PAC弹性理论指导下分阶段康复指导在系统性红斑狼疮患者中的应用效果

Application of staged rehabilitation guidance under the guidance of PAC elasticity theory in patients with systemic lupus erythematosus

目的分析PAC弹性理论指导下分阶段康复指导在系统性红斑狼疮(SLE)患者中的应用效果。方法选择2019年11月至2021年11月山东省青岛市市立医院收治的80例SLE患者,按信封随机法将其分为对照组和试验组,各40例。对照组实施基础护理,试验组实施PAC弹性理论指导下分阶段康复指导,两组均护理4周。比较两组护理后焦虑抑郁情绪、心理弹性量表(CD-RICS)得分和干预效果及安全性。结果护理4周后,试验组焦虑自评量表和抑郁自评量表得分均低于对照组,且试验组低于对照组(P<0.05);两组CD-RICS得分及总分均高于护理前,且试验组高于对照组(P<0.05);试验组溃烂皮肤愈合用时与红斑消退天数短于对照组(P<0.05);试验组并发症发生率低于对照组(P<0.05)。结论在SLE患者的护理中,PAC弹性理论指导下分阶段康复指导的效果显著,对于负性情绪有较为明显的改善作用,红斑消退速度加快,患者心理弹性更强,促进并发症降低,值得推广。

Objective To analyze the application of staged rehabilitation guidance under the guidance of PAC elasticity theory in patients with systemic lupus erythematosus(SLE).Methods A total of 80 SLE patients admitted to Qingdao Municipal Hospital,Shandong Province,from November 2019 to November 2021 were selected,and they were divided into control group and experimental group by envelope random method,with 40 cases in each group.The control group was given basic nursing care,and the experimental group was given staged rehabilitation guidance under the guidance of PAC elasticity theory.The effects of anxiety,depression,connor-davidson resilience scale(CD-RICS)scores,intervention effects and safety were compared between the two groups.Results After four weeks of nursing,the scores of self-rating anxiety scale and self-rating depression scale in experimental group were lower than those in control group,and the scores in experimental group were lower than those in control group(P<0.05);the score and total score of CD-RICS in two groups were higher than those before nursing,and the experimental group was higher than the control group(P<0.05).The healing time of ulcerated skin in experimental group was shorter than that in control group(P<0.05);the complication rate of experimental group was lower than that of control group(P<0.05).Conclusion In the nursing of SLE patients,the phased rehabilitation guidance under the guidance of PAC elasticity theory has a significant effect,which has a relatively obvious improvement effect on negative emotions.The speed of erythema fading is accelerated,the psychological resilience of patients is stronger,and the complications are reduced,which is worth promoting.