首页|授权赋能护理对系统性红斑狼疮患者遵医行为及病情转归的影响

授权赋能护理对系统性红斑狼疮患者遵医行为及病情转归的影响

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目的:探讨授权赋能护理对系统性红斑狼疮患者遵医行为及病情转归的影响.方法:将上海中医药大学附属曙光医院 2020 年 9 月—2022 年 2 月收治的 85 例系统性红斑狼疮患者按照组间基线匹配资料的原则分为对照组 42 例和观察组 43 例.对照组采用常规护理,观察组在对照组的基础上采用授权赋能护理.两组均干预 6 个月.对两组患者干预后的遵医行为、病情转归情况进行比较.结果:干预后,观察组用药及复查、避免接触复发因素、发现复发征象、饮食习惯、避免感染、活动与休息评分及总分均高于对照组,差异均有统计学意义(P<0.05).干预后,观察组的系统性红斑狼疮疾病活动度指数低于对照组,红细胞沉降率、免疫球蛋白G(IgG)、24 h尿蛋白定量均低于对照组,差异均有统计学意义(P<0.05).结论:授权赋能护理能够显著提高系统性红斑狼疮患者的遵医行为,改善病情转归,是一种有效的慢病管理模式.
Influence of Empowering Nursing on Compliance Behavior and Prognosis of Patients with Systemic Lupus Erythematosus
Objective:To explore the influence of empowering nursing on compliance behavior and prognosis of patients with systemic lupus erythematosus.Method:A total of 85 patients with systemic lupus erythematosus admitted to Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine from September 2020 to February 2022 were divided into the control group(42 cases)and the observation group(43 cases)according to the principle of baseline matching data between groups.The control group was given routine nursing care,while the observation group was given empowerment nursing on the basis of the control group.Both groups were intervened for 6 months.The compliance behavior and prognosis of the two groups of patients after intervention were compared.Result:After intervention,the scores of medication and review,avoidance of exposure to recurrence factors,detection of recurrence signs,eating habits,avoidance of infection,activity and rest and total score of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).After intervention,the disease activity index of systemic lupus erythematosus in the observation group was lower than that in the control group,and the erythrocyte sedimentation rate,immunoglobulin G(IgG)and 24 h urine protein were lower than those in the control group,with significant differences(P<0.05).Conclusion:Empowered nursing can significantly improve the compliance behavior of systemic lupus erythematosus patients and improve the prognosis,which is an effective chronic disease management model.

Empowering nursingSystemic lupus erythematosusCompliance behaviorDisease outcome

华海燕

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上海中医药大学附属曙光医院十七病区 上海 200021

授权赋能护理 系统性红斑狼疮 遵医行为 病情转归

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(10)
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