个性化护理对提高慢性荨麻疹患者护理质量的影响分析

Analysis of Effect of Individual Nursing on the Improvement of Nursing Quality of Patients with Chronic Urticaria

目的探讨个性化护理对提高慢性荨麻疹患者护理质量的影响。方法回顾分析2016年1月—2017年4月该院诊治的84例慢性荨麻疹患者,并根据随机数字表法分组,对照组应用常规的护理方案,个性化组应用个性化护理方案,每一组42例。比较两组慢性荨麻疹治疗效果;荨麻疹疾病认知、荨麻疹治疗依从性、基础护理质量;干预前后患者风团数目、瘙痒程度、自我管理能力、皮肤病生活质量指标调查表(DLQI)。结果个性化组慢性荨麻疹治疗效果92.86%高于对照组71.43%,差异有统计学意义(χ~2=6.574,P<0.05)。个性化组荨麻疹疾病认知、荨麻疹治疗依从性、基础护理质量(94.51±3.55)分、(92.51±3.24)分、(95.62±3.25)分高于对照组(82.45±2.71)分、(81.42±3.12)分、(80.61±2.51)分,差异有统计学意义(t=6.270、5.664、6.724,P<0.05);干预后个性化组风团数目、瘙痒程度、自我管理能力、皮肤病生活质量指标调查表(DLQI)(14.12±1.71)个、(0.20±0.36)分、(93.23±0.68)分、(6.91±0.68)分优于对照组(20.25±2.41)个、(1.21±0.12)分、(82.51±0.62)分、(12.13±0.59)分,差异有统计学意义(t=8.134、8.661、9.012、10.445,P<0.05)。结论个性化护理对提高慢性荨麻疹患者护理质量有促进作用,可提高患者疾病认知和自我管理能力,可改善瘙痒等症状,提升患者生活质量,值得推广应用。

Objective To study the effect of individual nursing on the improvement of nursing quality of patients with chronic urticaria. Methods 84 cases of patients with chronic urticaria admitted and treated in our hospital from January 2016 to April 2017 were selected and randomly divided into two groups with 42 cases in each, the control group used the routine nursing plan, while the individual group used the individual nursing plan, and the treatment effect, disease cognition, treatment compliance and basic nursing quality were compared between the two groups, and the wheal number, itching degree, self-management ability and DLQI of patients before and after intervention were compared. Results The treatment effect in the individual group was higher than that in the control group（92.86% vs 71.43%）,the difference was statistically significant（χ~2=6.574,P〈0.05）, and the cognition of disease, treatment compliance and basic nursing quality in the individual group were higher than those in the control group（94.51±3.55）marks,（92.51±3.24）marks,（95.62±3.25）marks vs（82.45±2.71）marks,（81.42±3.12）marks,（80.61±2.51）marks,the difference was statistically significant（t =6.270, 5.664, 6.724, P 0.05）, after intervention, the wheal number, itching degree, self-management ability and DLQI in the individual group were better than those in the control group after intervention,（14.12±1.71）,（0.20±0.36）marks,（93.23±0.68）marks,（6.91±0.68）marks vs（20.25±2.41）,（1.21±0.12）marks,（82.51±0.62）marks,（12.13±0.59）marks,the difference was statistically significant（t =8.134,8.661, 9.012, 10.445, P 0.05）. Conclusion The individual nursing can promote the improvement of nursing quality of patients with urticaria, which can improve the disease cognition and self-management abilities, and improve the itching symptoms and improve the quality of life, and it is worth promotion and application.