Nursing value of comprehensive nursing intervention on psoriasis patients treated with traditional Chinese medicine
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摘要: 目的 分析综合护理干预对银屑病患者中药治疗的影响,为临床提供参考和借鉴。 方法 选择2017年8月—2018年5月台州市中心医院收治的银屑病患者共102例为研究对象,使用随机数字表法分为2组,每组51例患者。其中常规护理组银屑病患者给予常规护理干预,综合护理组银屑病患者给予综合护理干预,观察随访半年,统计患者的治疗舒适度、自我效能、压力、应对方式、生存质量及社交焦虑程度,并进行对比分析。 结果 综合护理组银屑病患者治疗舒适度为(8.71±0.66)分,高于常规护理组的(6.87±0.57)分;自我效能感为(35.11±5.12)分,高于常规护理组的(30.87±6.22)分(均P<0.05);综合护理组患者压力水平为(30.76±1.55)分,低于常规护理组的(37.87±1.78)分,压力源中各维度低于常规护理组,应对方式各项目评分低于常规护理组(均P<0.05);综合护理组银屑病患者生存质量总分及各维度评分均高于常规护理组银屑病患者生存质量及各维度(均P<0.05);综合护理组社交焦虑水平为(35.53±8.12)分,低于常规护理组患者的(41.44±7.54)分,差异有统计学意义(P<0.05)。 结论 综合护理可以提高银屑病患者中医治疗期间舒适度,提高自我效能,降低压力水平及社交焦虑,进一步提高银屑病患者的生活质量,值得应用。Abstract: Objective To analyze the effect of comprehensive nursing intervention on Chinese medicine treatment of patients with psoriasis, and provide clinical reference. Methods A total of 102 patients with psoriasis admitted to our hospital from August 2017 to May 2018 were enrolled in the study. They were divided into two groups using a random number table method, with 51 patients in each group. Among them, patients with psoriasis in the routine nursing group were given routine nursing intervention, and patients in the comprehensive nursing group were given comprehensive nursing. The patient's treatment comfort, self-efficacy, stress, coping style, quality of life and social anxiety were compared and analyzed. Results The comfort level of patients with psoriasis in the comprehensive nursing group (8.71±0.66) was higher than that in the conventional nursing group (6.87±0.57), and the self-efficacy (35.11±5.12) was higher than that in the conventional nursing group (30.87±6.22), all P<0.05; the comprehensive nursing group patients'stress level (30.76±1.55) points was lower than the conventional nursing group (37.87±1.78) points, and the various dimensions of the stress source were lower than the conventional ones. In the nursing group, the scores of the coping styles were lower than the conventional nursing group, all P<0.05; the total quality of life and the dimensions of the psoriasis patients in the comprehensive nursing group was higher than the quality of life and psoriasis of psoriasis patients in the routine care group, all P<0.05; the social anxiety level of the comprehensive nursing group (35.53±8.12) was significantly lower than that of the conventional nursing group (41.44±7.54), P<0.05. Conclusion Comprehensive nursing can improve the comfort of patients with psoriasis during TCM treatment, improve self-efficacy, reduce stress level and social anxiety, and further improve the quality of life of patients with psoriasis. It is worth applying.
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