目的：探讨QQ群组教育对炎症性肠病患者出院后健康管理的应用。方法：选择2014年7月—2015年6月，在我院就诊的炎症性肠病患者，采用便利抽样，按时间顺序随机分为干预组和对照组各53例。对照组患者采用常规健康教育，干预组患者在常规健康教育的基础上实施基于QQ群的健康教育。采用自制炎症性肠病遵医行为调查问卷干预1周和干预后第3个月、第6个月对两组患者进行测评，采用生存质量评定量表（IBDQ）于干预1周、第6个月进行测评。结果：两组患者比较，干预1周、3个月及6个月后在服药、定期复查就诊方面依从性的差异均无统计学意义（P＞0.05）。但在按计划进行肠内营养、自测体重、记录自我症状及体症、能否避免不良生活习惯四个条目依从性的差异有统计学意义（P < 0.05）。干预组在干预6个月后与干预1周比较，其依从性分别提高17.0%、16.9%、11.2%、17.0%，差异有统计学意义（P < 0.05）。干预组在肠道症状、全身症状、情感能力及社会功能及IBDQ总分均高于干预前评分及干预后对照组评分，差异有统计学意义（P < 0.05）。结论：基于QQ群的健康教育管理可改善患者的遵医行为，并且提高了患者生存质量。
Objective：To explore the influence of the QQ group education of health management on patients who discharged with inflammatory bowel disease. Methods：From June 2014 to July 2015，106 patients with inflammatory bowel disease were enrolled and randomly divided into the intervention group and the control group（n=53）. The control group patients were treated with routine health education. The intervention group patients were implemented on the health education basis of QQ. Self-made inflammatory enteropathy compliance behavior questionnaires were used to assess the compliance behaviors and the quality of life scale（IBDQ）of the 2 groups after the intervention of 1 week，3 months，and 6 months. Results：There were no significant differences between the two groups in the compliance behaviors of medicine-taking and reexamination（P > 0.05）. But four entries of compliance behaviors：enteral nutrition，weight，recording self-symptoms，and avoiding bad life habits，were significantly better than that of the control groups（P < 0.05）. And after 6 months intervention，the intervention group after the compliance were increased 17.0%，16.9%，11.2%，17% respectively more than 1 week,and had statistical significance. The intestinal symptoms, constitutional symptoms,emotional ablility,social function and IBDQ scores in the intervention group were higher than those in the control group（P < 0.05）. Conclusion：Health education based on QQ group education can improve the patient’s compliance behavior and the quality of life of patients.