中国全科医学2017，Vol.20Issue(14)：1671-1674,1679,5.DOI:10.3969/j.issn.1007-9572.2017.14.004
食物不耐受相关性赋能教育对溃疡性结肠炎患者的效果研究
Effect Research of Empowerment Education Related with Food Intolerance on Ulcerative Colitis Patients
摘要
Abstract
Objective To investigate the intervention effect of empowerment education related with food intolerance on ulcerative colitis(UC)patients,and to provide basis for clinical supervision.Methods 89 UC patients who had been hospitalized in Tianjin Medical University General Hospital from September 2013 to August 2014 were selected.The patients were divided into experimental group(n=47)and control group(n=42)according to their willingness of accepting empowerment education.Experimental group received face-to-face empowerment education related with food intolerance,and control group received traditional health education of telephone follow-up,6-month sustained intervention was made biweekly.Enzyme-linked immunosorbent assay(ELISA)was applied to detect food intolerance conditions of patients;before intervention and six months after intervention,short form health survey(SF-36)was used to access patients′ quality of life;body mass index(BMI)and levels of serum total protein(TP),albumin(ALB),prealbumin(PA)and transferrin(TRF)were measured to evaluate patients′ nutritional status;the extent of disease activity of patients was accessed by using Southerland DAI scoring system.Results The positive rate of food intolerance of UC patients was 67.4%(60/89).For patients in experimental group,14 were negative food intolerance,6 mild intolerance,1 moderate intolerance and 26 severe intolerance;while for patients in control group,the above four numbers were 15,4,1 and 22 respectively,the comparison of occurrence of food intolerance between two groups was not significantly different(Z=0.416,P=0.677).Before intervention,there was no significant difference between the two groups in SF-36 scores of every dimension(P>0.05);after intervention,scores of physical function,general health,social function,emotional function,mental health in experimental group were all higher than those in control group as well as in the same group before intervention(P<0.05).Before intervention,there were no significantly differences between the two groups in levels of BMI,TP,ALB,PA,and TRF(P>0.05);after intervention,ALB level in experimental group was higher than that in control group and the same group before intervention(P<0.05).Before intervention,there was no significantly difference between the two groups in the Southerland DAI score(t=0.219,P=0.827);after intervention,the Southerland DAI score in experimental group was lower than that in control group(t=2.726,P=0.008).Conclusion The empowerment education related with food intolerance of UC patients can improve their quality of life,nutritional status and prognosis of the disease.关键词
结肠炎,溃疡性/食物不耐受/赋能教育/疾病活动程度Key words
Colitis,ulcerative/Food intolerance/Empowerment education/Disease activity extent分类
医药卫生引用本文复制引用
张迎迎,朱丽璎,胡芳,李凯钰,高森阳,刘刚..食物不耐受相关性赋能教育对溃疡性结肠炎患者的效果研究[J].中国全科医学,2017,20(14):1671-1674,1679,5.基金项目
黎介寿院士肠道屏障研究专项基金资助项目(LJS_201008) （LJS_201008）
