持续护理模式对系统性红斑狼疮患者预后结局及生活质量的影响  

Effects of continuous nursing model on the prognosis, outcome and quality of life of patients with systemic lupus erythematosus

作　　者：潘霞[1] 樊婷[1] 陈艳[1] 李冬婷[1] 郑纯 吕晓枫 Pan Xia;Fan Ting;Chen Yan;Li Dongting;Zheng Chun;Lyu Xiaofeng(Department of Rheumatology and Immunology,Guangdong Second Provincial General Hospital,Guangzhou 510317,China)

机构地区：[1]广东省第二人民医院风湿免疫科,广州510317

出　　处：《中华现代护理杂志》2020年第32期4529-4532,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨持续护理模式对系统性红斑狼疮患者预后结局及生活质量的影响。方法采用便利抽样法,选择2016年1月-2019年9月广东省第二人民医院风湿免疫科收治的175例系统性红斑狼疮住院患者为研究对象,分为试验组(n=84)和对照组(n=91)。试验组患者接受持续护理模式干预,对照组接受一般护理模式干预,共干预3个月。比较两组患者系统性红斑狼疮疾病活动指数(SLEDAI-2K)、系统性红斑狼疮知识问卷评分、生活质量量表(SF-36)评分及再入院率、护理满意度。结果干预后,试验患者系统性红斑狼疮知识问卷-患者知识评分、系统性红斑狼疮知识问卷-患者对家属知识感知评分高于对照组,SLEDAI-2K评分低于对照组,差异有统计学意义(P<0.05)。干预后,试验组患者SF-36各维度得分均高于对照组,差异有统计学意义(P<0.05);试验组患者再入院率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论实施持续护理模式可更有效提高系统性红斑狼疮患者的疾病认知水平,改善健康相关生活质量,降低再入院率。Objective To explore the effects of the continuous nursing model on the prognosis,outcome and quality of life of patients with systemic lupus erythematosus(SLE).Methods Totally 175 SLE inpatients admitted in the Department of Rheumatology and Immunology in Guangdong Second Provincial General Hospital from January 2016 to September 2019 were selected by convenient sampling and divided into the experimental group(n=84)and the control group(n=91).Patients in the experimental group received continuous nursing care,while patients in the control group received routine care for 3 months The Systemic Lupus Erythematosus Disease Activity Index 2000(SLEDAI-2K),Systemic Lupus Erythematosus Knowledge Questionnaire(SLEKQ),MOS SF-36 Health Survey(SF-36),readmission rate and nursing satisfaction rate were compared between the two groups.Results After intervention,the patient knowledge and patient's perception of family knowledge scores in the SLEKQ of the experimental group were higher than those of the control group,whereas the SLEDAI-2K score was lower in the experimental group than in the control group,and the differences were statistically significant(P<0.05).After intervention,the scores of all SF-36 dimensions in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05);the readmission rate of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05);the nursing satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The implementation of the continuous nursing model can more effectively improve the disease awareness of SLE patients,improve the health-related quality of life,and reduce the readmission rate.

关 键 词：红斑狼疮 系统性 生活质量 持续护理模式 预后 

分 类 号：R473.5[医药卫生—护理学]