专病一体化随访管理在青年炎症性肠病患者中的应用.pdfVIP

延续护理 Transitional Care 专病一体化随访管理在青年炎症性肠病 患者中的应用 王洁 李艳慧 孙芹利 [ 摘 要] 目的：评价专病一体化随访管理在青年炎症性肠病中的应用及效果。方法：对147名青年炎症性 肠病患者实施专病一体化随访管理，观察患者1年内不良事件发生率、1年后的生活质量和体质量指数。结果：1 年内多学科随访1717 次，平均（9.87±3.11）次 /人·年；12 名（8.16%)患者再次住院治疗，25人次发生并发症； 随出院时间延长患者的生活质量和体质量逐渐提升。结论：专病一体化随访管理能够有效提高青年炎症性肠病 患者近期生活质量。 [ 关键词 ] 随访；炎症性肠病；多学科 [中图分类号] R47 [DOI] 10.3969/j.issn.1672-1756.2016.05.029 Application of follow-up of specialized disease management for young patients with inflammatory bowel disease / WANG Jie, LI Yanhui, SUN Qinli // Department of Gastroenterology, Xiangyang Hospital affiliated to Hubei University of medicine ,441000 China /// Chinese Nursing Management-2016,16(5): 689-692 [Abstract] Objective: To evaluate a one-year follow-up of specialized disease management for young patients with inflammatory bowel disease. Methods: A total of 147 young patients who were diagnosed with inflammatory bowel disease were included. The incidence of adverse event, life quality and body mass index (BMI) were recorded and analyzed during follow-up. Results: During this one-year follow-up, the patients were visited 1717 times. Of the 147 study patients, 12 were readmission, 25 patients had complications. The life quality and body mass index were improved by the extension of time after discharge. Conclusion: The follow-up of specialized disease management could effectively improve the life quality of young patients with inflammatory bowel disease. [ ] Keywords follow-up; inflammatory bowel disease; multidisciplinary 炎症性肠病（Inflammatory Bowel 是利用循证授权患者预防疾病急性加 于2012年1月至2014 年9月选择在湖 Disease，IBD) 是一种主要累及胃肠道 重和并发症，以在临床、人文、经济 北医药学院4所附属医院门诊或住院