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叙事护理联合早期主动性干预在重症肌无力患者中的应用

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目的 探究叙事护理联合早期主动性干预在重症肌无力(MG)患者中的应用效果.方法 选择许昌市人民医院于2020年1月至2022年12月收治的98例MG患者,以随机数字表法分为两组(各49例).对照组接受早期主动性干预,观察组在对照组基础上接受叙事护理,两组均干预至患者出院.比较两组干预前后症状改善情况[重症肌无力定量评分(QMG)]、心理状况[焦虑自评量表(SAS)及抑郁自评量表(SDS)]及生活质量[重症肌无力-生活质量-15项(MG-QOL-15)].结果 出院时,两组QMG评分均降低,且观察组较对照组低(P<0.05);出院时,两组SAS、SDS评分均降低,且观察组较对照组低(P<0.05);出院时,两组MG-QOL-15评分均升高,且观察组较对照组高(P<0.05).结论 叙事护理联合早期主动性干预可促进MG患者肌无力症状减轻,改善其心理状况,提高生活质量.
Application of Narrative Nursing Combined with Early Proactive Intervention in Patients with Myasthenia Gravis
Objective To explore the application effect of narrative nursing combined with early proactive intervention in patients with myasthenia gravis(MG).Methods A total of 98 MG patients admitted to the Xuchang Peoples Hospital from January 2020 to December 2022 were randomly divided into two groups(49 patients in each group)by random number table method.The control group was given early proactive intervention,while the observation group was given narrative nursing on the basis of the control group.Both groups intervened until the patient was discharged.The improvement of symptoms[quantitative score of myasthenia gravis(QMG)],psychological status[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]and quality of life[myasthenia gravis-quality of life-15(MG-QOL-15)]were compared between the two groups before and after intervention.Results At discharge,the QMG scores of both groups decreased,and the observation group was lower than the control group(P<0.05).At discharge,the SAS and SDS scores of both groups decreased,and the observation group was lower than the control group(P<0.05).At discharge,the MG-QOL-15 scores of both groups increased,and the observation group was higher than the control group(P<0.05).Conclusion Narrative nursing combined with early proactive intervention can promote the reduction of muscle weakness symptoms in MG patients,improve their psychological status,and improve their quality of life.

myasthenia gravisnarrative nursingearly proactive interventionpsychology

司群英、杜兰梦、周杰

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许昌市人民医院神经内科,河南许昌 461000

重症肌无力 叙事护理 早期主动性干预 心理

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(13)
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