張魁　林芳　移佛余

【摘要】 目的：探討針對性護(hù)理干預(yù)在治療炎癥性腸病（inflammatory bowel disease，IBD）患者中的價值。方法：選取在本院確診為IBD患者116例，隨機(jī)分為對照組與觀察組，各58例。對照組給予常規(guī)護(hù)理模式，觀察組在對照組的基礎(chǔ)上給予針對性護(hù)理方案（用藥指導(dǎo)、行為干預(yù)、心理疏導(dǎo)、并發(fā)癥護(hù)理）。比較兩組干預(yù)后臨床療效與護(hù)理滿意度，記錄比較兩組治療前后營養(yǎng)學(xué)指標(biāo)以及生活質(zhì)量表SF-36評分。結(jié)果：觀察組干預(yù)后治療總有效率與滿意度均高于對照組（P<0.05），干預(yù)后觀察組營養(yǎng)學(xué)指標(biāo)與SF-36評分均明顯優(yōu)于對照組（P<0.05）。結(jié)論：對IBD患者行臨床針對性護(hù)理效果顯著，能有效改善身體營養(yǎng)狀態(tài)及生活質(zhì)量，降低焦慮不安等不良負(fù)面情緒，其臨床應(yīng)用價值值得肯定與推廣。

【關(guān)鍵詞】 炎癥性腸病; 針對性護(hù)理; 克羅恩病

Value Evaluation of Targeted Nursing Model in the Treatment of Inflammatory Bowel Disease/ZHANG Kui，LIN Fang，YI Foyu.//Medical Innovation of China，2019，16（18）：0-078

【Abstract】 Objective：To explore the value of targeted nursing intervention in the treatment of inflammatory bowel disease（IBD）.Method：116 cases of IBD diagnosed in our hospital were selected.They were randomly divided into control group and observation group，58 cases in each groups.The control group was given routine nursing mode，the observation group was given targeted nursing programs（medication guidance，behavioral intervention，psychological counseling，complications nursing）on the basis of the control group.The clinical efficacy and nursing satisfaction of two groups after intervention were compared，the nutritional indicators and SF-36 scores of quality of life table before and after treatment were recorded and compared between the two groups.Result：The clinical efficacy and satisfaction of the observation group after intervention were higher than those of the control group（P<0.05）.After intervention，the nutritional indicators and SF-36 scores of the observation group were significantly better than those of the control group（P<0.05）.Conclusion：The effect of clinical targeted nursing for IBD patients is remarkable.It can effectively improve the nutritional status and quality of life，and reduce the negative emotions such as anxiety and anxiety.Its clinical application value is worthy of affirmation and promotion.

【Key words】 Inflammatory bowel disease; Targeted nursing; Crohns disease

First-authors address：Foshan Hospital of Traditional Chinese Medicine，F(xiàn)oshan 528000，China

doi：10.3969/j.issn.1674-4985.2019.18.019

炎癥性腸病（inflammatory bowel disease，IBD）是一種難以逆轉(zhuǎn)且常反復(fù)發(fā)作的慢性非特異性腸道炎癥疾病，主要包括克羅恩?。–rohns disease，CD）和潰瘍性結(jié)腸炎（ulcerative colitis，UC）[1-2]。其在消化內(nèi)科上主要臨床表現(xiàn)為腹痛、腹瀉與血便，治療后病情復(fù)發(fā)率較高，嚴(yán)重影響到患者的身心健康及生活質(zhì)量[3]。近年來，隨著IBD發(fā)病率的逐漸攀升，學(xué)術(shù)研究和臨床上對其的關(guān)注的越來越高且了解也越來越深入。盡管目前國內(nèi)外研究對IBD的發(fā)病機(jī)制尚無明確的說明，但在臨床治療和護(hù)理上已有不少顯著成效的措施與方法[4-6]。本文通過對臨床炎癥性腸病患者在常規(guī)治療基礎(chǔ)上進(jìn)行針對性護(hù)理干預(yù)，對比分析其對IBD患者臨床療效的影響以及患者預(yù)后情況觀察?，F(xiàn)報道如下。