張魁　林芳　移佛余

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

【關鍵詞】 炎癥性腸病; 針對性護理; 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，Foshan 528000，China

doi：10.3969/j.issn.1674-4985.2019.18.019

炎癥性腸病（inflammatory bowel disease，IBD）是一種難以逆轉且常反復發(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）和潰瘍性結腸炎（ulcerative colitis，UC）[1-2]。其在消化內科上主要臨床表現為腹痛、腹瀉與血便，治療后病情復發(fā)率較高，嚴重影響到患者的身心健康及生活質量[3]。近年來，隨著IBD發(fā)病率的逐漸攀升，學術研究和臨床上對其的關注的越來越高且了解也越來越深入。盡管目前國內外研究對IBD的發(fā)病機制尚無明確的說明，但在臨床治療和護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)治療基礎上進行針對性護理干預，對比分析其對IBD患者臨床療效的影響以及患者預后情況觀察?，F報道如下。