Effects of an Omaha System-based follow-up regimen on self-care and quality of life in gastrointestinal surgery patients

Table 1 Comparison of general information between the two groups (n)

Group	Group A (n = 64)	Group B (n = 64)	χ2/t	P value
Gender
Male	38	35	0.287	0.592
Female	26	29
Age	43.11 ± 4.77	41.80 ± 4.48	1.605	0.111
Course of disease	1.25 ± 0.25	1.18 ± 0.25	1.392	0.166
Degree of education
Junior high school and below	19	21	0.145	0.703
High school and above	45	43
Disease type
Ulcerative colitis	56	59	0.771	0.380
Crohn’s disease	8	5
Family history of digestive disorders	7	5	0.368	0.544

Table 2 Comparison of Medical Coping Modes Questionnaire scores before and after the intervention (mean ± SD, points)

Group	Group A (n = 64)	Group B (n = 64)	t value	P value
Confront points
Before intervention	19.44 ± 2.65	18.66 ± 3.11	1.528	0.129
After intervention	25.98 ± 4.23a	24.19 ± 3.11a	2.741	0.007
Debarb points
Before intervention	20.64 ± 4.70	20.94 ± 3.97	0.386	0.700
After intervention	13.00 ± 2.15a	15.44 ± 2.54a	5.859	< 0.001
Surrender points
Before intervention	12.28 ± 2.51	12.84 ± 2.08	1.381	0.170
After intervention	7.28 ± 1.34a	9.02 ± 1.46a	6.994	< 0.001

^aP < 0.05, compared with the same group before intervention.

Table 3 Comparison of Exercise of Self-nursing Agency scores before and after the intervention (mean ± SD, points)

Group	Group A (n = 64)	Group B (n = 64)	t value	P value
Health knowledge points
Before intervention	35.13 ± 4.68	35.75 ± 3.56	0.851	0.396
After intervention	53.33 ± 4.07a	49.81 ± 4.23a	4.786	< 0.001
Self care skills points
Before intervention	19.39 ± 2.00	19.66 ± 2.04	0.744	0.458
After intervention	37.97 ± 2.77a	36.45 ± 2.44a	3.286	0.001
Self-concept points
Before intervention	16.14 ± 2.84	15.72 ± 2.78	0.849	0.398
After intervention	25.47 ± 2.43a	22.75 ± 2.30a	6.507	< 0.001
Self-responsibility points
Before intervention	13.33 ± 2.64	13.30 ± 2.65	0.067	0.947
After intervention	17.22 ± 2.00a	14.98 ± 2.83a	5.154	< 0.001
Total ESCA points
Before intervention	83.98 ± 6.22	84.42 ± 6.26	0.397	0.692
After intervention	133.98 ± 5.56a	124.00 ± 5.56a	10.153	< 0.001

^aP < 0.05, compared with the same group before intervention.

ESCA: Exercise of Self-nursing Agency.

Table 4 Comparison of disease activity before and after the intervention (mean ± SD, points)

Group	Group A (n = 64)	Group B (n = 64)	t value	P value
Defecation time
Before intervention	1.48 ± 0.50	1.55 ± 0.50	0.703	0.483
After intervention	0.63 ± 0.49a	0.78 ± 0.42a	1.948	0.054
Hematochezia
Before intervention	1.89 ± 0.31	1.86 ± 0.35	0.531	0.596
After intervention	0.52 ± 0.50a	0.94 ± 0.24a	6.030	< 0.001
Endoscopic performance
Before intervention	1.77 ± 0.46	1.70 ± 0.46	0.766	0.445
After intervention	0.77 ± 0.43a	0.97 ± 0.18a	3.521	< 0.001
Overall physician evaluation
Before intervention	1.50 ± 0.50	1.55 ± 0.50	0.527	0.599
After intervention	0.27 ± 0.45a	0.89 ± 0.31a	9.173	< 0.001
Total disease activity score
Before intervention	6.72 ± 0.93	6.88 ± 0.83	1.003	0.318
After intervention	2.17 ± 0.83a	3.58 ± 0.66a	10.618	< 0.001

^aP < 0.05, compared with the same group before intervention.

Table 5 Comparison of Crohn’s and Colitis Knowledge scores before and after the intervention (mean ± SD, points)

Group	Group A (n = 64)	Group B (n = 64)	t value	P value
General knowledge score
Before intervention	5.03 ± 1.18	5.23 ± 1.15	0.985	0.326
After intervention	8.00 ± 0.84a	6.55 ± 0.85a	9.734	< 0.001
Diet knowledge score
Before intervention	0.91 ± 0.29	0.98 ± 0.13	1.958	0.054
After intervention	1.14 ± 0.35a	1.09 ± 0.29a	0.820	0.414
Drug knowledge score
Before intervention	3.13 ± 0.33	3.14 ± 0.35	0.258	0.796
After intervention	4.78 ± 0.58a	4.48 ± 0.53a	3.022	0.003
Complication knowledge score
Before intervention	3.02 ± 0.13	3.06 ± 0.24	1.368	0.175
After intervention	4.31 ± 0.50a	4.02 ± 0.42a	3.646	< 0.001
Total CCKNOW scores
Before intervention	12.08 ± 1.25	12.42 ± 1.29	1.527	0.129
After intervention	18.23 ± 1.21a	16.14 ± 1.07a	10.406	< 0.001

^aP < 0.05, compared with the same group before intervention.

CCKNOW: Crohn’s and Colitis Knowledge.

Table 6 Comparison of intervention compliance between two groups (mean ± SD, points)

Group	Group A (n = 64)	Group B (n = 64)	t value	P value
Medication necessity score
Before intervention	15.05 ± 2.90	15.50 ± 1.76	1.069	0.288
After intervention	20.80 ± 2.30a	18.94 ± 2.39a	4.481	< 0.001
Medication care score
Before intervention	15.53 ± 2.49	14.95 ± 2.41	1.336	0.184
After intervention	21.66 ± 2.35a	20.00 ± 2.08a	4.222	< 0.001
Total BMQ scores
Before intervention	30.58 ± 3.42	30.45 ± 3.14	0.215	0.830
After intervention	42.45 ± 3.22a	38.94 ± 3.15a	6.241	< 0.001

^aP < 0.05, compared with the same group before intervention.

BMQ: Beliefs about Medicine Questionnaire.

Table 7 Comparison of inflammatory bowel disease questionnaire scores between two groups before and after intervention (mean ± SD, points)

Group	Group A (n = 64)	Group B (n = 64)	t value	P value
Systemic symptom score
Before intervention	35.13 ± 3.45	35.23 ± 2.91	0.194	0.847
After intervention	48.75 ± 4.86a	42.78 ± 4.70a	7.069	< 0.001
Intestinal symptoms score
Before intervention	28.48 ± 4.69	29.17 ± 5.28	0.778	0.438
After intervention	43.05 ± 4.55a	40.61 ± 3.49a	3.399	0.001
Social function score
Before intervention	31.92 ± 2.70	32.78 ± 3.07	1.680	0.096
After intervention	46.27 ± 4.97a	40.66 ± 4.85a	6.463	< 0.001
Affective function score
Before intervention	29.89 ± 2.59	30.38 ± 2.09	1.163	0.247
After intervention	42.55 ± 2.96a	39.55 ± 3.32a	5.397	< 0.001
Total IBDQ scores
Before intervention	125.42 ± 6.72	127.78 ± 6.88	1.962	0.052
After intervention	180.61 ± 8.77a	164.44 ± 8.62a	10.523	< 0.001

^aP < 0.05, compared with the same group before intervention.

IBDQ: Inflammatory bowel disease questionnaire.