基于多学科协助的综合护理模式对老年原发性干燥综合征患者不良情绪及自我效能的影响

Effects of Multidisciplinary Assisted Comprehensive Nursing Model on Adverse Mood and Self-efficacy in Elderly Patients with Primary Sjogren's Syndrome

目的探讨老年原发性干燥综合征患者实施基于多学科协助的综合护理对其不良情绪以及自我效能的影响。方法数据(72例样本)取自本院2020年2月至2022年1月收治的老年原发性干燥综合征患者,通过随机分组得到对照、观察组,每组均包含来自河南省人民医院风湿免疫科的36例样本。入组后,将常规护理给予所有患者,并额外给予观察组基于多学科协助的综合护理。比较两组护理前后匹兹堡睡眠质量指数问卷(PSQI)、疲劳严重量表(FSS)、疾病管理自我效能测量表评分,自护能力,不良情绪以及护理后服药依从情况。结果与护理前比,护理后两组PSQI、FSS、焦虑自评量表(SAS)与抑郁自评量表(SDS)得分均降低,且观察组低于对照组;疾病管理自我效能测量表与自护能力量表各项得分以及总分升高,且观察组高于对照组;观察组护理后服药依从率高于对照组,差异有统计学意义(P<0.05)。结论老年原发性干燥综合征患者实施基于多学科协助的综合护理能够有效改善其睡眠质量以及疲劳程度,提高自我效能以及自护能力,并疏解不良情绪,增强服药依从性。

Objective To investigate the effects of multidisciplinary assisted comprehensive nursing model on adverse mood and self-efficacy in elderly patients with primary Sjogren's syndrome.Methods Data(72 samples)were collected from elderly patients with primary Sjogren's syndrome admitted to our hospital from February 2020 to January 2022.The control group and the observation group were randomly grouped,and each group contained 36 samples from the rheumatology and immunology department of Henan Provincial People's Hospital.After enrollment,routine care was given to all patients,with additional multidisciplinary assisted comprehensive nursing model for the observation group.Pittsburgh Sleep Quality Index(PSQI),Fatigue Severity Scale(FSS),Disease Management Self-efficacy scale scores,self-care ability and adverse mood before and after nursing,and medication compliance between the two groups after nursing.Results Compared with before nursing,the scores of PSQI,FSS,Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the two groups after nursing decreased,and the observation group was lower than the control group;The scores and total scores of disease management self-efficacy scale and self-care ability scale increased,and the observation group was higher than the control group;The rate of medication compliance after nursing in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).Conclusion Multidisciplinary assisted comprehensive nursing model can effectively improve sleep quality,fatigue,self-efficacy and self-care ability of elderly patients with primary Sjogren's syndrome,relieve adverse mood and enhance medication compliance.