基于自我调节模式干预在银屑病患者中的应用效果

Effects of intervention based on self-regulation mode in patients with psoriasis

目的观察基于自我调节模式的干预方式对银屑病患者自身疾病感知、医学应对方式、生命质量的影响,为银屑病更有效干预提供依据。方法选取2018年2月至2019年8月秦皇岛市第一医院收治的80例银屑病患者,按随机数字表法分为2组,每组40例,对照组给予常规干预,试验组给予基于自我调节模式的干预,比较2组干预前后疾病感知(IPQ-R)评分、医学应对问卷(MCMQ)评分、皮肤病生命质量(DLQI)评分及依从性。结果2组干预前IPQ-R、MCMQ、DLQI评分比较差异无统计学意义(P>0.05)。试验组干预后IPQ-R评分中症状、疾病看法、患病原因归因评分分别为(7.24±0.75)、(162.34±20.35)、(76.23±8.65)分,高于对照组的(6.08±0.72)、(123.26±18.57)、(52.79±7.84)分,差异有统计学意义(t值为7.057、8.972、12.699,P<0.01);试验组干预后MCMQ中面对评分(25.67±2.83)分,高于对照组的(21.76±3.89)分,回避、屈服评分分别为(12.26±1.84)、(9.12±1.24)分,低于对照组的(14.35±2.48)、(10.45±1.68)分,差异有统计学意义(t值为5.141、-4.280、-4.028,P<0.01);试验组干预后DLQI各项评分显著高于对照组,差异有统计学意义(t值为2.648~8.244,P<0.05或0.01);试验组干预后依从性97.5%(39/40),优于对照组的80.00%(32/40),差异有统计学意义(Z值为40.000,P<0.01)。结论基于自我调节模式干预可有效增加银屑病患者疾病感知及依从性,改善医学应对方式,提高生命质量,具有积极实施价值。

Objective To observe the effects of intervention based on self-regulation mode on illness perception,medical coping styles and quality of life of patients with psoriasis.Methods Eighty patients with psoriasis from February 2018 to August 2019 in Qinhuangdao First Hospital were selected and divided into two groups by random digits table method,40 patients in each group.The control group was given routine intervention,and the experimental group was given intervention based on self-regulation mode.The Illness Perception Questionnaire-Revised(IPQ-R)scores,Medical Coping Modes Questionnaire(MCMQ)scores,dermatologylifequalityindex(DLQI)scores and compliance of the two groups were compared before and after intervention.Results There was no significant difference in the score of IPQ-R,MCMQ,DLQI before intervention between the two groups(P>0.05).After intervention,scores of symptoms,disease perception and causes of the disease in IPQ-R were(7.24±0.75),(162.34±20.35),(76.23±8.65)points in the experimental group and(6.08±0.72),(123.26±18.57),(52.79±7.84)points in the control group,there were significant differences between the two groups(t values were 7.057,8.972,12.699,P<0.01).In the MCMQ,facing score,avoidance score and yielding score were(25.67±2.83),(12.26±1.84),(9.12±1.24)points in the experimental group,(21.76±3.89),(14.35±2.48),(10.45±1.68)points in the control group,there were significant differences between the two groups(t values were 5.141,-4.280,-4.028,P<0.01).The DLQI scores of experimental group were significantly higher than those of control group(t values were 2.648-8.244,P<0.05 or 0.01),and compliance of experimental group(97.5%,39/40)was significantly better than control group(80.00%,32/40)with statistically significant(Z value was 40.000,P<0.01).Conclusions Intervention based on self-regulation mode can effectively reduce negative emotions of patients with psoriasis,increase their illness perception and compliance,improve their medical coping styles,self-management ability and quality of life,with positive application value.