CAJ | 학술논문

目的探讨循证-人性化新型护理模式在泛发性脓疱型银屑病护理中的应用效果.方法将84例泛发性脓疱型银屑病患者随机分为实验组和对照组各42例.实验组采用循证-人性化新型护理模式,根据调查泛发性脓疱型银屑病患者人性化护理需求的结果,提出循证问题,检索、筛选文献,寻求高级别证据,结合以往护理经验,制订循证-人性化新型护理方案并实施;对照组采用常规护理程序.在入院2周时,比较2组患者的疼痛和焦虑、抑郁程度.出院前,比较2组患者并发症发生情况.结果入院2周时,患者0级、1级、2级、3级、4级、5级疼痛的例数分别为实验组0、5、26、7、4和0例及对照组0、0、0、12、20和10例,2组比较差异有统计学意义,U=6.957,P＜0.01;焦虑、抑郁评分实验组为(41.35 ±4.30)分和(42.55±7.71)分,对照组为(51.31 ±4.56)分和(50.36±6.89)分,2组比较差异有统计学意义,t=10.540及t=4.893,P值均＜0.01.结论循证-人性化新型护理模式能有效提高泛发性脓疱型银屑病患者人性化护理效果.
목적 탐토순증-인성화신형호리모식재범발성농포형은설병호리중적응용효과.방법 장84례범발성농포형은설병환자수궤분위실험조화대조조각42례.실험조채용순증-인성화신형호리모식,근거조사범발성농포형은설병환자인성화호리수구적결과,제출순증문제,검색、사선문헌,심구고급별증거,결합이왕호리경험,제정순증-인성화신형호리방안병실시;대조조채용상규호리정서.재입원2주시,비교2조환자적동통화초필、억욱정도.출원전,비교2조환자병발증발생정황.결과 입원2주시,환자0급、1급、2급、3급、4급、5급동통적례수분별위실험조0、5、26、7、4화0례급대조조0、0、0、12、20화10례,2조비교차이유통계학의의,U=6.957,P＜0.01;초필、억욱평분실험조위(41.35 ±4.30)분화(42.55±7.71)분,대조조위(51.31 ±4.56)분화(50.36±6.89)분,2조비교차이유통계학의의,t=10.540급t=4.893,P치균＜0.01.결론 순증-인성화신형호리모식능유효제고범발성농포형은설병환자인성화호리효과.
Objective To explore the effects of application of the new model of evidence-based land humanized nursing in patients with universal pustular psoriasis.Methods Divided 84 patients with universal pustular psoriasis into the experimental group (42 cases) and the control group (42 cases) randomly.Evidence-based questions were raised according to the requests about humanized nursing of patients in the experimental group,and then retrieved and screened literature,sought high-level evidence,combined with previous nursing experience,developed new evidence-based and humanized nursing programs and implemented in the experimental group.The control group used conventional care program.Two weeks after admission,pain,anxiety,depression degree and the complications of two groups were compared.Results Two weeks after admission,the patients with 0 to 5 levels of pain in the experimental group was 0,5,26,7,4 and 0 cases respectively,which in the control group was0,0,0,12,20 and 10 cases respectively,the difference was significant between the two groups (U=6.957,P＜0.01).Anxiety and depression scores in the experimental group was (41.35±4.30) and (42.55±7.71) respectively,which in the control group was (51.31±4.56) and(50.36±6.89) respectively,the difference were significant between the two groups (t=10.540 and 4.893,P＜0.01).Conclusions The new model of evidence-based and humanized nursing can effectively improve the effects of humanized nursing in patients with universal pustular psoriasis.