关键词:

溃疡性结肠炎, PDCA护理, 中药灌肠, 康复效果, 生活质量

Abstract:

Objective　To explore the effect of the Plan-Do-Check-Act (PDCA) nursing mode combined with traditional Chinese medicine enema for patients with ulcerative colitis. Methods　This was a prospective study. Eighty-two patients with ulcerative colitis treated at Hanzhong Hospital of Traditional Chinese Medicine from April 2019 to March 2023 were divided into an experimental group and a control group using the random number table method, with 41 patients in each group. The experimental group included 27 males and 14 females, with an age of (41.73±6.18) years and a disease duration of (7.04±1.31) months; there were 22 mild cases and 19 moderate cases. The control group included 23 males and 18 females, with an age of (42.59±6.43) years and a disease duration of (6.72±1.53) months; there were 23 mild cases and 18 moderate cases. The control group received conventional treatment and routine nursing intervention, while the experimental group received conventional treatment, PDCA nursing, and traditional Chinese medicine enema, for 4 weeks. The recovery effects, serum levels of inflammatory factors, and scores of Ulcerative Colitis Disease Activity Index (UCDAI) and Inflammatory Bowel Disease Questionnaire (IBDQ) were compared between the two groups by t and χ² tests. Results　The total effective rate of the experimental group was higher than that of the control group [90.24% (37/41) vs. 73.17% (30/41)], with a statistical difference (x²=3.998; P=0.046). After the intervention, the levels of C-reaction protein (CRP) and interleukin-6 (IL-6) in the experimental group were lower than those in the control group [(4.04±0.64) mg/L vs. (6.12±0.73) mg/L and (1.67±1.07) ng/L vs. (2.98±1.15) ng/L], with statistical differences (t=13.719 and 5.340; both P<0.05); the scores of rectal bleeding, diarrhea, endoscopic findings, and physician evaluation in the experimental group were lower than those in the control group [(1.23±0.29) vs. (1.38±0.31), (1.21±0.27) vs. (1.43±0.26), (1.06±0.23) vs. (1.16±0.22), and (1.14±0.31) vs. (1.39±0.28)], with statistical differences (t=2.263, 3.758, 2.012, and 3.832; all P<0.05); the scores of intestinal symptoms, systemic symptoms, social function, and emotional function in the experimental group were higher than those in the control group [(67.84±4.73) vs. (60.13±4.26), (29.71±2.73) vs. (27.36±2.68), (27.72±2.31) vs. (24.06±2.08), and (69.82±5.36) vs. (64.67±4.79)], with statistical differences (t=7.755, 3.933, 7.539, and 4.587; all P<0.05). Conclusion　PDCA nursing mode combined with traditional Chinese medicine enema has significant advantages in treating patients with ulcerative colitis, and effectively improving the treatment effect and their quality of life.

Key words:

Ulcerative colitis, PDCA nursing, Traditional Chinese medicine enema, Recovery effect, Quality of life