摘要目的:通过行动研究法完善溃疡性结肠炎（UC）患者健康教育方案，探讨其对患者疾病知识和自我护理能力的影响。方法:采用便利抽样法，于2018年10月选择近3个月在郑州大学第一附属医院消化内科门诊就诊的72例UC患者为研究对象。按照随机数字表法分为对照组和观察组，各36例。对照组给予常规健康宣教。观察组以行动研究法为理论基础不断改进健康教育策略并实施。干预前和干预4个月后，比较两组患者的疾病知识的掌握情况和自我护理能力。结果:两组患者干预前的疾病知识和自我护理能力得分比较，差异均无统计学意义（ P>0.05）。干预后，观察组患者的一般知识、饮食知识、治疗知识以及疾病知识总分均高于对照组，差异有统计学意义（ P<0.05）；干预后观察组的自我护理能力自我概念、自护责任感、健康知识水平3个维度得分及总分高于对照组，差异有统计学意义（ P<0.05）。 结论:基于行动研究法的健康教育策略能够提高UC患者疾病知识和自我护理能力，可适用于临床实践以提高护理质量。

abstractsObjective:To improve the health education program for patients with ulcerative colitis (UC) through action research method to explore its effect on disease knowledge and self-nursing ability of patients.Methods:In October 2018, 72 UC patients who were treated in Outpatient Department of Gastroenterology in the First Affiliated Hospital of Zhengzhou University in the past 3 months were selected as research objects by the convenient sampling method. According to the random number table, they were divided into the control group and the observation group, with 36 cases in each group. The control group was given routine health education, while the observation group used the action research method as the theoretical basis to continuously improve and implement health education strategies. Before the intervention and 4 months after the intervention, mastery of disease knowledge and self-nursing ability of patients in the two groups were compared.Results:There was no statistically significant difference in the scores of disease knowledge and self-nursing ability between the two groups before intervention ( P>0.05) . After the intervention, the scores of general knowledge, dietary knowledge, treatment knowledge and total score of disease knowledge of the observation group were all higher than those of the control group, and the differences were statistically significant ( P<0.05) . After the intervention, the scores of three dimensions of self-concept, self-nursing responsibility and health knowledge level and total score of self-care ability in the observation group were higher than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The health education strategy based on action research method can improve the disease knowledge and self-care ability of patients with ulcerative colitis, which can be applied to clinical practice to improve the quality of nursing.