基于雷诺现象评分的个体化护理在系统性硬化症患者的应用  

Application of Personalized Nursing Based on Raynaud's Condition Score in Patients with Systemic Sclerosis

作　　者：李建 王美玉[1] 高震雷[1] Li Jian;Wang Meiyu;Gao Zhenlei(Department of Rheumatology and Immunology,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100020,China;不详)

机构地区：[1]首都医科大学附属北京朝阳医院风湿免疫科,北京市100020

出　　处：《中国病案》2024年第11期96-98,共3页Chinese Medical Record

摘　　要：目的通过雷诺现象评分表在延续护理中的应用,为协助临床工作提供数据参考。方法收集2022年1月1日-2022年12月31日于某院住院的系统性硬化症患者36例,随机分为常规护理组及评估组。比较两组患者雷诺现象评分情况及护理满意度。结果患者与护士评估一致率为0.869(P=0.000)。常规护理组(4.8±1.9 vs.3.8±1.7,t=8.617,P=0.000)及评估组(5.4±2.3 vs.3.8±2.1,t=9.544,P=0.000)在治疗后雷诺现象评分均有显著下降。评估组患者的雷诺现象评分下降幅度明显高于常规护理组(1.6±1.1 vs.1.0±0.8,t=2.639,P=0.010)。评估组护理满意度显著高于常规护理组(94.4%vs.83.3%,x^(2)=9.8,P=0.002)。结论系统性硬化症患者通过培训可以熟练掌握雷诺现象评分,患者可通过定期进行雷诺现象的评分了解病情,及时就诊,改善雷诺现象。Objectives This study aims to investigate the application of personalized nursing intervention based on Raynaud's condition score(RCS)in patients with systemic sclerosis,so as to provide data reference to assist clinical work.Methods A total of 36 patients with systemic sclerosis who were hospitalized in a certain hospital from January 1,2022 to December 31,2022 were collected.The patients were randomly divided into a routine nursing group and an evaluation group.The Raynaud's phenomenon scores and nursing satisfaction were compared between the two groups.Results The ICC of RCS between patient and nurse assessment was 0.869(P=0.000).The RCS of both the routine care group(4.8±1.9 vs.3.8±1.7,t=8.617,P=0.000)and the evaluation group(5.4±2.3 vs.3.8±2.1,t=9.544,P=0.000)were significantly reduced.The decrease in RCS in the evaluation group was significantly higher than that in the routine care group(1.6±1.1 vs.1.0±0.8,t=2.639,P=0.010).The nursing satisfaction of the assessment group was significantly higher than that of the routine nursing group(94.4%vs.83.3%,x^(2)=9.8,P=0.002).Conclusions Systemic sclerosis patients can master Raynaud condition scoring with training.Patients can understand their condition by regularly scoring Raynaud's condition and seeking medical treatment in time to improve Raynaud's condition.

关 键 词：系统性硬化症 雷诺现象评分 护理 延续护理 

分 类 号：R473.5[医药卫生—护理学]