连续护理对溃疡性结肠炎患者依从性及疾病复发率影响.docVIP

连续护理对溃疡性结肠炎患者依从性及疾病复发率影响 　　【摘要】 目的：探究连续护理对溃疡性结肠炎患者依从性及疾病复发率的影响。方法：选取2013年1月-2014年12月本院收治的溃疡性结肠炎患者187例，按照随机数字表法将其分为观察组（n=94）和对照组（n=93）。对照组给予常规护理及出院指导，观察组给予连续护理。对比两组心理状态、治疗依从性及疾病复发情况。结果：观察组护理2个月后SAS及SDS评分均显著低于对照组（P0.05）；观察组护理1、2个月后依从性88.30%、90.43%均显著高于对照组58.06%、52.69%（P0.05）；观察组1年复发率18.09%及2年复发率27.66%均明显低于对照组的33.33%、49.46%（P0.05）。结论：连续护理可有效改善溃疡性结肠炎患者负性情绪，提高治疗依从性，降低复发率。 　　【关键词】 连续护理； 溃疡性结肠炎； 依从性； 复发率 　　【Abstract】 Objective：To explore the influence of continuous nursing on compliance and disease recurrence rate of patients with ulcerative colitis.Method：A total of 187 cases with ulcerative colitis treated in our hospital were selected and divided into the observation group（n=94） and the control group（n=93） according to random number table method.The control group was given routine nursing and discharge guidance，and the observation group was given continuous nursing.Psychological state，treatment compliance and disease recurrence of two groups were contrasted.Result：After nursing of 2 months，SAS and SDS scores of the observation group were significantly lower than those of the control group（P0.05）；the compliance of the observation group after nursing of a month and two months were 88.30%，90.43%，significantly higher than 58.06%，52.69% of the control group（P0.05）；the recurrence rate of 1 year and 2 years of the observation group were 18.09% and 27.66%，significantly lower than 33.33% and 49.46% of the control group（P0.05）.Conclusion：Continuous nursing can effectively improve negative emotions of patients with ulcerative colitis and treatment compliance，reduce recurrence rate. 　　【Key words】 Continuous nursing； Ulcerative colitis； Compliance； Recurrence rate 　　First-author’s address：Second Hospital of Chaoyang，Chaoyang 122000，China 　　doi：10.3969/j.issn.1674-4985.2017.25.022 　　?⒀裥越岢ρ资袈?性非特异性消化道炎症，病程较长，治愈率较低，复发率高，有研究数据显示，该病发病率高达70%，复发率在50%以上[1]。由于该病病程较长，需长期治疗，因此患者一般急性期在医院接受治疗，病情稳定后主要在院外进行治疗，但患者出院后由于无医生、护士对其治疗行为进行约束，依从性一般会下降，从而对治疗效果产生不良影响[2]。本研究对溃疡性结肠炎出院患者实施连续护理，探究治疗依从性与复