目的：探讨授权教育对溃疡型结肠炎（ UC）手术患者自我效能感、肛门功能及生活质量的影响。方法采用方便抽样法选取江苏省无锡市第二人民医院2014年1月—2015年5月收治的88例UC住院患者作为观察对象，采用随机数字表将其分为观察组44例和对照组44例，分别予以授权教育及常规健康教育。干预前及出院后6个月，比较两组自我效能感、肛门功能及生活质量变化情况。结果出院后6个月，观察组自我效能感评分为（259．25±13．54）分，高于对照组的（239．48±15．97）分，差异有统计学意义（t＝6．263，P＜0．01）。观察组夜间便次及24 h便次分别为（1．25±0．42），（3．73±1．03）次，均少于对照组（2．16±0．95），（5．05±1．76）次，差异有统计学意义（t值分别为5．811，4．294，P＜0．01）。观察组生活质量评分为（73．16±7．37）分，高于对照组的（68．52±6．34）分，差异有统计学意义（ t＝3．166， P＜0．01）。结论授权教育对提高溃疡型结肠炎手术患者自我效能感，改善患者肛门功能，提高患者生活质量有重要意义。%Objective To explore the influences of empowerment education on self-efficacy, anal function and quality of life in patients with ulcerative colitis operation .Methods The study investigated 88 inpatients with ulcerative colitis who were hospitalized from January 2014 to May 2015 using convenience sampling.According to random number table , the participants were divided into the intervention group (n=44) that received empowerment education and the control group (n=44) that received conventional education .The self-efficacy, anal function and quality of life were compared before the intervention and after six months of discharging from the hospital .Results After six months of the discharge , the score of self-efficacy for the intervention group was (259.25 ±13.54) and higher than the score for the control group (239.48 ±15.97) (t=6.263, P<0.01).The night and 24 h urine times for the intervention group were (1.25 ±0.42) and (3.73 ±1.03) and less than the urine times for the control group which were (2.16 ±0.95) and (5.05 ± 1.76) (t =5.811,4.294;P <0.01).The assessment of patients′quality of life was also better in the intervention group (73.16 ±7.37) compared to the control group (68.52 ±6.34) (t=3.166, P<0.01). Conclusions Empowerment education can significantly improve the self-efficacy, anal function and the quality of life in patients with ulcerative colitis surgery .
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