基于个案分析的针对性护理对系统性红斑狼疮患者疾病活动度及生活质量的影响  

Impact of Case-based Targeted Nursing on Disease Activity and Quality of Life in Patients with Systemic Lupus Erythematosus

作　　者：陈玲玲 卢慧 CHEN Lingling;LU Hui(Huai’an First People's Hospital,Affiliated to Nanjing Medical University,Huai’an 223300,China;不详)

机构地区：[1]南京医科大学附属淮安第一医院,江苏淮安223300 [2]解放军总医院第四医学中心

出　　处：《中外医学研究》2025年第4期81-84,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨基于个案分析的针对性护理对系统性红斑狼疮(SLE)患者疾病活动度及生活质量的影响。方法:回顾性分析2021年5月—2024年1月在南京医科大学附属淮安第一医院就诊的98例SLE患者。将患者依据护理方案分为对照组和观察组,各49例。对照组采用常规护理,观察组在此基础上增加基于个案分析的针对性护理。比较两组患者的系统性红斑狼疮疾病活动度量表(SLEDAI)、健康调查简表(SF-36)及症状自评量表(SCL-90)评分。结果:护理3个月后,两组患者SLEDAI评分较护理前均显著降低,观察组SLEDAI评分显著低于对照组,差异有统计学意义(P<0.05)。护理3个月后,两组患者躯体疼痛、生理功能、情感职能、心理健康评分均较护理前显著升高,且观察组上述各项评分明显高于对照组,差异有统计学意义(P<0.05)。护理3个月后,两组患者强迫症状、人际关系敏感、抑郁、焦虑等心理状况评分较护理前均显著降低,且观察组上述各项评分明显低于对照组,差异有统计学意义(P<0.05)。结论:基于个案分析的针对性护理能显著降低SLE患者的疾病活动度,提高其生活质量,改善心理状况。Objective:To investigate the impact of case-based targeted nursing on disease activity and quality of life in patients with systemic lupus erythematosus(SLE).Method:A retrospective study was conducted to analyze the clinical data of 98 patients with SLE who were treated at Huai’an First People's Hospital,Affiliated to Nanjing Medical University from May 2021 to January 2024.Patients were divided into control group and observation group according to the nursing plans,with 49 patients in each group.The control group received standard nursing care,whereas the observation group received case-based targeted nursing on this basis.The systemic lupus erythematosus disease activity index(SLEDAI),the MOS item short from health survey(SF-36),and symptom checklist-90(SCL-90)scores were compared between the two groups.Result:After 3 months of nursing,SLEDAI score in both groups was significantly lower than that before nursing,and SLEDAI score in observation group was significantly lower than that in control group,the differences were statistically significant(P<0.05).After 3 months of nursing,the scores of physical pain,physiological function,emotional function and mental health in both groups were significantly higher than those before nursing,and the above scores in the observation group were significantly higher than those in the control group,the differences were statistically significant(P<0.05).After 3 months of nursing,the scores of obsessive-compulsive symptoms,interpersonal sensitivity,depression,anxiety and other psychological conditions in both groups were significantly lower than those before nursing,and the above scores in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Case-based targeted nursing significantly reduces disease activity,improves quality of life,and ameliorates psychological status in patients with systemic lupus erythematosus.

关 键 词：基于个案分析的针对性护理 系统性红斑狼疮 疾病活动度 生活质量 

分 类 号：R47[医药卫生—护理学]