特色护理干预对慢性盆腔炎患者生命质量的影响

Influence of special nursing intervention for the quality of life of patients with chronic pelvic inflammatory disease

目的：探讨特色护理干预与门诊随访管理对慢性盆腔炎患者生命质量的影响。方法按随机数字表法将80例患者分为2组，对照组和观察组各40例。均采用常规抗生素治疗和常规护理措施管理，参加医院组织的每月1次的慢性盆腔炎相关知识讲座，自愿通过医院提供的网络平台交流和学习疾病治疗的相关知识与心得体会。观察组在此基础上给予中西医综合疗法，即抗生素静脉滴注与中药自拟化瘀解毒方灌肠治疗，同时给予中医艾灸、中药熏洗等特色护理干预技术及一体化门诊随访管理。干预3个月、随访6个月后，根据WHO生命质量简表，评价出2组患者的生命质量及疗效。结果干预6个月后观察组生命质量的环境领域、生理领域、心理领域、社会领域、独立性领域、精神领域6项得分分别为（70.33±16.85）、（70.38±18.80）、（71.43±18.28）、（70.13±19.08）、（73.10±17.70）、（75.38±7.30）分，对照组分别为（61.38±16.17）、（56.70±17.69）、（43.13±19.77）、（55.00±19.08）、（53.75±16.45）、（49.80±17.26）分，2组比较差异有统计学意义（t=2.424～8.631，P＜0.05）；观察组患者的疗效为95.00%（38/40），对照组为82.50%（33/40），2组比较差异有统计学意义（U=2.507，P＜0.05。结论特色护理干预技术中医艾灸、中药熏洗、一体化门诊随访管理以及自拟化瘀解毒方灌肠等治疗可有效提高慢性盆腔炎门诊患者生命质量、疗效及满意度，改善其心理状态和提高遵医行为的依从性。

Objective To discuss the influence of special nursing intervention for the quality of life of outpatients with chronic pelvic inflammatory disease. Methods Divided 80 patients into the observation group and the control group randomly, there were 40 cases in each group. Routine nursing, treatment and disease-related lecture were used in both the groups, while the combined therapy of Chinese and Western medicine was used in the observation group in addition. Evaluated the quality of life and the effects of treatment by the World Health Organization′s quality of surviving chart between the two groups after 3-month intertention and 6-month follow-up. Results The scores of quality of environment field, physiology field ,psychological field, sociological field, independence field and mental field in the observation group was (70.33+16.85 ) (70.38+18.80), (71.43+18.28),(70.13+19.08), (73.10+17.70) and (75.38+7.30) respectively, while in the control group was (61.38+16.17), (56.70+17.69), (43.13+19.77), (55.00+19.08), (53.75+16.45) and (49.80+17.26) respectively, the difference between the two groups was&nbsp;significant, the t values were 2.424-8.631, P < 0.05. The effective rate of treatment in the observation group was 95.00%(38/40), while in the control group was 82.5%(33/40), the difference was significant, U=2.507, P < 0.05. Conclusions Special nursing intervention can promote the quality of life ,effects of treatment and the satisfaction of treatment in outpatients with chronic pelvic inflammatory disease, improve their psychological state and the compliance.