延续性护理对天疱疮患者生命质量影响.docVIP

延续性护理对天疱疮患者生命质量影响 　　[摘要] 目的 探讨天疱疮患者采取延续性护理干预对生命质量的影响效果。 方法 方便选择该院2014年1月―2017年1月收治的天疱疮患者60例作为研究对象，入组对象临床资料完整，愿意配合该研究，以入组奇偶顺序分为2组，对照组为奇数，以常规护理模式干预，研究组为偶数，在对照组基础上联合延续性护理模式干预。两组患者均随访半年以上，比较两组患者出院后服药依从率、随访半年复发率以及护理前后生活质量评分。 结果 两组患者护理前生活质量GQOL-74量表评分差异无统计学意义[（73.39±5.42）分vs （73.18±5.72）分，t=0.159 0，P=0.874 10.05）]，护理结束后研究组显著高于对照组[（93.22±1.64）分vs （84.39±3.21）分，差异有统计学意义（t=13.416 9，P=0.000 00.05）]；研究组患者出院后服药依从率高达93.33%，显著高于对照?M70.00%（P0.05）；研究组患者随访半年复发率为3.00%，显著低于对照组26.67%（χ2=6.405 2，P=0.011 40.05）。结论 延续性护理干预应用在天疱疮患者中能明显提高服药依从性，减少复发，提高生活质量，值得借鉴。 　　[关键词] 天疱疮；延续性护理；服药依从性；生活质量；复发 　　[中图分类号] R473.2 [文献标识码] A [文章编号] 1674-0742（2018）03（b）-0152-03 　　Effect of Continuous Nursing on the Quality of Life of Patients with Pemphigus 　　ZHENG Hai-hong， CAI Gui-li， LIN Zhen-zhen 　　Quanzhou Dermatology Prevention and Treatment Institute， Quanzhou， Fujian Province， 362000 China 　　[Abstract] Objective To study the effect of continuous nursing on the quality of life of patients with pemphigus. Methods 60 cases of patients with pemphigus admitted and treated in our hospital from January 2014 to January 2017 were conveniently selected and the objects had the complete data， and divided into two groups， the control group used the routine nursing model， while the research group used the continuous nursing model on the basis of the control group， both groups were followed up for more than half a year， and the mediation compliance， recurrence rate in half a year after follow-up， and quality of life scores before and after nursing were compared between the two groups. Results The differences in the quality of life GQOL-74 scores between the two groups before nursing each were （73.39±5.42）points vs （73.18±5.72）points，the difference was not statistically significant（t=0.159 0，P=0.874 10.05）， at the end of nursing， the score in the research group was obviously higher than that in the control group[（93.22±1.64）points vs （84.39±3.21）points]，the difference was statistically significant（t=13.416 9，P=0.0