Orem自护理论在中药保留灌肠治疗溃疡性结肠炎患者中的临床运用研究

Objective This study applies Orem self-care theory to the treatment of ulcerative colitis with traditional Chinese medicine retention enema, and analyzes the impact of this plan on clinical symptoms and inflammatory response of patients.Method A total of 84 patients with ulcerative colitis who received treatment in our hospital from February 2020 to February 2023 were selected as research objects, and were divided into experimental group and control group according to envelope method, with 42 cases in each group. Both groups of patients were treated with retention enema. On this basis, the control group received routine nursing intervention, while the experimental group received Orem self-care theory intervention on routine nursing. Clinical symptoms, inflammatory response and quality of life were compared between the two groups.Result After intervention, the UCDAI index of both groups of patients showed a decrease in bloody stools, diarrhea, endoscopic manifestations, and physician evaluated scores compared to before intervention (P<0.05), with the experimental group being lower than the control group; TNF of two groups of patients after intervention- The levels of IL-6 and IL-8 decreased compared to before intervention (P<0.05), with the experimental group being lower than the control group; After intervention, the IBDQ scores of intestinal symptoms, systemic symptoms, emotional function, and social function in both groups of patients decreased compared to before intervention (P<0.05), with the experimental group being lower than the control group (P<0.05).Conclusion The application of Orem self-care theory in traditional Chinese medicine retention enema for the treatment of ulcerative colitis can effectively improve patients' clinical symptoms and inflammatory reactions, improve their quality of life.