摘要
目的:探讨“互联网+”背景下的慢病管理在炎症性肠病缓解期患者中的应用及对其睡眠质量的影响。方法:选取2022年9月至2023年9月厦门大学附属第一医院消化内科收治的炎症性肠病患者72例作为研究对象,按照随机数字表法分为对照组和观察组,每组36例。对照给予常规护理干预,观察组在常规护理基础上开展实施“互联网+”背景下的慢病管理。采用自我护理能力量表(ESCA)评估2组患者的健康知识水平、自护责任感,采用慢性病自我效能量表(CDSS)评估2组的自我效能感,采用症状自评量表(SCL-90)评估2组患者的心理健康状态,采用匹兹堡睡眠质量指数(PSQI)评估2组患者的睡眠质量,采用炎症性肠病生命质量量表(IBDQ)评估2组患者的生命质量。结果:观察组患者自我管理能力ESCA评分、自我效能CDSS评分高于参照组(P<0.05);观察组患者心理健康状态、睡眠质量评分低于参照组,生命质量高于参照组(P<0.05)。结论:在炎症性肠病缓解期患者中应用“互联网+”背景下的慢病管理,可有效提升患者自我管理能力及自我效能,有利于改善患者心理状态、睡眠质量,提高生命质量。
Objective:To explore the application of chronic disease management under the background of“Internet plus”in patients with inflammatory bowel disease in remission and its impact on their sleep quality.Methods:A total of 72 patients with inflammatory bowel disease admitted to the Department of Gastroenterology at the First Affiliated Hospital of Xiamen University from September 2022 to September 2023 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 36 patients in each group.The control group received routine nursing intervention,and the observation group received“Internet plus”-based chronic disease management on the basis of routine nursing.The self-care ability scale(ESCA)was used to evaluate the health knowledge level and self-care responsibility of two groups,the chronic disease self-efficacy scale(CDSS)was used to evaluate the self-efficacy of two groups.The symptom self-assessment scale(SCL-90)was used to evaluate the mental health status of two groups.Tthe Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of two groups.And the Inflammatory Bowel Disease Quality of Life Scale(IBDQ)was used to evaluate the life quality.Results:The ESCA score and CDSS score of self-management ability in the observation group were higher than those in the reference group(P<0.05);The psychological health status and sleep quality score of the observation group patients were lower than those of the reference group,and their quality of life was higher than that of the reference group(P<0.05).Conclusion:The application of“Internet plus”-based chronic disease management in patients with inflammatory bowel disease in remission stage can effectively improve patients′self-management ability,self-efficacy,psychological status,sleep quality,and their life quality.
作者
郭丽芸
黄雅梦
邱乡
GUO Liyun;HUANG Yameng;QIU Xiang(The First Affiliated Hospital of Xiamen University,Xiamen 361003,China)
出处
《世界睡眠医学杂志》
2025年第2期402-405,共4页
World Journal of Sleep Medicine
关键词
炎症性肠病
缓解期
互联网+
慢病管理
睡眠质量
Inflammatory bowel disease
Relief period
Internet plus
Chronic disease management
Sleep quality
