摘要
目的 探讨针对性心理护理对银屑病患者心理状态及生活质量的影响。方法 本研究于2023年1月到2025年1月选取我院皮肤科80例银屑病患者作为研究对象,采用随机数字表法将其分为对照组和实验组,各40例。对照组采用常规护理,实验组在对照组常规护理的基础上,实施系统性心理护理干预。两组患者均干预12周,比较两组患者干预后的心理状态、生活质量及护理满意度。结果 干预12周后,实验组焦虑自评量表评分著低于对照组(t=12.365,P=0.000);实验组抑郁自评量表评分明显低于对照组(t=14.127,P=0.000);实验组银屑病生活质量量表评分显著低于对照组(t=18.632,P=0.000);实验组护理满意度显著高于对照组((χ²=7.431,P=0.006)。结论 系统性心理护理可显著改善银屑病患者的焦虑、抑郁情绪,提高生活质量及护理满意度,是一种兼具人文关怀与临床实效的护理模式,值得在银屑病综合管理中推广应用。
关键词: 银屑病;心理护理;焦虑;抑郁;生活质量
Abstract
Objective To explore the impact of targeted psychological nursing on the psychological state and quality of life of patients with psoriasis. Methods A total of 80 patients with psoriasis in the Department of Dermatology of our hospital from January 2023 to January 2025 were selected as the research objects. They were randomly divided into the control group and the experimental group by random number table method, with 40 cases in each group. The control group received conventional nursing, and the experimental group received systematic psychological nursing intervention on the basis of conventional nursing of the control group. Both groups of patients were intervened for 12 weeks. The psychological state, quality of life and nursing satisfaction of the two groups were compared after intervention. Results After 12 weeks of intervention, the score of Self - Rating Anxiety Scale in the experimental group was significantly lower than that in the control group (t = 12.365, P = 0.000); the score of Self - Rating Depression Scale in the experimental group was significantly lower than that in the control group (t = 14.127, P = 0.000); the score of Psoriasis Quality of Life Scale in the experimental group was significantly lower than that in the control group (t = 18.632, P = 0.000); the nursing satisfaction in the experimental group was significantly higher than that in the control group (χ² = 7.431, P = 0.006). Conclusion Systematic psychological nursing can significantly improve the anxiety and depression of patients with psoriasis, and enhance their quality of life and nursing satisfaction. It is a nursing model with both humanistic care and clinical effectiveness, which is worthy of promotion and application in the comprehensive management of psoriasis.
Key words: Psoriasis; Psychological nursing; Anxiety; Depression; Quality of life
参考文献 References
[1] 钱俊英,乔锰,王舒,陈丽华,刘孟秋,魏荣,辛琳琳.银屑病患者心理社会适应潜在剖面分析及其社会疏离感差异比较[J].重庆医学,2025,54(04):824-829.
[2] 乌吉斯古楞.CICARE沟通模式联合团体积极心理护理对银屑病患者负性情绪、病耻感及自我管理能力的影响[J].中华养生保健,2024,42(21):153-156.
[3] 丁春燕,应安欣.综合护理和常规护理在银屑病患者中的护理效果对比[J].中华养生保健,2024,42(04):111-114.
[4] 张慧.研究心理护理干预对银屑病患者负性情绪的影响[J].保健医学研究与实践,2021,18(S1):220-222.
[5] 孙欣,裘莉莉,王欣,李娜.银屑病患者的心理特征分析与心理护理意义[J].心理月刊,2021,16(03):144-145.
[6] 李小芹.系统护理联合心理护理对银屑病患者护理效果及心理状态的影响分析[J].心理月刊,2020,15(23):160-161+202.
[7] 陈维开,蓝雪花,谢花云,关健红,招兰芝,文金玲,刘艳仙.基于CICARE沟通模式的情志干预对寻常型银屑病患者心理状态、应对方式及生活质量的影响[J].中国全科医学,2020,23(S2):170-172.
[8] 张俊华.研究心理护理干预对银屑病患者焦虑抑郁情绪的影响[J].医学食疗与健康,2020,18(21):151-152.