链式亲情护理在老年原发性干燥综合征患者中的应用效果

Application effect of chain-like family care in elderly patients with primary Sjögren's syndrome

目的分析链式亲情护理应用于老年原发性干燥综合征(pSS)患者中的临床效果。方法选取扬州大学附属医院于2019年4月至2022年4月收治的100例老年pSS患者进行前瞻性研究,依据随机数字表法将其分为2组,将接受常规护理的患者设为对照组(50例),另将在常规护理基础上接受链式亲情护理的患者设为观察组(50例)。比较2组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、医学应对问卷(MCMQ)、干燥综合征疾病活动指数(ESSDAI)和干燥综合征患者报告指数(ESSPRI)评分,以及护理依从率。结果出院时及出院1个月后,2组的HAMA、HAMD、ESSDAI和ESSPRI评分均比入院时低(P均<0.05),且出院1个月后的上述评分均较出院时更低(P均<0.05);观察组的4项评分与同期对照组相比均更低(P均<0.05)。出院时及出院1个月后,2组的面对评分均比入院时高,屈服和回避评分均比入院时低(P均<0.05),且出院1个月后的上述评分均较出院时更优(P均<0.05);观察组的MCMQ各项评分与同期对照组相比均更优(P均<0.05)。出院时,观察组的护理总依从率(96.00%)高于对照组(82.00%,P<0.05)。结论链式亲情护理可缓解老年pSS患者的负性情绪,提升其护理依从性,且使患者以积极的心态面对疾病,促进其预后改善。

Objective To analyze the clinical effect of chain-like family care on the elderly patients with primary Sjögren's syndrome(pSS).Methods One hundred elderly patients with pSS admitted to the Affiliated Hospital of Yangzhou University from April 2019 to April 2022 were included in a prospective study.They were divided into two groups through a random number table.The patients receiving routine care(50 cases)were set as the control group,and the patients receiving chain-like family care on the basis of the routine care(50 cases)were set as the observation group.The scores of the Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD),Medical Coping Modes Questionnaire(MCMQ),European League Against Rheumatism Sjögren's Syndrome Disease Activity Index(ESSDAI),and European League Against Rheumatism Sjögren's Syndrome Patient Reported Index(ESSPRI),as well as the nursing compliance rate were compared between the two groups.Results At discharge and 1 month after discharge,the HAMA,HAMD,ESSDAI,and ESSPRI scores of both groups were lower than those at admission(all P<0.05),and the above scores at 1 month after discharge were lower than those at discharge(all P<0.05).The scores of the 4 scales of the observation group were lower than those of the control group during the same period(all P<0.05).At discharge and 1 month after discharge,the confrontation scores of both groups were higher than those at admission,and the resignation and avoidance scores were lower than those at admission(all P<0.05).The above scores at 1 month after discharge were better than those at discharge(all P<0.05).The scores of various domains of the MCMQ in the observation group were better than those in the control group during the same period(all P<0.05).At discharge,the total nursing compliance rate in the observation group was higher than that in the control group(96.00%vs.82.00%,P<0.05).Conclusion Chain-like family care can alleviate the negative emotions of elderly pSS patients,enhance their nursing compliance,enable them to face the disease with a positive attitude,and promote their prognosis.