关键词:

溃疡性结肠炎, 肠道功能, 自我管理能力, Siebens领域管理

Abstract:

Objective　To explore the effect of Siebens domain management model on improving the self-management ability and intestinal function in patients with ulcerative colitis based on clinical practice experiences. Methods　It was a prospective randomized controlled trial. A total of 98 patients with ulcerative colitis admitted to The Fifth Clinical Medical College of Henan University of Chinese Medicine from August 2021 to August 2022 were selected and were divided into two groups according to the random number table method. There were 27 males and 22 females in the traditional group, aged (42.18±3.12) years; there were 26 males and 23 females in the Siebens group, aged (42.19±3.05) years. The patients in the traditional group received routine treatment and nursing of ulcerative colitis according to the doctors' advices, and the patients in the Siebens group received continuous nursing measures based on the Siebens domain management model on this basis. The intestinal function and scores of Inflammatory Bowel Disease Questionnaire (IBDQ), self-management ability, anxiety, and depression were compared between the two groups before and after intervention. Independent sample t test, paired t test, and χ² test were used for statistical analysis. Results　After intervention, the serum β-defensin level in the Siebens group was lower than that in the traditional group [(61.07±6.58) mg/L vs. (75.31±8.63) mg/L], the secretory immunoglobulin A (sIgA) level was higher than that in the traditional group [(2.98±0.24) mg/L vs. (1.84±0.15) mg/L], with statistically significant differences (both P<0.05). After intervention, the scores of intestinal symptoms, systemic symptoms, emotional ability, and social ability of the IBDQ in the Siebens group were higher than those in the traditional group, with statistically significant differences (all P<0.05). After intervention, the scores of symptom management, emotion management, information management, daily life, and self-efficacy in the Siebens group were higher than those in the traditional group, with statistically significant differences (all P<0.05). After intervention, the scores of anxiety and depression in the Siebens group were lower than those in the traditional group [(3.26±0.37) points vs. (4.51±0.59) points, (3.15±0.29) points vs. (4.48±0.32) points], with statistically significant differences (both P<0.05). Conclusion　Siebens domain management model can improve the self-management ability in patients with ulcerative colitis, improve their intestinal function, improve their quality of life, and reduce their negative emotions, which is worthy of further promotion and application.

Key words:

Ulcerative colitis, Intestinal function, Self-management ability, Siebens domain management