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吴雪1,吴昌辉2,林晓琳1,李正添2,梁培标1,吴晓燕1.自我护理小组模式对麻风病康复患者自我护理能力及心理健康状况的影响[J].中国医药科学,2021,(4):116-118        基金项目:[基金项目] 广东省中山市医学科研项目(2019A020279)
自我护理小组模式对麻风病康复患者自我护理能力及心理健康状况的影响
Impacts of self-care group model on self-care ability and mental health status of leprosy survivors
  
DOI:
中文关键词:  [关键词]自我护理小组模式;麻风病康复者;自我护理能力;心理健康
英文关键词:[Key words] Self-care group model; Leprosy survivors; Self-care ability; Mental health
作者单位
吴雪1,吴昌辉2,林晓琳1,李正添2,梁培标1,吴晓燕1 1.广东省中山市大茅医院综合科,广东中山 528400;2.广东省中山市第二人民医院,广东中山 528447 
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中文摘要:
      [摘要]目的 观察自我护理小组模式对麻风病康复患者自我护理能力及心理健康状况的影响分析。方法 回顾性选取2018年1月至2019年1月中山市登记在全国麻风病防治管理信息系统(LEPMIS)且收治中山市大茅医院的42例麻风病康复患者病历,采用自愿及就近原则将研究对象分为试验组(21例)及对照组(21例)。试验组成立自我护理小组(SCG),小组成员须定期参加集会活动,学习相关的麻风病护理知识,集会也会定期开展组员之间的交流分享会。对照组则采用常规护理模式,项目实施阶段定期比较两组康复者的自我护理能力(ESCA)及心理健康状况(症状自评量表,SCL-90),记录干预后畸残情况,如手足干燥皲裂、手足溃疡、红眼、神经炎等。结果 两组康复患者干预前自我护理能力及心理健康状况评分比较,差异无统计学意义(P>0.05)。干预后,两组康复患者自我护理能力评分提升,心理健康状况评分降低,且试验组自我护理能力评分高于对照组,心理健康状况评分低于对照组(P<0.05);试验组康复患者干预后手足干燥皲裂、手足溃疡、红眼、神经炎发生率均低于对照组(P<0.05)。结论 自我护理小组模式可有效提升麻风康复患者的自我护理能力,改善心理健康状况。
英文摘要:
      [Abstract] Objective To analyze the observation on the impacts of self-care group (SCG) model on self-care ability and mental health status of leprosy survivors. Methods A retrospective selection of the medical records of 42 leprosy patients who were registered in the National Leprosy Prevention and Management Information System (LEPMIS) in Zhongshan City from January 2018 to January 2019 and admitted to Zhongshan Damao Hospital was retrospectively selected, and they were divided into the experimental group (n=21) and the control group (n=21) according to the principle of voluntariness and proximity. SCG was set up in the experimental group, and members of the group were required to attend meetings regularly to learn relevant leprosy care knowledge, and exchanges and sharing sessions among members of SCG were also held regularly in meetings. Meanwhile, the control group adopted the conventional care mode. During the project implementation stage, the exercise of self-care agency (ESCA) and self-reporting inventory (SCL-90) on mental health status of the two groups were compared regularly, and the deformity after intervention, such as dry and chapped hands and feet, ulcer of hands and feet, red eye and neuritis, etc., were recorded. Results Self-care ability and mental health status before intervention were compared between the two groups of survivors (P>0.05). After intervention, the scores of self-care ability of the two groups of survivors were improved, and the scores of mental health status were decreased. Meanwhile, the score of self-care ability of the experimental group was higher than that of the control group, and the score of mental health status was lower than that of the control group (P<0.05). After intervention, the incidences of dry and chapped hands and feet, ulcer of hands and feet, red eye and neuritis of the experimental group were all lower than those of the control group (P<0.05). Conclusion The SCG model can effectively improve the self-care ability and mental health status of the leprosy survivors.
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