慢走运动与持续健康教育对预防银屑病复发的效果研究  

The effects of walking exercise combined with continuous health education on prevention of psoriasis recurrence

作　　者：黎玉芬[1] 蒋丽君[1] 陶源[2] 覃桂玲[1] 李哲[1] 何伟[1] 

机构地区：[1]桂林医学院附属医院皮肤性病科,桂林市541001 [2]哈尔滨医科大学护理学院,哈尔滨市150000

出　　处：《护理管理杂志》2015年第4期294-296,共3页Journal of Nursing Administration

基　　金：广西壮族自治区卫生厅计划课题(Z2012442)

摘　　要：目的 探讨慢走运动结合持续健康教育对预防银屑病复发的效果.方法 选取临床治愈或好转的银屑病住院患者200例,随机分为对照组和实验组各100例.对照组采用专科常规出院教育,按医嘱继续用药,定期复查.实验组除采用专科护理常规外,在患者出院后进行护理干预,即每天慢走运动1～2次,1～2h/次;以电话回访方式,持续强化预防银屑病复发的健康教育1次/月.两组均在干预前、干预后第12个月、24个月、36个月,采用自制预防银屑病复发知识调查问卷、焦虑自评量表和抑郁自评量表评价患者的心理状况,并调查银屑病复发情况.结果 干预后12个月、24个月、36个月,两组患者预防银屑病复发知识知晓程度6个维度得分及总分比较差异具有统计学意义（P＜0.01）;两组患者焦虑和抑郁评分比较差异具有统计学意义（P＜0.01）.出院后3年,对照组和实验组未复发病例分别为34例（34.00％）和88例（88.00％）,两组比较差异具有统计学意义（P＜0.01）.结论 通过慢走运动结合持续健康教育干预,可以有效预防属于心身性疾病范畴的银屑病复发.Objective To evaluate the effects of walking exercise combined with continuous health education on prevention of psoriasis relapse. Methods Totally ,200 psoriasis patients who were clinically cured or improved were randomly divided into the experimental group and the control group. In addition to the routine specialist care, patients in the experimental group received the following interventions after discharge. Walked 1 - 2 times per day, 1 - 2 h per time, and continuous health education for prevention of psoriasis recurrence through telephone interview once per month. Patients in both groups were investigated about their knowledge of psoriasis recurrence prevention with a self - designed questionnaire as well as Self - Rating Anxiety Scale （SAS） and Self - Rating Depression Scale （SDS） before intervention,and at 12 months,24 months,36 months after discharge. Results Six dimension scores of knowledge about psoriasis recurrence preven- tion in the experimental group were significantly higher,while the SAS score and SDS score were lower than those of the control group at 12 months,24 months, 36 months （P 〈 0.01 ）. The recurrence rate in the experimental group （ 12. 00% ） was lower than that of the control group （66. 00% ） （ P 〈 0. 01 ）. Conclusion The recurrence of psoriasis can be effectively prevented by the intervention of walking exercise combined with continuous health education.

关 键 词：银屑病 复发 步行 建康教育 

分 类 号：R758[医药卫生—皮肤病学与性病学]