关键词: 溃疡性结肠炎, 回肠贮袋肛管吻合术, 自我关注, 医护指导

Abstract: Objective: To understand and discuss the self-attention of patients with ulcerative colitis(UC) after total colorectal resection and ileal pouch-anal anastomosis(IPAA). Methods: From October to December 2019, 14 postoperative UC patients admitted to a tertiary A hospital in Tianjin were selected as the participants in this study by purposive sampling. Semi-structured in-depth interview and Coloaizzi seven-step research method were used to analyze the interview data. Results: Most patients were self-attention about the state of defecation, diet and storage bag after surgery due to their expectations of postoperative recovery or lack of knowledge related to disease. Conclusion: Medical staff should pay more attention to the postoperative physical and mental needs of patients, such as giving patients more professional and detailed guidance and education in terms of diet, taking corresponding psychological counseling measures, and improving the continued nursing work after discharge, so as to improve the postoperative quality of life of patients and promote disease recovery.

Key words: Ulcerative colitis, Ileal pouch-anal anastomosis（IPAA), Self-attention, Medical guide