中国实用外科杂志2016，Vol.36Issue(11)：1220-1223,4.DOI:10.7504/CJPS.ISSN1005-2208.2016.11.21
赋能干预对溃疡性结肠炎术后疗效影响研究
Effect of empowerment intervention on ulcerative colitis patients’anal function and quality of life after ileal pouch-anal anastomosis
摘要
Abstract
Objective To investigate the effect of empowerment intervention on ulcerative colitis (UC) patients’anal function and quality of life after ileal pouch-anal anastomosis (IPAA)and provide gist for clinical intervention. Methods Sixty patients with UC who underwent IPAA between January 2010 and September 2014 in Department of General Surgery, Tianjin Medical University General Hospital were invited as the intervention group and the control group randomly,which received empowerment intervention and traditional health education respectively. Six months after intervention,the patients’anal function and stool form by the 24 hours and night defecation,Kirwan grade,Bristol stool form scale were evaluated. Before and after the intervention of 6 months,serum total protein (TP), prealbumin (PA), albumin (ALB) and transferrin (TRF) were usd to assess patients’nutritional status, assess the patients’quality of life by the Inflammation Bowel Disease Questionare (IBDQ). Results Six months after empowerment intervention,24 hours and night defecations of intervention group were better than those of control group[24h:(4.3±1.5)vs. (5.9±2.4);night:(1.6± 0.7)vs. (2.3±1.3),all P<0.05]. The number of patients in intervention group were 21 in gradeⅠ(Kirwan classification),7 in gradeⅡ,2 in gradeⅢ,and the control group were 14 in gradeⅠ,12 in gradeⅡ,4 in gradeⅢ(χ2=3.380,P>0.05). The number of patients in intervention group were 20 in type four (Bristol stool form scale),6 in type five,4 in type six , and the control group were 11 in type four,17 in type five,2 in type six (χ 2=8.540,P<0.05). In intervention group,ALB levels were elevated[(47.4±5.8)g/L vs.(43.3±6.5)g/L, P<0.05)]. The IBDQ scores of intervention group are higher than those of control group (P<0.05). Conclusion Empowerment intervention may improve the anal function and stool form of UC patients after IPAA and enhance the quality of their life.关键词
溃疡性结肠炎/全结直肠切除回肠贮袋肛管吻合术/赋能/生活质量/肛门功能Key words
ulcerative colitis/ileal pouch-anal anastomosis/empowerment/quality of life/anal function分类
医药卫生引用本文复制引用
高森阳,张迎迎,李凯钰,胡芳,刘刚..赋能干预对溃疡性结肠炎术后疗效影响研究[J].中国实用外科杂志,2016,36(11):1220-1223,4.基金项目
黎介寿院士肠道屏障研究专项基金 （）
