论文部分内容阅读
目的:探讨辨证施护干预对慢性皮肤溃疡治愈率及护理满意度的影响.方法:选取78例慢性皮肤溃疡患者,依照入院顺序分组,各39例.对照组予以常规外科换药及护理,观察组采取中医辨证换药与辨证施护干预.对比两组干预前后抑郁评分(HAMD)、焦虑评分(HAMA)、生活质量评分(SF-36)情况,并比较两组治疗效果及护理满意度.结果:干预前两组HAMD与HAMA评分比较,差异无统计学意义(P＞0.05),干预后,观察细HAMD与HAMA评分均低于对照组,差异均有统计学意义(P＜0.05);干预后,观察组SF-36评分高于对照,差异有统计学意义(P＜0.05);干预后观察组总有效率及治愈率分别为97.44％、71.79％,均高于对照组76.92％、48.72％,差异有统计学意义(P＜0.05);干预后观察组总满意度94.87％,亦高于对照组71.79％,差异有统计学意义(P＜0.05).结论:慢性皮肤溃疡患者予以辨证施护干预可有效强化治疗效果,改善患者负性情绪,提高其生活质量及护理满意度.“,”Objective:To investigate the effect of syndrome identification nursing intervention on the cure rate and nursing satisfaction of patients with chronic skin ulcer.Methods:A total of 78 patients with chronic skin ulcer were selected.They were divided into two groups according to the order of admission,each with 39 cases.The control group was treated with conventional surgical dressing and nursing,while the observation group was treated with syndrome identification surgical dressing and syndrome identification nursing intervention.The depression scores (HAMD),anxiety scores (HAMA) and quality of life (SF-36) scores were compared between the two groups before and after intervention.The treatment effect and nursing satisfaction of the two groups were compared.Results:HAMD and HAMA scores were compared between the two groups before the intervention,and the difference was not statistically significant (P＞0.05).Afier the intervention,the observation group showed lower scores of HAMD and HAMA than the control group,and the difference was statistically significant (P＜0.05).The observation group showed higher SF-36 score than the control group,and the difference was statistically significant (P＜0.05),after intervention.The total effective rate and cure rate of the observation group were 97.44％ and 71.79％,respectively,which were higher than the control group of 76.92％ and 48.72％.The difference was statistically significant (P＜0.05).After the intervention,the total satisfaction degree of the observation group was 94.87％,which was higher than the control group of 71.79％,and the difference was statistically significant (P＜0.05).Conclusion:The syndrome identification nursing intervention can effectively strengthen the therapeutic effect,improve the negative emotion and improve the quality of life and the satisfaction of the patients.