Influence of case management combined with information continuous nursing on inflammatory bowel disease#br#
SUN Suya1 CHEN Yamei2 LIN Mengyue1 CHEN Weixian1 BO Jin1 LIU Xiaohong3
1.Tongji University School of Medicine, Shanghai 200092, China;
2.Department of Nursing, Tenth People’s Hospital of Tongji University, Shanghai 200072, China;
3.School of Medicine, Anhui University of Chinese Medicine, Anhui Province, Hefei 230012, China
Abstract：Objective To explore the effect of case management combined with information continuous nursing on inflammatory bowel disease. Methods A total of 82 patients with inflammatory bowel disease admitted to the Department of Gastroenterology, North Hospital of Huashan Hospital Affiliated to Fudan University from March 2019 to March 2020 were selected. The patients were divided into group A and group B by random number table method, with 41 cases in each group. Group A was given routine nursing, and group B was given case management combined with information continuing nursing on this basis. Quality of life, improvement effect and nursing satisfaction score were compared between the two groups. Results The overall analysis showed that there were statistically significant differences between groups, time points and interaction (P ＜ 0.05), further pairings and intra-group comparisons: the scores of all dimensions and total quality of life of group B at each time point after intervention were higher than those before intervention, the differences were statistically significant (P ＜ 0.05), the scores of emotional competence and social competence in group A at different time points were higher than those before intervention, the differences were statistically significant (P ＜ 0.05); and the scores of all dimensions and total quality of life in group B were significantly higher than those in group A at each time point after intervention, the different were highly statistically significant (P ＜ 0.01); after intervention, disease activity index scores of group were lower than before intervention, and group B was lower than group A, the differences were statistically significant (P ＜ 0.05 or P ＜ 0.01); the number of patients in remission stage in group B was significantly higher than that in group A, the difference was statistically significant (P ＜ 0.05); after intervention, nursing satisfaction of group B was higher than that of group A, the difference was statistically significant (P ＜ 0.05). Conclusion Case management combined with information continuous nursing can improve the quality of life of patients with inflammatory bowel disease, promote the rehabilitation of patients and improve the nursing satisfaction of patients.
孙素亚1 陈亚梅2 林梦月1 陈伟仙1 薄瑾1 刘晓红3. 个案管理结合信息化延续护理对炎症性肠病患者的影响[J]. 中国医药导报, 2021, 18(34): 163-167.
SUN Suya1 CHEN Yamei2 LIN Mengyue1 CHEN Weixian1 BO Jin1 LIU Xiaohong3. Influence of case management combined with information continuous nursing on inflammatory bowel disease#br#. 中国医药导报, 2021, 18(34): 163-167.
[1] 中华医学会消化病学分会炎症性肠病学组.炎症性肠病诊断与治疗的共识意见（2018年·北京）[J].中华炎性肠病杂志，2018，2（3）：173.
[2] Ng SC，Tang W，Ching JY，et al. Incidence and Phenotype of Inflammatory Bowel Disease Based on Results From the Asia-Pacific Crohn’s and Colitis Epidemiology Study [J]. Gastroenterology，2013，145（1）：158-165.
[3] Peng YC，Lin CL，Hsu WY，et al. The risk of colorectal cancer is related to frequent hospitalization of IBD in an Asian population：results from a nationwide study [J]. Qjm，2015，108（6）：457-463.
[4] Hong Y，Li Y，Wei W，et al. The Incidence of Inflammatory Bowel Disease in Northern China：A Prospective Population-Based Study [J]. PLoS One，2014，9.
[5] 吴开春，梁洁，冉志华，等.炎症性肠病诊断与治疗的共识意见（2018年·北京）[J].中国实用内科杂志，2018，38（9）：26-43.
[6] 中国医药教育协会炎症性肠病专业委员会.中国炎症性肠病消化内镜诊疗共识[J].中华消化病与影像杂志：电子版，2021，11（1）：1-7.
[7] 周灿，孙苗芳.延续赋能教育联合情志护理对炎症性肠病患者生活质量及营养状况的影响[J].中国临床研究，2019，32（4）：573-576.
[8] 陈小红，周斌，师秋霞，等.脑出血患者术后细节性延续性护理对患者康复效果的影响及思考[J].中国实用护理杂志，2019，35（21）：1601-1607.
