护理干预对炎症性肠病患者疾病知识水平和生存质量的影响

目的探讨综合性的护理干预方案对改善炎症性肠病患者相关知识水平和生存质量的有效性。方法选择2009年6月至2010年5月收治的炎症性肠病患者30例作为对照组，选择2010年6月至2011年5月收治的炎症性肠病患者30例作为干预组，对照组采用常规的治疗和护理，干预组在此基础上进行综合的护理干预。采用自制炎症性肠病相关知识问卷、生存质量评定量表（IBDQ）于干预前和干预后第3个月对两组患者进行测评。自制炎症性肠病相关知识问卷编制完成后邀请3位消化科专家和2位护理专家对其进行内容效度评价，CVI值为0．96。问卷的内部一致性Cronbaeh’sα系数为0．82，间隔10d后的重测信度为0．78。结果与基线比较，干预后第3个月干预组患者的知识得分、生存质量得分明显升高，差异有统计学意义（t值分别为-7．377，-9．678；P均〈0．05）。干预组和对照组患者在干预后第3个月时知识得分[（11．13±3．33）比（7．43±3．24）]、生存质量得分[（144．83±31．50）比（118．13±28．44）]比较，差异均有统计学意义（t值分别为4．359，3．446；P均〈0．05）。干预3个月后，干预组和对照组的炎症性肠病复发率（30．0％比63．3％）比较，差异有统计学意义（X^2=6．696，P〈0．05）。结论综合护理干预可提高炎症性肠病患者相关知识水平和生存质量。

Effect of comprehensive nursing intervention on the knowledge and life quality of patients with inflammatory bowel disease

Objective To explore the effect of comprehensive nursing intervention on the knowledge and life quality of patients with inflammatory bowel disease. Methods A total of 60 cases with inflammatory bowel disease were randomly divided into two groups, the control group （ n = 30 ） were treated with conventional ways, while the intervention group （n = 30 ） were treated with comprehensive nursing intervention. All patients received questionnaire survey and were required to fill in inflammatory bowel disease questionnaire three months before and after intervention. Results Compared with baseline, 3 months after the intervention, intervention group patients＇ knowledge scores, quality of life score were significantly elevated, and the differences were statistically significant （t = - 7. 377, - 9. 678 ; P 〈 0. 05 ）. Quality of life score and knowledge scores in intervention group were respectively higher than those in control group （144.83 ±31.50 vs 118.13 ±28.44, 11.13 ± 3.33 vs 7.43 ± 3.24, respectively）, and the differences were statistically significant （ P 〈 0.05 ）. The inflammatory bowel disease relapse ratio in intervention group （30.0%） was lower than that in control group （63.3%）, and the difference was statistically significant （ X^2 = 6. 696, P 〈 0. 05 ）. Conclusions Comprehensive nursing intervention can improve knowledge and life quality of patients with inflammatory bowel disease.