基于症状管理理论的护理措施治疗系统性红斑狼疮相关肺动脉高压的临床应用分析

Clinical Application Analysis of Nursing Measures Based on Symptom Management Theory in Systemic Lupus Erythematosus Related Pulmonary Hypertension

目的探讨症状管理理论的护理措施在系统性红斑狼疮(Systemic Lupus Erythematosus,SLE)相关肺动脉高压中的临床应用。方法随机选取2021年1月—2023年6月广西梧州市工人医院收治的90例SLE合并肺动脉高压患者为研究对象,以随机数表法分为对照组(n=45,常规护理干预)与研究组(n=45,症状管理理论为导向的护理干预)。评价两组患者自我行为管理、护理后不良反应发生率和护理满意度。结果护理后,研究组自我行为管理评分优于对照组,差异有统计学意义(P<0.05)。研究组不良反应总发生率为6.67%,低于对照组的22.22%,差异有统计学意义(P<0.05)。研究组护理满意度为91.11%,高于对照组的75.56%,差异有统计学意义(χ^(2)=3.920,P<0.05)。结论以症状管理理论为导向的护理干预能改善SLE相关肺动脉高压患者的自我行为管理能力,提高其护理满意度并减少不良症状发生情况。

Objective To explore the clinical application of nursing measures of symptom management theory in systemic lupus erythematosus(SLE)-related pulmonary hypertension.Methods A total of 90 patients with SLE complicated with pulmonary hypertension admitted to Guangxi Wuzhou Workers'Hospital from January 2021 to June 2023 were randomly selected as the research objects.They were divided into control group(n=45,routine nursing intervention)and study group(n=45,symptom management theory-oriented nursing intervention)by random number table method.The self-behavior management,incidence of adverse events after nursing and nursing satisfaction were evaluated.Results After nursing,the self-behavior management score of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse events in the study group was 6.67%,which was lower than 22.22%in the control group,and the difference was statistically significant(P<0.05).The nursing satisfaction of the study group was 91.11%,which was higher than 75.56%of the control group,the difference was statistically significant(χ^(2)=3.920,P<0.05).Conclusion The application of symptom management theory-oriented nursing intervention in patients with SLE-related pulmonary hypertension can improve self-behavior management,improve nursing satisfaction,reduce the occurrence of adverse symptoms.