互动式健康教育对炎症性肠病患者生存质量的影响

目的通过对炎症性肠病患者实施互动式健康教育，评价其对患者生存质量的影响。方法纳入113例炎症性肠病患者随机分为研究组57例和对照组56例，研究组在对照组常规干预基础上实施互动式健康教育。结果出院前研究组全身症状、肠道症状和总分显著高于对照组，出院后3个月研究组全身症状、肠道症状、情感能力、社会功能和IBDQ总分均显著高于对照组（P均〈0．05）。出院前研究组疾病认知、药物认知、行为认知和认知总分均显著高于对照组．出院后研究组依从性评分显著高于对照组，出院后3个月内研究组复发率显著低于对照组（P均〈0．05）。结论互动式健康教育能调动炎症性肠病患者参与自身疾病治疗和控制的主动性，改善症状和心理状态。提高生存质量、认知和依从性，降低近期复发率。

Effect of interactive health education on quality of life in patients with inflammatory bowel disease

Objective To evaluate the effect of interactive health education on quality of life in patients with inflamma- tory bowel disease. Methods A total of 113 patients with inflammatory bowel disease were randomly divided into the study group in 57 cases and the control group in 56 cases. The patients in the study group were implemented the interactive health education based on the conventional intervention of the control group. Results The systemic symptoms, bowel symptoms and total score of patients in the study group before discharge were significantly higher than those in the control group, and the systemic symptoms, bowel symptoms, emotional competence, social function and IBDQ scores of patients in the study group at 3 months after discharge were significantly higher than those in the control group （P〈 0.05）. The cognition of disease, drug, behavior and total score of patients in the study group before discharge were sig- nificantly higher than those in the control group,and the compliance scores of patients in the study group after discharge were significantly higher than that in the control group, the recurrence rate of patients in the study group at 3 months after discharge was significantly lower than that in the control group（P〈0.05）. Conclusion Interactive health education can mobilize the initiative of patients with inflammatory bowel disease participating in the treatment and control of their disease, improve the symptoms and mental state, improve the quality of life, cognition and compliance, reduce the recent recurrence rate.