专业团队多途径健康教育模式对炎症性肠病患者自我管理的影响

来源 :中华消化杂志 | 被引量 : 0次 | 上传用户:D159357
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
目的:探讨专业团队多途径健康教育模式对IBD患者药物治疗依从性、疾病知识掌握情况和复发率的影响,为制订科学的健康教育措施提供依据。方法:选择2016年2月至2019年2月在昆明医科大学第一附属医院就诊的IBD患者,根据是否参加过健康教育分为干预组(100例)和对照组(138例)。分别采用Morisky药物依从性量表8(MMAS-8)和中文版克罗恩病与溃疡性结肠炎知识问卷(CCKNOW)评估患者的药物依从性和对疾病相关知识的掌握情况。比较干预组和对照组患者的MMAS-8评分、药物依从性差的比例、CCKNOW评分和随访48周时的疾病复发率。统计学方法采用两样本n t检验和卡方检验。n 结果:干预组患者的MMAS-8总分和CCKNOW总分均高于对照组[(5.58±1.96)分比(4.47±1.44)分、(10.87±4.21)分比(9.23±4.65)分],差异均有统计学意义(n t=-5.06、-2.79,n P均<0.05)。干预组患者药物依从性差的比例和随访48周时的疾病复发率均低于对照组[56.0%(56/100)比86.2%(119/138)、20.0%(20/100)比31.9%(44/138)],差异均有统计学意义(n χ2=38.18、4.17,n P均<0.05)。n 结论:专业团队多途径健康教育可有效改善IBD患者的药物依从性和对疾病知识的掌握情况,提高患者自我管理能力,降低复发率。“,”Objective:To explore the effect of multi-channel health education model by professional team on drug compliance, disease knowledge and recurrence in rate of inflammatory bowel disease (IBD) patients, so as to provide basis for formulating scientific health education measures.Methods:From February 2016 to February 2019, IBD patients visited First Affiliated Hospital of Kunming Medical University were selected. According to whether they received health education, the patients were divided into intervention group (100 cases) and control group (138 cases). Morisky medication adherence scale-8 (MMAS-8) and Chinese version of Crohn′s and colitis knowledge score (CCKNOW) were used to evaluate treatment compliance and disease knowledge. The score of MMAS-8, the proportion of poor drug compliance, CCKNOW score and recurrence rate at 48 weeks of follow-up were compared between the intervention group and control group. Two sample n t test and chi-square test were used for statistical analysis.n Results:The total scores of MMAS-8 and CCKNOW of the intervention group were both higher than those of the control group (5.58±1.96 vs. 4.47±1.44, 10.87±4.21 vs. 9.23±4.65), and the differences were statistically significant (n t=-5.06 and -2.79, both n P<0.05). The proportion of patients with poor drug compliance and recurrence rate at 48 weeks of follow up of the intervention group were both lower than those of the control group (56.0%, 56/100 vs. 86.2%, 119/138; 20.0%, 20/100 vs. 31.9%, 44/138), and the differences were statistically significant (n χ2=38.18 and 4.17, both n P<0.05).n Conclusions:Multi-channel health education by professional team can effectively improve the drug compliance and disease knowledge in IBD patients, improve patient self-management ability, and reduce the recurrence rate.
其他文献
R-D算法首先对每个回波信号脉冲进行距离向的压缩,然后在RDA域中,通过差值来消除由于距离迁移而引起的距离和方位之间的耦合,最后完成方位向的聚焦处理.在大斜视成像模式,普
移动通信的发展伴随着系统容量和峰值速率的快速提升,所需带宽也在不断增加。为了灵活利用当前分布零散的频谱来应对LTE-Advanced的超大带宽需求,载波聚合技术应运而生。本文
我是在7月16日“江苏—绵竹中小学生手拉手、同成长”夏令营的开营仪式上第一次见到陈思思的。思思作为四川绵竹地区的学生代表上台发言,脸上洋溢着自信纯真的笑容。两个月前的那场牵动世界的大灾难似乎并未在这个13岁的女孩身上留下多少不幸的印迹。“我们一定会挺起胸膛,战胜困难,努力学习,锻炼自己,长大为祖国的明天更加灿烂辉煌贡献出自己的一份力量!”铿锵有力的话语赢得了现场一片热烈的掌声。  思思是四川省绵竹
在慢性阻塞性肺疾病(慢阻肺)稳定期治疗中,国际指南对吸入性糖皮质激素(ICS)治疗的推荐依据临床证据积累而不断更新,经过从“争议”到“肯定”的认识深入过程,直到最新指南中的ICS推荐策略:考虑到临床特征将患者分为呼吸困难和急性加重两类来进行治疗方案调整,对前一年急性加重发生较频繁患者,结合其外周血嗜酸性粒细胞计数,推荐相应的含ICS的个体化给药。
【项目介绍】  喜欢骑自行车健身的人越来越多,自行车周边产品市场也随之扩大。这类产品分为车身用品和人身部品两大类:车身用品即固定在自行车上的物品,如码表、尾灯、车灯、尾包;人身部品即人穿的物品,如骑行头盔、手套、眼镜等。  此类产品的消费人群主要为18~30岁的年轻人。由于目前国内自行车周边产品店供小于求,开一家这样的店,市场潜力巨大。  【成功案例】  浙江省嵊州市的张峰花2万元开了一家自行车周