综合护理和常规护理在银屑病患者中的护理效果对比

摘要/Abstract

摘要： 目的对比综合护理、常规护理在银屑病患者护理中的应用效果。方法选取2022年1月—2023年3月胶州市中医医院收治的100例银屑病患者,参照随机数表法分为对照组和观察组,每组50例。对照组提供常规护理,观察组提供综合护理,评价两组患者心理评分、社会支持评定量表（SSRS）评分、银屑病皮损面积和严重程度指数（PASI）、皮肤病生活质量指数（DLQI）、匹兹堡睡眠质量指数（PSQI）、自我护理能力量表（ESCA）评分及护理满意度。结果护理前,两组患者心理评分、SSRS、PASI、DLQI、PSQI、ESCA评分比较,差异无统计学意义（P>0.05）;护理后,观察组患者心理评分、PASI、DLQI、PSQI评分低于对照组,SSRS评分、ESCA评分高于对照组,差异有统计学意义（P<0.05）。观察组护理总满意度高于对照组,差异有统计学意义（P<0.05）。结论对银屑病患者实施综合护理,可以营造和谐的护患关系,减轻心理负担,增强自护能力,缓解病情,改善生活质量、睡眠质量,值得应用。

关键词: 综合护理, 心理评分, 银屑病, 满意度

Abstract: Objective To compare the nursing effects of comprehensive nursing and routine nursing in patients with psoriasis. Methods A total of 100 patients with psoriasis in Jiaozhou City Traditional Chinese Medicine Hospital from January 2022 to March 2023 were included. The control group (50 patients were included, providing routine care) and the observation group (50 patients were included, providing comprehensive care) were divided according to the random number table. Psychological score, social support rating scale (SSRS) score, psoriasis area and severity index (PASI), dermatology quality of life index (DLQI), Pittsburgh Sleep Quality Index (PSQI), self-care ability scale (ESCA) score, satisfaction rate were compared. Results Before nursing, there was no difference in psychological score, SSRS score, PASI, DLQI, PSQI, and ESCA score between the groups (P>0.05); after nursing, the observation group had lower psychological score, PASI, DLQI, PSQI, and higher SSRS and ESCA (P<0.05); Compared to the control group, the total satisfaction rate of the observation group was higher (P<0.05). Conclusion Implementing comprehensive nursing care for psoriasis patients can create a harmonious nurse patient relationship, reduce psychological burden, enhance self-care ability, alleviate the condition, improve quality of life and sleep, and is worth promoting.

Key words: comprehensive nursing, psychological score, psoriasis, satisfaction rate

中图分类号:

R473.5

丁春燕, 应安欣. 综合护理和常规护理在银屑病患者中的护理效果对比[J]. 中华养生保健, 2024, 42(4): 111-114.

DING Chun-yan, YING An-xin. Comparison of Nursing Effects between Comprehensive Nursing and Routine Nursing in Patients with Psoriasis[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(4): 111-114.

参考文献

[1] 陈雪梅,刘辉云,邱晓愉,等.多学科团队协作的延续护理模式在寻常型银屑病患者中的应用[J].皮肤性病诊疗学杂志,2022,29(3):260-264.
[2] 吕姗,赖小丽,刘娜.以达标理论为指导的信息化延续性护理对银屑病患者依从性及自我健康管理能力的影响[J].齐鲁护理杂志,2022,28(17):74-77.
[3] 朱向荣. 整体护理在窄谱中波紫外线照射治疗寻常型银屑病患者中的应用[J].山东医学高等专科学校学报,2022,44(3):206-207.
[4] 孔舒玲,周萍.综合护理干预对慢性荨麻疹患者负性情绪及生活质量的影响[J].基层医学论坛,2022,26(26):82-84,108.
[5] 中华医学会皮肤性病学分会银屑病专业委员会.中国银屑病诊疗指南(2018完整版)[J].中华皮肤科杂志,2019,52(10):667-710.
[6] 李小侠,毛东方.聚焦解决护理模式结合健康教育对银屑病患者心理状态、应对方式的影响[J].临床医学工程,2022,29(1):119-120.
[7] 苟辉,冯先琼,邹琴.银屑病患者社会支持与用药依从性相关分析及影响因素[J].昆明医科大学学报,2021,42(11):122-127.
[8] 张兰云. 基于信息-动机-行为模型指导护理干预对银屑病患者负性情绪及生活质量的影响[J].慢性病学杂志,2022,23(9):1311-1313.
[9] 孙媛慧,张秀杰,王爱平.健康素养对银屑病病人生存质量的影响研究[J].护理研究,2022,36(18):3333-3337.
[10] 陈晓丹. 综合护理改善银屑病患者生命及睡眠质量的效果[J].中国城乡企业卫生,2020,35(10):129-130.
[11] 赵鑫,陈彦侠.个体化健康教育在银屑病患者护理中应用及对其自护能力的影响[J].临床医学工程,2022,29(11):1563-1564.
[12] 黄颖,陈丽,邓乐英,等.CICARE沟通联合认知行为干预对银屑病患者自尊水平及病耻感的影响[J].中国医学创新,2022,19(1):97-101.
[13] LUO X, WANG D, WANG B, et al.Broadband High-Frequency Ultrasonic Transducer Based Functional Photoacoustic Mesoscopy for Psoriasis Progression[J]. IEEE Trans Ultrason Ferroelectr Freq Control, 2022,69(6):1926-1931.
[14] 唐二云. 心理护理干预在寻常型银屑病患者护理中的应用效果观察及效果评价[J]. 黑龙江中医药,2020,49(1):252-253.
[15] 于思琪. 认知行为干预联合心理疏导对银屑病患者自我效能及心理弹性水平的影响[J].基层医学论坛,2022,26(15):61-63.
[16] 窦菲,钟洁敏,王艳芳.综合干预策略在银屑病患者窄谱中波紫外线光疗中的应用效果与价值[J].皮肤病与性病,2021,43(4):558-559,594.
[17] 周静怡,郜旭东,陈莹,等.积极心理暗示疗法配合Teach-back健康教育在老年银屑病患者中的应用价值[J].中国临床保健杂志,2022,25(3):385-388.
[18] 马丽蓓,殷凤芳.健康指导结合流程化护理对中药药浴与中药塌渍治疗银屑病患者的护理质量和生活质量的影响[J].国际护理学杂志,2022,41(24):4483-4486.
[19] 张晴睛. 观察综合护理干预对银屑病患者生命质量及睡眠质量的影响[J].世界睡眠医学杂志,2022,9(4):751-753.
[20] 胡世玲. 基于自护行为研究的护理干预对银屑病患者诊疗效果、心理状况及生活质量的影响[J].临床与病理杂志,2021,41(2):360-366.