链式亲情护理模式对老年原发性干燥综合征患者焦虑和抑郁及生活质量的影响  

Effects of chain family care model on anxiety,depression and quality of life in elderly patients with primary Sjögren’s syndrome

作　　者：卢亚 刘庆芬[2] 顾纪芳 曹丽[4] Lu Ya;Liu Qingfen;Gu Jifang;Cao Li(Laser Beauty Clinic,Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,201999,P.R.China;Nursing Clinic,Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,201999,P.R.China;Department of Rheumatology and Immunology,Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,201999,P.R.China;Department of Radiology,Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,201999,P.R.China)

机构地区：[1]上海交通大学医学院附属第九人民医院激光美容门诊,上海201999 [2]上海交通大学医学院附属第九人民医院护理门诊,上海201999 [3]上海交通大学医学院附属第九人民医院风湿免疫科,上海201999 [4]上海交通大学医学院附属第九人民医院放射科,上海201999

出　　处：《老年医学与保健》2022年第2期339-342,共4页Geriatrics & Health Care

摘　　要：目的探讨链式亲情护理模式对老年原发性干燥综合征(primary Sjögren’s syndrome,pSS)患者焦虑、抑郁及生活质量的影响,为治疗该病提供护理方法。方法选取2020年10月—2021年11月在上海交通大学医学院附第九人民医院门诊就诊的老年pSS患者100例,按数字表法随机分为观察组(n=50)和对照组(n=50)。观察组采用个体化教育方案护理,对照组采用常规护理。干预前和干预12周时,分别采用心理焦虑自评量表(SAS)和心理抑郁自评量表(SDS)对患者的焦虑和抑郁程度进行评估,采取健康调查简表(SF-36)评价患者的生活质量,采取医学应对问卷MCMQ[8]对患者的应对疾病方式的程度进行评估,评估患者服药依从情况;并对2组上述评估结果进行统计学分析和比较。结果干预12周,2组SAS和SDS评分明显低于同组干预前(P<0.05),观察组SAS和SDS评分明显低于对照组(P<0.05);2组SF-36评分高于同组干预前(P<0.05),观察组SF-36评分明显高于对照组(P<0.05);2组MCMQ各项维度评分中面对项评分明显高于同组干预前(P<0.05),回避和放弃项评分明显低于同组干预前(P<0.05),而观察组MCMQ各项维度评分中面对项评分明显高于对照组(P<0.05),观察组回避和放弃项评分明显低于对照组(P<0.05);观察组服药依从率明显高于对照组(P<0.05)。结论采用链式亲情护理模式可促进老年pSS患者正确认知疾病,提高自我管理能力,改善抑郁及焦虑程度,明显提高患者的生活质量和治疗依从性。Objective To investigate the effect of the chain family care model on anxiety,depression,and quality of life in elderly patients with primary Sjögren’s syndrome(pSS)and provide nursing methods for the treatment of the disease.Methods A total of 100 elderly patients with pSS who were treated in the Outpatient Clinic of the Ninth People’s Hospital Affiliated to Medical College of Shanghai Jiaotong University from October 2020 to November 2021 were selected and randomly divided into observation group(n=50)and control group(n=50)according to the numerical table method.The observation group received individualized education program nursing,while the control group received routine nursing.Before and 12 weeks after the intervention,the Self Rating Anxiety Scale(SAS)was used to evaluate the degree of anxiety of patients,the Self Rating Depression Scale(SDS)was used to evaluate the degree of depression,the Short Form of Health Survey(SF-36)was used to evaluate the quality of life,the Medical Coping Questionnaire MCMQ was used to evaluate the degree of coping with diseases,and the medication compliance of patients was assessed according to the medication compliance at home,respectively.The above evaluation results of the two groups were statistically analyzed and compared.Results After12 weeks of intervention,the SAS and SDS scores of the two groups were significantly lower than those of the same group before intervention(P<0.05),and the SAS and SDS scores of the observation group were significantly lower than those of the control group(P<0.05);the SF-36 score of the two groups was higher than that of the same group before intervention(P<0.05),and the SF-36 score of the observation group was significantly higher than that of the control group(P<0.05);in the scores of all dimensions of MCMQ,the score of face-to-face item of the two groups was significantly higher than that of the same group before intervention(P<0.05),the scores of avoidance and abandonment items were significantly lower than those of the same group be

关 键 词：老年 干燥综合征 链式亲情护理模式 焦虑 抑郁 生活质量 

分 类 号：R473.5[医药卫生—护理学]