“互聯(lián)網(wǎng) t^? 背景下的慢病管理在炎癥性腸病緩解期患者中的應(yīng)用及對(duì)其睡眠質(zhì)量的影響

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Application of “Internet Plus"-based Chronic Disease Management in Patients with Inflammatory Bowel Disease during Remission and Its Impacts on Sleep Quality

GUO Liyun ，HUANG Yameng，QIU Xiang （TheFirst AffiliatedHospital ofXiamen University，Xiamen36lOo3，China）

AbstractObjective：Toexplore theapplicationof chronic disease managementunderthebackgroundof“Internet plus”inpatientswithinflammatoryboweldiseaseinremisionanditsimpactontheirsleepqualityMethods：Atotalof72patientswith inflammatoryboweldiseaseadmitedtotheDepartmentofGastroenterologyattheFirstAfliatedHospitalofXiamenUniversityfrom September 2022 to September 2023were selectedasthestudy subjects.Theywererandomlydivided intoacontrol groupand an observation groupusing arandom number table method，with36 patients ineach group.Thecontrol groupreceivedroutine nursing intervention，andtheobservationgroupreceived“Internet plus"-basedchronicdisease managementonthebasisofroutineursing.The self-careabilityscale（ESCA）wasused toevaluate thehealth knowledge levelandself-careresponsibilityoftwogroups， thechronicdiseaseself-eficacyscale（CDSS）wasused toevaluatetheself-effcacyof two groups.Thesymptom self-asssment scale（SCL-9O）was used to evaluate the mental health status of two groups.Tthe Pitsburgh Sleep Quality Index（PSQI）was used to evaluate theslepqualityof two groups.Andthe InflammatoryBowel Disease QualityofLife Scale（IBDQ）wasused to evaluate thelife quality.Results：TheESCA scoreandCDSSscoreofself-managementabilityintheobservationgroup were higher than those in the reference group（ P<0.05） ； The psychological health status and sleep quality score of the observation group patients were lower than those of the reference group，and their qualityof life was higher thanthatof the reference group（ P<0.05 ） . Conclusion：Theapplicationof“Internetplus”-basedchronicdisease managementinpatients with inflammatoryboweldiseaseinremissionstagecnectivelyproetients’self-anagementaity，elf-acysyhologicalatus，palitydr life quality.

KeywordsInflammatory bowel disease；Relief period； Internet plus；Chronic disease management；Sleepquality中圖分類號(hào)：R338.63;R364.1+6 文獻(xiàn)標(biāo)識(shí)碼：A doi：10.3969/j. issn.2095 -7130.2025.02.046

炎癥性腸病是臨床常見(jiàn)的一種非特異性腸道炎癥疾病，包括克羅恩病及潰瘍性結(jié)腸炎，患者臨床癥狀多表現(xiàn)為腹瀉、腹痛、便血等情況，若不及時(shí)干預(yù)存在一定的癌變風(fēng)險(xiǎn)[1]。（剩余5032字）