| 摘要: |
| ［摘要］ 目的 探讨基于健康行为改变整合理论的证候要素施护体系对急性胰腺炎胃肠功能障碍患者的影响。方法 招募2022年6月至2024年3月江苏省苏北人民医院收治的120例急性胰腺炎胃肠功能障碍患者作为研究对象。将2022年6月至2023年7月收治的58例患者纳入对照组，2023年8月至2024年3月收治的62例患者纳入观察组。对照组采取常规护理干预措施，观察组采取基于健康行为改变整合理论的证候要素施护体系进行护理干预。干预2周后，比较两组胃肠功能障碍恢复情况、胃肠功能指标水平、疾病认知情况、自我管理能力和生活质量。结果 干预后，观察组肠鸣音恢复时间、腹痛缓解时间、肛门首次排气时间及肛门首次排便时间短于对照组，D-乳酸、二胺氧化酶（DAO）水平低于对照组，胃动素（MTL）、胃泌素（GAS）水平高于对照组，简明疾病感知问卷（BIPQ）评分低于对照组，自我护理能力量表（ESCA）、SF-36量表（SF-36）评分高于对照组，差异有统计学意义（P<0.05）。结论 基于健康行为改变整合理论的证候要素施护体系可以快速改善急性胰腺炎胃肠功能障碍患者的胃肠功能，增强患者的疾病认知能力和自我管理能力，提高患者的生活质量。 |
| 关键词: 急性胰腺炎 胃肠功能 健康行为改变 证候施护 护理干预 |
| DOI：10.3969/j.issn.1674-3806.2025.11.20 |
| 分类号:R 473.5 |
| 基金项目:江苏省人兽共患病学重点实验室“护馨基金”2021年度开放课题（编号：HX2103）；江苏省苏北人民医院管理课题立项项目（编号：YYGL202224） |
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| Effect of syndrome-specific element nursing based on the integrated theory of health behavior change on gastrointestinal dysfunction in patients with acute pancreatitis |
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WANG Jing1, XIE Ping2, XUE Weijia1, CHEN Fengxihui1
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1.Hepatobiliary and Pancreatic Center, Northern Jiangsu People′s Hospital, Yangzhou 225001, China; 2.Division for International Cooperation, Northern Jiangsu People′s Hospital, Yangzhou 225001, China
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| Abstract: |
| ［Abstract］ Objective To explore the effect of syndrome-specific element nursing based on the integrated theory of health behavior change on gastrointestinal dysfunction in patients with acute pancreatitis. Methods A total of 120 patients with gastrointestinal dysfunction due to acute pancreatitis who were admitted to Northern Jiangsu People′s Hospital from June 2022 to March 2024 were recruited as the research subjects. In the 120 patients, 58 patients admitted to the hospital from June 2022 to July 2023 were included in the control group, and the other 62 patients admitted to the hospital from August 2023 to March 2024 were included in the observation group. The control group received conventional nursing intervention measures, while the observation group received syndrome-specific element nursing interventions based on the integrated theory of health behavior change. After 2 weeks of interventions, the recovery of gastrointestinal dysfunction, the levels of gastrointestinal function indicators, disease cognition, self-management ability and quality of life were compared between the two groups. Results After the interventions, compared with the control group, the observation group had shorter time of bowel sound recovery, shorter time of abdominal pain relief, shorter time to first flatus and shorter time to first defecation, and lower levels of D-lactic acid and diamine oxidase(DAO), and higher levels of motilin(MTL) and gastrin(GAS), and lower scores of Brief Illness Perception Questionnaire(BIPQ), and higher scores of Exercise of Self-Care Agency Scale(ESCA) and 36-Item Short Form Health Survey(SF-36), with statistically significant differences between the two groups(P<0.05). Conclusion The syndrome-specific element nursing system based on the integrated theory of health behavior change can rapidly improve the gastrointestinal function of patients with gastrointestinal dysfunction caused by acute pancreatitis, enhance the patients′ disease cognitive ability and self-management ability, and improve their quality of life. |
| Key words: Acute pancreatitis Gastrointestinal function Changes in health behavior Syndrome-specific nursing Nursing intervention |
