基于循证理念的预防性策略对硬皮病患者纤维硬化并发症的影响  

Effect of evidence-based preventive strategies on the complications of fibrosclerosis in patients with scleroderma

作　　者：黄丽红 宋开雅 许瑞宝[1] HUANG Lihong;SONG Kaiya;XU Ruibao(Department of Rheumatology and Immunology,the First Affiliated Hospital of Xiamen University,School of Medicine,Xiamen University,Xiamen 361000,Fujian,China)

机构地区：[1]厦门大学附属第一医院风湿免疫科,福建厦门361000

出　　处：《延边大学医学学报》2024年第2期196-199,共4页Journal of Medical Science Yanbian University

基　　金：福建省中青年教师教育科研项目,编号:JAT210178.

摘　　要：[目的]探讨基于循证理念的预防性策略对硬皮病患者纤维硬化并发症的影响.[方法]选取自2020年1月至2023年1月间收治的系统性硬皮病(SSc)患者62例,根据循证策略提出时间将自2020年1月至2021年6月间收治的31例作为对照组,给予常规护理干预;自2021年7月至2023年1月间收治的31例作为实验组,给予基于循证理念的预防性护理策略.评估干预前后两组SSc患者的雷诺现象(RP)发作情况和皮肤硬化度(改良Rodnan评分量表),以关节功能及吞咽功能评分评估纤维硬化并发症改善情况,并统计住院时间.[结果]干预后,两组SSc患者RP发作情况、皮肤硬化度、关节功能、吞咽功能评分均较干预前明显降低(P<0.05),且实验组干预后4项评分均较对照组干预后明显降低(P<0.05),住院时间明显缩短(P<0.05).[结论]基于循证理念的预防性策略能有效预防RP发作,延缓皮肤硬化,增强SSc患者的关节功能和吞咽功能,并缩短住院时间,有利于降低纤维硬化并发症发生风险,可以在临床推广应用.OBJECTIVE To explore the effect of evidence-based preventive strategies on the complications of fibrosclerosis in patients with scleroderma.METHODS A total of 62 patients with systemic scleroderma(SSc)admitted from January 2020 to January 2023 were selected.According to the evidence-based strategy,31 patients admitted from January 2020 to June 2021 were selected as the control group and given routine nursing intervention,and 31 patients admitted from July 2021 to January 2023 were selected as the experimental group and given an evidence-based preventive nursing strategy.The onset of Raynaud's phenomenon(RP)and the degree of skin sclerosis(modified Rodnan score scale)were evaluated in SSc patients of the two groups before and after the intervention.The improvement of fibrosclerosis complications was assessed by joint function and swallowing function scores,and the length of hospital stay was calculated.RESULTS After intervention,the incidence of RP,the scores of skin stiffness,joint function and swallowing function of SSc patients in both groups were significantly lower than before intervention(P<0.05),and the scores of four items in the experimental group were significantly lower than those in the control group after intervention(P<0.05),and the length of hospital stay was significantly shortened(P<0.05).CONCLUSION Evidence-based preventive strategies can effectively prevent the onset of RP,delay skin sclerosis,enhance joint and swallowing function of SSc patients,shorten hospital stay,reduce the risk of complications of fibrosclerosis,and can be applied clinically.

关 键 词：硬皮病 循证理念 预防性策略 纤维硬化并发症 

分 类 号：R473.5[医药卫生—护理学]