为等4个方面的依从性均高于对照组,差异具有统计学意义(P<0.05)。干预组的自我护理能力总分(114.82±11.25)优于对照组(102.06±10.53),两组比较差异有统计学意义(t=5.555,P<0.01)。干预组患者SF-36各维度得分均高于对照组,差异具有统计学意义(P<0.01)。结论互动型医患协作模式有利于提高溃疡性结肠炎患者在家庭管理中的依从性、自我护理能力和生活质量。
Objective To evaluate the effects of Interactive doctor-patient collaboration on the compliance, self-care ability and quality of life of patients with ulcerative colitis. Methods The 90 patients were randomLy divided into the intervention group(45 cases) and the control group(45 cases). The control group chose routine instruction, while the intervention group received interactive doctor-patient collaboration including regular telephone follow-up, outpatient review and WeChat interaction. Compliance, self-care ability and quality of life were compared between the two groups after 12 months. Results After the intervention, the compliance of the patients in the intervention group was higher than that in the control group in four aspects, including drug use, examination, diet and life behavior(P<0.05).The total score of ESCA(114.82±11.25)was significantly higher than that of control group(102.06±10.53),(t=5.555,P<0.01). All the SF-36 scores in the intervention group were significantly higher than those in the control group(P<0.01). Conclusion The interactive doctor-patient collaboration can improve the compliance, self-care ability and quality of life of patients with ulcerative colitis in family management.
Objective To evaluate the effects of Interactive doctor-patient collaboration on the compliance, self-care ability and quality of life of patients with ulcerative colitis. Methods The 90 patients were randomLy divided into the intervention group(45 cases) and the control group(45 cases). The control group chose routine instruction, while the intervention group received interactive doctor-patient collaboration including regular telephone follow-up, outpatient review and WeChat interaction. Compliance, self-care ability and quality of life were compared between the two groups after 12 months. Results After the intervention, the compliance of the patients in the intervention group was higher than that in the control group in four aspects, including drug use, examination, diet and life behavior(P<0.05).The total score of ESCA(114.82±11.25)was significantly higher than that of control group(102.06±10.53),(t=5.555,P<0.01). All the SF-36 scores in the intervention group were significantly higher than those in the control group(P<0.01). Conclusion The interactive doctor-patient collaboration can improve the compliance, self-care ability and quality of life of patients with ulcerative colitis in family management.
引文
[1]Loftus EV Jr.Progress in the diagnosis and treatment of inflammatory bowel disease[J].Gastroenterol Hepatol(NY),2011,7(2 Suppl 3):3-16.
[2]王玉芳,欧阳钦.3100例溃疡性结肠炎住院病例回顾分析[J].中国消化杂志,2006,26(6):368-372.
[3]Chow DK,LeongRw,Tsoi KK,et al.Long-term followup of ulcerative Colitis in the Chinese population[J].Am JGastroenterol,2009,104:647-654.
[4]中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2012年·广州)[J].中华内科杂志,2012,(10).
[5]Kearney BY,Fleischer BJ.Development of an instrument to measure exercise of self-care agency[J].Res Nurs Health,1979,2(1):25-34.
[6]金芳丽,李毅平.溃疡性结肠炎的中医治疗进展[J].中国当代医药,2016,23(6):18-21.
[7]Orem DE.Nursing:Concepts of Practice[M].2nd ed.New York:McGraw-Hill,1980.
[8]Tsay SL,Healstead M.Self-care self-efficacy,depression,and quality of life among patients receiving hemodialysis in Taiwan[J].Int J Nurs Stud,2002,39(3):245-251.
[2]王玉芳,欧阳钦.3100例溃疡性结肠炎住院病例回顾分析[J].中国消化杂志,2006,26(6):368-372.
[3]Chow DK,LeongRw,Tsoi KK,et al.Long-term followup of ulcerative Colitis in the Chinese population[J].Am JGastroenterol,2009,104:647-654.
[4]中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见(2012年·广州)[J].中华内科杂志,2012,(10).
[5]Kearney BY,Fleischer BJ.Development of an instrument to measure exercise of self-care agency[J].Res Nurs Health,1979,2(1):25-34.
[6]金芳丽,李毅平.溃疡性结肠炎的中医治疗进展[J].中国当代医药,2016,23(6):18-21.
[7]Orem DE.Nursing:Concepts of Practice[M].2nd ed.New York:McGraw-Hill,1980.
[8]Tsay SL,Healstead M.Self-care self-efficacy,depression,and quality of life among patients receiving hemodialysis in Taiwan[J].Int J Nurs Stud,2002,39(3):245-251.