寻常型银屑病复发相关因素分析及自我管理干预研究

Analysis of relapsing factors in psoriasis vulgaris and study on self-management intervention

目的:明确寻常型银屑病相关复发因素,建立科学有效的自我管理模式。方法:收集2017年3月至2018年12月皮肤科门诊就诊的寻常型银屑病复诊患者,填写调查问卷,通过Logistic回归法分析相关影响因素,根据影响因素制定个体化健康教育处方。将复诊的患者随机分为对照组和干预组,分别实施常规健康教育和个体化健康教育处方的临床干预,3个月后比较有效率,6个月后比较复发率。结果:共计213例银屑病复诊患者完成调查问卷,其中177例为复发患者,呼吸道感染、吸烟、紧张焦虑、睡眠障碍、寒冷、干燥、中断治疗与复发相关性大。98例(干预组54例,对照组44例)银屑病复发患者参与随机干预试验,干预组有效率和复发率分别为87.03%和11.1%,对照组分别为88.63%和36.4%,其中复发率差异有统计学意义(P<0.05)。结论:银屑病患者复发与自我管理能力密切相关,个体化健康教育处方有助于提高银屑病患者的疗效,降低复发率。

Objective:To determine the related factors of psoriasis recurrence and establish a scientific and effective self-management model.Methods:The patients with recurrent psoriasis were enrolled in this study from March 2017 to December 2018.All participants were investigated with a questionnaire on the recurrent related factors of psoriasis.The personalized health education prescription for psoriasis were established.The patients with recurrent psoriasis were randomly divided into the control group and study group treated with nursing intervention of conventional health education and individualized health education respectively.The efficiency and the recurrence rate were compared between the two groups at 3th and 6th month of the treatment.Results:Logistic regression analysis showed that the recurrence of psoriasis was related to respiratory tract infection,smoking,nervous anxiety,sleep disorder,cold and dry,discontinue treatment.98 patients were enrolled in the study of self-management intervention,including 54 in study group and 44 in control group.The total efficiency of the study group and control group was 87.03%and 88.63%,with no significant difference.The recurrence rate of the control group(36.4%)was significantly higher than that of the study group(11.1%)(P<0.05).Conclusion:The recurrence of psoriasis was related to the capability of self-management.Individualized health education prescription can reduce the recurrence of psoriasis.