心理护理联合思维导图引导康复护理对系统性红斑狼疮患者治疗依从性 疼痛 睡眠质量及生活质量的影响

Effects of psychological nursing combined with mind map guided rehabilitation nursing on treatment compliance, pain, sleep quality and quality of life of patients with systemic lupus erythematosus

目的 探讨心理护理联合思维导图引导康复护理对系统性红斑狼疮患者治疗依从性、疼痛、睡眠质量及生活质量的影响。方法 将106例系统性红斑狼疮患者应用计算机随机分为两组,每组53例。对照组实施临床常规护理,观察组在对照组基础上实施心理护理联合思维导图引导康复护理,比较两组症状改善用时(红斑消退时间、发热消退时间)、治疗依从率,比较护理前后两组视觉模拟评分法、汉密顿焦虑量表、汉密顿抑郁量表、匹兹堡睡眠质量指数、简明生活质量量表评分。结果 观察组红斑消退时间、发热消退时间显著短于对照组(P<0.01),治疗总依从率显著高于对照组(P<0.01)。护理后观察组视觉模拟评分法评分显著低于对照组(P<0.05)。护理后两组汉密顿焦虑量表、汉密顿抑郁量表评分均较护理前显著降低(P<0.01),观察组显著低于对照组(P<0.01)。护理后观察组匹兹堡睡眠质量指数评分较护理前显著降低(P<0.01),简明生活质量量表评分较护理前显著升高(P<0.01),观察组显著优于对照组(P<0.01)。结论 心理护理联合思维导图引导康复护理能显著减轻康复期系统性红斑狼疮患者的疼痛程度,改善治疗依从性及焦虑抑郁状况,提高睡眠质量及生活质量。

Objective To explore the effects of psychological nursing combined with mind map guided rehabilitation nursing on treatment compliance, pain, sleep quality and quality of life of patients with systemic lupus erythematosus. Methods A total of 106 patients with systemic lupus erythematosus were randomly divided into two groups by computer with 53 cases in each group. The control group received clinical routine nursing, and the observation group received psychological nursing combined with mind map guided rehabilitation nursing on the basis of the control group. The duration of symptom improvement(regression time of erythema, regression time of fever) and treatment compliance rate were compared between the two groups. The scores of visual analogue scale(VAS), Hamilton anxiety scale(HAMA), Hamilton depression scale(HAMD), Pittsburgh sleep quality index(PSQI) and short form 36 questionnaire(SF-36) were compared between the two groups before and after nursing. Results The regression time of erythema and fever in the observation group were significantly shorter than those in the control group(P<0.01), and the total compliance rate was significantly higher than that in the control group(P<0.01). The VAS score of the observation group was significantly lower than that of the control group after nursing(P<0.05). The scores of HAMA and HAMD in the two groups after nursing were significantly lower than those before intervention(P<0.01), and those in the observation group were significantly lower than those in the control group(P<0.01).The PSQI score in the observation group after nursing was significantly lower than that before nursing(P<0.01),and the SF-36score was significantly higher than that before intervention(P<0.01),and the observation group was significantly better than the control group(P<0.01).Conclusions Psychological nursing combined with mind map guided rehabilitation nursing can significantly reduce the pain degree of patients with systemic lupus erythematosus in the rehabilitation period,improve the treatment compliance,anxiety and depression,and improve the quality of sleep and life.