Affiliations: Department of Gastroenterology, Wenzhou Medical University Affiliated Second Hospital, Zhejiang, China
Correspondence:
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Corresponding author: Chunmei Li, Department of Gastroenterology, Wenzhou Medical University Affiliated Second Hospital, Zhejiang, China. E-mail: [email protected].
Abstract: BACKGROUND: Inflammatory bowel disease (IBD), including Crohn’s disease and ulcerative colitis, is characterized by chronic recurrent intestinal inflammation, and its primary clinical manifestations are abdominal pain, diarrhea, hematochezia, etc., which seriously affects patients’ quality of life. OBJECTIVE: To explore the impact of continuing empowerment education based on Roy’s adaptation theory on disease uncertainty and self-management ability in patients with inflammatory bowel disease. METHODS: Sixty patients with inflammatory bowel disease admitted to the hospital from March 2022 to March 2023 were selected and randomly divided into an intervention group (n= 30) and a control group (n= 30). The intervention group received continuous care based on multidisciplinary Cooperation on the WeChat platform, while the control group received routine constant care. The disease uncertainty, hope level, self-care ability, nursing quality, and nursing satisfaction of two groups of patients were compared. RESULT: Both patient groups had lower levels of ambiguity and complexity three months following discharge, with the intervention group exhibiting the lowest levels. On the other hand, the intervention group scored higher on sustaining close connections, taking good action, and having an attitude both now and in the future. The intervention group showed greater health awareness, self-concept, self-care competence, and self-care responsibility ratings. The intervention group also showed more significant attitude, pragmatism, thoroughness, and professionalism in their services. CONCLUSION: Continuous empowerment education based on Roy’s adaptation theory is applied to patients with inflammatory bowel disease. It can enhance confidence, self-management ability, quality of life, and patient satisfaction.
Keywords: Multidisciplinary cooperation, continuous care, inflammatory bowel disease, quality of life
