张魁　林芳　移佛余

【摘要】 目的：探讨针对性护理干预在治疗炎症性肠病（inflammatory bowel disease，IBD）患者中的价值。方法：选取在本院确诊为IBD患者116例，随机分为对照组与观察组，各58例。对照组给予常规护理模式，观察组在对照组的基础上给予针对性护理方案（用药指导、行为干预、心理疏导、并发症护理）。比较两组干预后临床疗效与护理满意度，记录比较两组治疗前后营养学指标以及生活质量表SF-36评分。结果：观察组干预后治疗总有效率与满意度均高于对照组（P<0.05），干预后观察组营养学指标与SF-36评分均明显优于对照组（P<0.05）。结论：对IBD患者行临床针对性护理效果显著，能有效改善身体营养状态及生活质量，降低焦虑不安等不良负面情绪，其临床应用价值值得肯定与推广。

【关键词】 炎症性肠病; 针对性护理; 克罗恩病

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

炎症性肠病（inflammatory bowel disease，IBD）是一种难以逆转且常反复發作的慢性非特异性肠道炎症疾病，主要包括克罗恩病（Crohns disease，CD）和溃疡性结肠炎（ulcerative colitis，UC）[1-2]。其在消化内科上主要临床表现为腹痛、腹泻与血便，治疗后病情复发率较高，严重影响到患者的身心健康及生活质量[3]。近年来，随着IBD发病率的逐渐攀升，学术研究和临床上对其的关注的越来越高且了解也越来越深入。尽管目前国内外研究对IBD的发病机制尚无明确的说明，但在临床治疗和护理上已有不少显著成效的措施与方法[4-6]。本文通过对临床炎症性肠病患者在常规治疗基础上进行针对性护理干预，对比分析其对IBD患者临床疗效的影响以及患者预后情况观察。现报道如下。