[9] Case Management Society of America. What is a case manager？ [EB/OL]. http：//www.cmsa.org/Home/CMSA/What is a Case Manager/tabid/224/Default. aspx,12-08.
[10] Guyatt G，Mitchell A，Irvine EJ，et al. A New Measure of Health Status for Clinical Trials in Inflammatory Bowel Disease [J]. Gastroenterology，1989，96（3）：804-810.
[11] 穆尔扎·别克，杨雪松，张拓红.简体中文版炎性肠病量表的信度和效度评价[J].北京大学学报：医学版，2011， 43（3）：477-480.
[12] Haens GD，Sandborn WJ，Feagan BG，et al. A Review of Activity Indices and Efficacy End Points for Clinical Trials of Medical Therapy in Adults With Ulcerative Colitis [J]. Gastroenterology，2007，132（2）：763-786.
[13] Best WR，Becktel JM，Singleton JW，et al. Development of a Crohn’s disease activity index. National Cooperative Crohn’s Disease Study [J]. Gastroenterology，1976，70（3）：439.
[14] Gray WN，Erin H，Morgan PJ，et al. Transition Readiness Skills Acquisition in Adolescents and Young Adults with Inflammatory Bowel Disease：Findings from Integrating Assessment into Clinical Practice [J]. Inflamm Bowel Dis，2015，21（5）：1125-1131.
[15] 李明松，刘占举，董卫国，等.关于炎症性肠病患者有效预防和治疗SARS-CoV-2感染的共识[J].现代消化及介入诊疗，2020，25（2）：4.
[16] 王浦，王斯琪.中国成人炎症性肠病合并艰难梭菌感染处理专家共识[J].现代消化及介入诊疗，2019，24（4）：448.
[17] Mountifield R. Doctor communication quality and Friends’ attitudes influence complementary medicine use in inflammatory bowel disease [J]. World J Gastroentero，2015，21（12）：3663.
[18] 唐琴，王玉芳.炎症性肠病相关血清标志物在克罗恩病诊断中的研究[J].成都医学院学报，2020，15（6）：37-41，45.
[19] 薛鲜敏，万健，张玉洁，等.炎症性肠病患者的疾病负担和护理者负担[J].现代消化及介入诊疗，2019，24（8）：933-935.
[20] 赵盈，宋光.炎症性肠病：微生物-宿主因素的研究进展[J].现代消化及介入诊疗，2020，25（11）：4.
[21] 蔡小莉，赵豫鄂.微视频形式的延续性护理教育对炎症性肠病患者生命质量、心理状态和满意度的影响[J].中国实用护理杂志，2021，37（10）：738-743.
[22] 王谊，陈亚梅.个案管理对炎症性肠病病人临床疗效、负性情绪与生活质量的影响[J].护理研究，2019，33（23）：4015-4018.
[23] 马卫平，陈亚丽，刘晓，等.生活方式干预在溃疡性结肠炎患者延续性护理中的应用[J].海南医学，2019，30（21）：2853-2856.
[24] 张雨燕，杨茜，王家兰.我国老年慢性病病人延续护理研究现状及思考[J].全科护理，2018，16（9）：1053-1055.
[25] Nieminen Ms DKFC. The patient perspective：Quality of life in advanced heart failure with frequent hospitalisations [J]. Int J Cardiol，2015，191：256-264.
[26] 韦靖，何静，梁芳，等.“互联网+”在我国延续护理中的研究进展[J].海南医学，2021，32（4）：519-521.
[27] 李霞，杨蕊，陈飞飞.远程网络延续护理改善慢性心力衰竭患者心功能和生活质量的研究[J].中国护理管理，2021，21（3）：414-419.
[28] 应豪，孔晗鑫，郑水红.基于微信平台远程指导脑梗死患者静脉溶栓的应用研究[J].中国医师进修杂志，2020， 43（1）：49-52.
[29] 吴少丽，黎银崧，叶燕芬，等.基于微信公众平台+问卷星的延续护理对腹膜透析患者换液操作的影响[J].中国实用护理杂志，2021，37（4）：248-255.
[30] 张晓宇，朱晶，张潇月，等.微信平台延续性护理对急性胰腺炎复发及再入院率的影响[J].中国实用护理杂志，2020，36（1）：26-30.
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