SMG理论模式健康管理在中青年银屑病患者中的应用效果  

Effect of SMG theory model health management to promote disease management in young and middle-aged patients with psoriasis

作　　者：王凤娟 顾磊[1] WANG Fengjuan;GU Lei(Department of Dermatology,the Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University,Urumqi,Xinjiang 830000,China)

机构地区：[1]新疆医科大学附属中医医院皮肤科,新疆乌鲁木齐830000

出　　处：《医药前沿》2025年第6期128-131,共4页Journal of Frontiers of Medicine

摘　　要：目的探讨自我-互助-团体(SMG)理论模式健康管理在中青年银屑病患者中的应用效果。方法选取2022年6月-2023年6月于新疆医科大学附属中医医院皮肤科就诊的160例银屑病患者,采用随机数字表法将其分为对照组和观察组各80例。对照组给予常规模式健康管理,观察组给予SMG理论模式健康管理,两组均管理6个月。采用疾病耻辱感问卷(FSQ)、皮肤病生活质量指数(DLQI)评估病耻感和生活质量。比较两组疾病认知得分、遵医行为、FSQ评分和DLQI评分。结果观察组管理1、3、6个月时疾病认知得分高于对照组,FSQ、DLQI评分低于对照组,差异有统计学意义(P<0.05)。管理6个月时,观察组合理饮食、合理运动和合理用药比例高于对照组,差异有统计学意义(P<0.05)。结论SMG理论模式健康管理能够提高中青年银屑病患者疾病认知水平、遵医行为,减轻病耻感和提高生活质量。Objective To explore the effect of self-mutual help-group(SMG)theory model health management on disease cognition,compliance behavior,stigma,and quality of life in young and middle-aged patients with psoriasis.Methods A total of 160 patients with psoriasis who were admitted to the Department of Dermatology,the Affiliated Hospital of Traditional Chinese Medicine of Xinjiang Medical University from June 2022 to June 2023 were selected and divided into control group and observation group according to the random number table method,with 80 cases in each group.The control group was given routine model health management,and the observation group was given SMG theoretical model health management.Both groups were managed for 6 months.The Feeling of Stigmatization Questionnaire(FSQ)and the Dermatology Life Quality Index(DLQI)were used to evaluate the stigma and quality of life.The disease cognition score,compliance behavior,FSQ score and DLQI score were compared between the two groups.Results The scores of disease cognition in the observation group were higher than those in the control group,and the FSQ and DLQI scores of the observation group were lower than those of the control group at 1,3,and 6 months after management,and the differences were statistically significant(P<0.05).The proportion of reasonable diet,reasonable exercise and reasonable medication in the observation group was higher than that in the control group at 6 months of management,and the difference was statistically significant(P<0.05).Conclusions SMG theory model health management can improve the disease cognition level and compliance behavior of young and middle-aged patients with psoriasis,reduce the stigma and improve the quality of life.

关 键 词：自我-互助-团体 健康管理 中青年 银屑病 病耻感 生活质量 

分 类 号：R758[医药卫生—皮肤病学与性病学]