群组看病及中医养生教育对痤疮瘢痕患者激光疗效及遵医行为的影响.docxVIP

群组看病及中医养生教育对痤疮瘢痕患者激光疗效及遵医行为的影响 　　[摘要]目的：探讨群组看病及中医养生教育对痤疮瘢痕患者激光治疗效果及遵医行为的影响。方法：选择2017年1月-2018年12月在笔者医院接受痤疮瘢痕激光治疗的320例患者为研究对象，根据随机数字表将患者分为观察组（n=160）及对照组（n=160），对照组行皮肤科常规护理，观察组实施群组看病及中医养生教育，比较两组患者遵医行为、治疗效果、预后情况、治疗满意率。结果：观察组患者总有效率、治疗满意率高于对照组，而观察组中显效及有效患者复发率低于对照组，差异均有统计学意义（p0.05）。观察组干预后ecca权重评分低于对照组，且痂皮自然脱落时间短于对照组，差异有统计学意义（p0.05）。观察组干预后用药依从性、就医依从性、生活管理、皮肤管理、饮食管理及遵医行为总评分均高于对照组，差异有统计学意义（p0.05）。结论：群组看病及中医养生教育能有效提高痤疮瘢痕激光治疗患者的遵医行为，有利于面部痤疮瘢痕恢复，从而提高患者治疗效果及满意率。 　　[关键词]群组看病;中医养生教育;痤疮瘢痕;激光治疗;遵医行为 　　[中图分类号]r47[文献标志码]b[文章编号]1008-6455（2020）03-0146-03 　　abstract：objectivetoinvestigatetheeffectofgroupmedicaltreatmentandtcmhealtheducationonthecurativeefficacyandcompliancebehaviorofpatientswithacnescarlasertreatment.methods320patientswhoreceivedlasertreatmentforacnescarinourhospitalfromjanuary2017todecember2018wereselectedasstudysubjects.thepatientsweredividedintotheobservationgroup（n=160）andthecontrolgroup（n=160）accordingtorandomnumbertable.thecontrolgrouppatientsweregivenroutinedermatologicalcare，andtheobservationgrouppatientsweregivengroupmedicaltreatmentandtcmhealtheducation.thecompliancebehavior，treatmenteffect，prognosisandtreatmentsatisfactionratewerecomparedbetweenthetwogroups.resultsthetotaleffectiverateandtreatmentsatisfactionrateofpatientsintheobservationgroupwerehigherthanthoseinthecontrolgroup，whilethesignificanteffectiverateandrecurrencerateofpatientsintheobservationgroupwerelowerthanthoseinthecontrolgroup，thedifferenceswerestatisticallysignificant（p0.05）.theweightofeccaintheobservationgroupwaslowerthanthatinthecontrolgroup，andthetimeofescharectomywasshorterthanthatinthecontrolgroup（p0.05）.thetotalscoresofmedicationcompliance，medicalcompliance，lifemanagement，skinmanagement，dietmanagementandmedicalcomplianceintheobservationgroupwerehigherthanthoseinthecontrolgroup（p0.05）.conclusiongroupmedicaltreatmentandtcmhealtheducationcaneffectivelyimprovethecompliancebehaviorofpatientswithacnescarlasertreatment，whichisconducivetotherecoveryoffacialacnescar，thusimprovingth