多学科协作模式在妊娠期系统性红斑狼疮患者中的应用效果分析  

Effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus during pregnancy

作　　者：耿龙玉 周兰兰[1] 徐芳[1] 张缪佳[1] 梅培培[1] GENG Longyu;ZHOU Lanlan;XU Fang;ZHANG Miaojia;MEI Peipei(Rheumatology and Immunology Department,the First Affiliated Hospital of Nanjing Medical University,Nanjing,Jiangsu,210029)

机构地区：[1]南京医科大学第一附属医院风湿免疫科,江苏南京210029

出　　处：《实用临床医药杂志》2022年第23期55-59,共5页Journal of Clinical Medicine in Practice

基　　金：国家高技术研究发展计划(863计划)课题(012AA02A513)。

摘　　要：目的观察多学科协作模式在妊娠期系统性红斑狼疮(SLE)患者中的应用效果。方法采用随机数字表法将60例妊娠期SLE患者分为常规护理组和强化护理组,每组30例。常规护理组采用常规护理,强化护理组采用多学科协作模式强化护理,观察并比较2组患者心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、分娩成功率和SLE复发情况。结果护理后,2组患者SAS评分、SDS评分均低于护理前,且强化护理组SAS评分、SDS评分低于常规护理组,差异有统计学意义(P<0.05)。2组均未出现SLE复发患者,但各有1例患者流产,其余患者均正常分娩。结论将多学科协作模式应用于妊娠期SLE患者中,能够显著减轻患者抑郁、焦虑状态。Objective To observe the application effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus(SLE)during pregnancy.Methods Sixty patients with SLE in pregnancy were divided into routine nursing group(n=30)and intensive nursing group(n=30)by random number table method.Patients in the routine nursing group were treated with routine nursing,and patients in the intensive nursing group were treated with intensive nursing based on multidisciplinary collaboration model.The psychological status[Self-rating Anxiety Scale(SAS),self-rating Depression Scale(SDS)scores],delivery success rate and recurrence condition of SLE were observed and compared between the two groups.Results After nursing,SAS score and SDS score of two groups were lower than before nursing,and SAS score and SDS score of intensive nursing group were lower than the routine nursing group,the differences were statistically significant(P<0.05).There were no SLE recurrence patients in the two groups,but one patient in each group had abortion,and the other patients delivered normally.Conclusion Multidisciplinary collaboration model can significantly reduce depression and anxiety in SLE patients during pregnancy.

关 键 词：系统性红斑狼疮 妊娠 多学科协作 微信 焦虑 抑郁 

分 类 号：R714.4[医药卫生—妇产科学] R593.24[医药卫生—临床医学]