Shi Xiuju, Geng Li
Department of Gastroenterology, Shandong Provincial Hospital Affiliated to Shandong First Medical University Jinan 250021, Shandong, China.
Am J Transl Res. 2024 Jun 15;16(6):2579-2588. doi: 10.62347/QEOO2698. eCollection 2024.
To explore the effects of chronic illness trajectory model (CITM)-based nursing interventions on anxiety, depression, quality of life, medication adherence, and dietary compliance among patients with inflammatory bowel disease (IBD).
A retrospective analysis was performed on 112 IBD patients admitted to Shandong Provincial Hospital Affiliated to Shandong First Medical University from January to December 2023. Patients were divided into two groups: a control group (n=62) receiving routine nursing care, and an observation group (n=50) receiving CITM-based nursing care. Assessments of anxiety, depression, self-care ability, daily living ability, and symptom severity were conducted before and after the intervention.
Post-intervention, the observation group demonstrated significantly higher quality of life scores at 1 and 3 months compared to the control group (both P<0.05). Additionally, the observation group showed improved medication adherence and lower symptom scores, with significant differences (both P<0.05). Anxiety and depression levels were also significantly reduced in the observation group compared to the control group (both P<0.05).
CITM-based nursing intervention significantly enhances self-care abilities, quality of life, and compliance with medication and dietary regimens in IBD patients. Furthermore, it effectively alleviates anxiety and depression, supporting comprehensive management of this chronic disease.
探讨基于慢性病轨迹模型（CITM）的护理干预对炎症性肠病（IBD）患者焦虑、抑郁、生活质量、用药依从性和饮食依从性的影响。
对2023年1月至12月在山东第一医科大学附属山东省立医院住院的112例IBD患者进行回顾性分析。将患者分为两组：对照组（n = 62）接受常规护理，观察组（n = 50）接受基于CITM的护理。在干预前后对焦虑、抑郁、自我护理能力、日常生活能力和症状严重程度进行评估。
干预后，观察组在1个月和3个月时的生活质量得分显著高于对照组（均P < 0.05）。此外，观察组的用药依从性提高，症状得分降低，差异均有统计学意义（均P < 0.05）。与对照组相比，观察组的焦虑和抑郁水平也显著降低（均P < 0.05）。
基于CITM的护理干预显著提高了IBD患者的自我护理能力、生活质量以及用药和饮食方案的依从性。此外，它有效地缓解了焦虑和抑郁，支持了这种慢性病的综合管理。
