摘要
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.
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.
出处
《中国实用护理杂志》
2015年第12期896-900,共5页
Chinese Journal of Practical Nursing
基金
广西壮族自治区卫生厅计划课题（Z2012442）
关键词
循证护理
银屑病
人性化护理
Evidence-based nursing
Psoriasis
Humanized nursing
