Effect of syndrome-specific element nursing based on the integrated theory of health behavior change on gastrointestinal dysfunction in patients with acute pancreatitis

WANG Jing; XIE Ping; XUE Weijia; CHEN Fengxihui

doi:10.3969/j.issn.1674-3806.2025.11.20

Abstract：Objective To explore the effect of syndrome-specific element nursing based on the integrated theory of health behavior change on gastrointestinal dysfunction in patients with acute pancreatitis.Methods A total of 120 patients with gastrointestinal dysfunction due to acute pancreatitis who were admitted to Northern Jiangsu People's Hospital from June 2022 to March 2024 were recruited as the research subjects.In the 120 patients,58 patients admitted to the hospital from June 2022 to July 2023 were included in the control group,and the other 62 patients admitted to the hospital from August 2023 to March 2024 were included in the observation group.The control group received conventional nursing intervention measures,while the observation group received syndrome-specific element nursing interventions based on the integrated theory of health behavior change.After 2 weeks of interventions,the recovery of gastrointestinal dysfunction,the levels of gastrointestinal function indicators,disease cognition,self-management ability and quality of life were compared between the two groups.Results After the interventions,compared with the control group,the observation group had shorter time of bowel sound recovery,shorter time of abdominal pain relief,shorter time to first flatus and shorter time to first defecation,and lower levels of D-lactic acid and diamine oxidase(DAO),and higher levels of motilin(MTL)and gastrin(GAS),and lower scores of Brief Illness Perception Questionnaire(BIPQ),and higher scores of Exercise of Self-Care Agency Scale(ESCA)and 36-Item Short Form Health Survey(SF-36),with statistically significant differences between the two groups(P＜0.05).Conclusion The syndrome-specific element nursing system based on the integrated theory of health behavior change can rapidly improve the gastrointestinal function of patients with gastrointestinal dysfunction caused by acute pancreatitis,enhance the patients' disease cognitive ability and self-management ability,and improve their quality of life.