外阴上皮非瘤样病变患者自我管理的效果评估

Self-management education in patients with epithelial non-neoplasia of the vulva

目的 探讨外阴上皮非瘤样病变患者自我管理的效果评估。方法 选取2016年3月至2017年3月收治的外阴上皮非瘤样病变患者88例,随机分为2组,对照组进行常规健康教育,研究组进行自我管理。比较2组患者自我管理效果以及自我管理现状评分;比较2组患者精力、情感反应、睡眠等生活质量评分。结果 研究组自我管理效果显著优于对照组(P<0.05);研究组行为维度评价最低,同时信念维度评价最高,差异有统计学意义(P<0.05);研究组性生活质量各项指标明显好于治疗前(P<0.05);研究组社会活动、躯体活动、睡眠等生活质量评分显著优于对照组(P<0.05)。结论 外阴上皮非瘤样病变的治疗过程当中,患者进行自我管理的效果理想,临床上应当进一步推广应用。

Objective To evaluate the effect of self-management education in patients with epithelial non-neoplasia of the vulva(NNEDV).Methods The patients(n=88) with NNEDV who were treated in our hospital from March 2016 to March 2017 were randomizd to receive routine healthy education(control group) or self-management education(study group). The scores of self-management results and self-management status were compared;the scores of energy, emotional response, sleep quality and quality-of-life scores were evaluted.Results The self-management effect of the study group was significantly better than that of the control group(P< 0.05). The study group had the lowest behavior dimension and the highest belief dimension, with significant differences(P< 0.05). The sex life quality of the study group was significantly better than that before treatment(P< 0.05). The scores of social activity, physical activity and sleep in the study group were significantly higher than those in the control group(P<0.05).Conclusion For the treatment of NNEDV, the effect of self-management is ideal, worthy of further promotion and application.