中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
13期
963-965
,共3页
黎玉芬%何春红%蒋丽君%罗靖莹%李年珍
黎玉芬%何春紅%蔣麗君%囉靖瑩%李年珍
려옥분%하춘홍%장려군%라정형%리년진
硬皮病,系统性%集束化护理
硬皮病,繫統性%集束化護理
경피병,계통성%집속화호리
Scleroderma,systemic%Bundle of care
目的 探讨集束化护理策略对预防系统性硬皮病患者纤维硬化并发症的应用效果.方法 选择在我科住院治疗的系统性硬皮病患者59例,按随机数字表法分为实验组34例和对照组25例.实验组采取集束化护理策略,包括“一操”“两呼”“三惯”“四防”,以预防患者纤维硬化并发症;对照组采用专科常规护理程序.在患者入院时和出院前分别评估2组患者皮肤硬度、关节功能、雷诺现象、吞咽功能的分值,并比较2组患者的住院天数.结果 干预后实验组皮肤硬度、关节功能、雷诺现象、吞咽功能评分为(14.74±1.33)、(7.06±0.69)、(0.88±0.33)、(0.54±0.21)分,显著优于对照组的(24.08±1.12)、(13.48±0.77)、(1.24±0.60)、(0.96±0.34)分,P＜0.01.实验组与对照组的住院天数分别为(23.65 ±5.45)、(32.00±6.56)d,2组比较差异有统计学意义,t=-5.340,P＜ 0.01.结论 集束化护理策略能有效对抗系统性硬皮病患者的纤维化损害,减少并发症的发生.
目的 探討集束化護理策略對預防繫統性硬皮病患者纖維硬化併髮癥的應用效果.方法 選擇在我科住院治療的繫統性硬皮病患者59例,按隨機數字錶法分為實驗組34例和對照組25例.實驗組採取集束化護理策略,包括“一操”“兩呼”“三慣”“四防”,以預防患者纖維硬化併髮癥;對照組採用專科常規護理程序.在患者入院時和齣院前分彆評估2組患者皮膚硬度、關節功能、雷諾現象、吞嚥功能的分值,併比較2組患者的住院天數.結果 榦預後實驗組皮膚硬度、關節功能、雷諾現象、吞嚥功能評分為(14.74±1.33)、(7.06±0.69)、(0.88±0.33)、(0.54±0.21)分,顯著優于對照組的(24.08±1.12)、(13.48±0.77)、(1.24±0.60)、(0.96±0.34)分,P＜0.01.實驗組與對照組的住院天數分彆為(23.65 ±5.45)、(32.00±6.56)d,2組比較差異有統計學意義,t=-5.340,P＜ 0.01.結論 集束化護理策略能有效對抗繫統性硬皮病患者的纖維化損害,減少併髮癥的髮生.
목적 탐토집속화호리책략대예방계통성경피병환자섬유경화병발증적응용효과.방법 선택재아과주원치료적계통성경피병환자59례,안수궤수자표법분위실험조34례화대조조25례.실험조채취집속화호리책략,포괄“일조”“량호”“삼관”“사방”,이예방환자섬유경화병발증;대조조채용전과상규호리정서.재환자입원시화출원전분별평고2조환자피부경도、관절공능、뢰낙현상、탄인공능적분치,병비교2조환자적주원천수.결과 간예후실험조피부경도、관절공능、뢰낙현상、탄인공능평분위(14.74±1.33)、(7.06±0.69)、(0.88±0.33)、(0.54±0.21)분,현저우우대조조적(24.08±1.12)、(13.48±0.77)、(1.24±0.60)、(0.96±0.34)분,P＜0.01.실험조여대조조적주원천수분별위(23.65 ±5.45)、(32.00±6.56)d,2조비교차이유통계학의의,t=-5.340,P＜ 0.01.결론 집속화호리책략능유효대항계통성경피병환자적섬유화손해,감소병발증적발생.
objective To explore the effect of application of cluster-based strategies on preventing the complication of fibrosclerosis of patients with systemic scleroderma.Methods A total of 59 patients with systemic scleroderma were randomly assigned to the experimental group (34 cases) and the control group (25 cases) during the period of hospitalization in our department.The experimental group took the cluster-based strategies after admission,including "a gymnastics","two kinds of respiratory breathing","three kinds of habits","four kinds of protection" to prevent the complication of fibrosclerosis.The control group received the conventional care procedures of dermatology.The skin stiffness,joint function,Raynaud's phenomenon and swallowing function were evaluated when patients were admitted and before discharge in two groups.The length of stay between the two groups was also compared.Results The skin stiffness,joint function,Raynaud's phenomenon and swallowing function scored (14.74±1.33),(7.06±0.69),(0.88±0.33),(0.54±0.21) in the experimental group,significantly better than those of the control group,(24.08±1.12),(13.48±0.77),(1.24±0.60),(0.96±0.34),P ＜ 0.01.The length of stay in the experimental group and the control group was (23.65±5.45),(32.00±6.56) days,t=-5.340,P ＜ 0.01.Conclusions Application of cluster-based strategies can be effective against the fibrosclerosis damage of patients with systemic scleroderma and reduce the occurrence of complications.
