摘要
目的探讨基于目标达成理论的护理干预在CO_(2)点阵激光治疗痤疮瘢痕的应用。方法选择2020年1月至2022年2月,痤疮瘢痕患者140例,均先行C0_(2)点阵激光治疗,能量12.5~70mJ,治疗3次为1个疗程,每次治疗间隔2个月。根据不同护理干预方式分成对照组和目标达成组,每组患者70例。对照组患者采用常规护理干预;目标达成组患者采用基于目标达成理论的护理干预。激光治疗前、末次激光治疗后1个月和3个月,借助皮损积分系统对患者皮损症状积分评估皮损状况。激光治疗前、末次激光治疗后3个月,使用皮肤疾病生活质量量表(dermatology life quality index,DLQI)[5]进行生存能力评估;利用自我感受负担量表(self-perceived burden,SPB)[6]对患者的自我感受进行评估;选择健康调查简表(the MOS item short fromhealth survey,SF-36)评估患者生活质量。比较两组患者痤疮缓解时间、不良反应发生情况、生存能力、自我感受负担及不良反应。结果治疗前,两组患者的皮损症状积分相似(P>0.05);末次激光治疗后1个月和3个月,目标达成组皮损症状积分均低于对照组,两组比较差异具有统计学意义(均P<0.05)。治疗前,两组患者的DLQI评分相似(P>0.05);末次激光治疗后3个月,两组患者的DLQI评分均呈现下降趋势(P<0.05),且目标达成组患者的DLQI评分较对照组降幅更明显(P<0.05)。治疗前,两组患者的SPB评分相似(P>0.05);末次激光治疗后3个月,两组患者的SPB评分均呈现下降趋势(P<0.05),且目标达成组患者的SPB评分较对照组降幅更明显(P<0.05)。两组患者治疗前生活质量评分比较,差异无统计学意义(P>0.05);末次激光治疗后3个月,目标达成组患者生活质量评分高于对照组(P<0.05)。目标达成组经干预后,患者痤疮缓解时间(3.21±4.0)个月短于对照组(5.95±4.4)个月(P<0.05);而目标达成组不良反应发生率(5.71%)显著低于对照组的(12.9%),两组比较差异具有统计学意义(P<0.05)。结论基于目标达成理论的护理干预通过提高治疗效率、制定个体化护理计划、预防和管理不良反应、促进术后恢复以及提供心理支持、加强信息教育和增强社会支持等方式,能够显著提高CO_(2)点阵激光治疗痤疮瘢痕患者的生存能力并降低患者的自我感受负担。
Objective To explore the application of the nursing intervention based on goal attainment theory in the treatment of acne scars with CO_(2)fractional laser.Methods Totally 140 patients with acne scars admitted to our hospital between Jan.2020 and Feb.2022 were selected and divided into a control group(routine nursing intervention)and agoal achievement group(nursing intervention based on goal achievement theory)by intervention methods,70 patients in each group.The healing time,viability,self-perceived burden and adverse reactions were compared between the two groups.Results Before the intervention,the symptom scores of the two groups were similar(P>0.05).The scores of the target achievement group were lower than those of the control group 1 month and 3 months after the intervention,and the differences between the two groups were significant(P<0.05).Before the intervention,the DLQI scores of the two groups were similar(P>0.05).Afer the intervention,the DLQI scores of both groups dropped(P<0.05),and the DLQI score was much lower in the target group than in the control group(P<0.05).Before the intervention,the SPB scores of the two groups were similar(P>0.05).After the intervention,the SPB scores of both groups showed a downward trend(P<0.05),and the SPB score in the goal achievement group was significantly lower than that in the control group(P<0.05).There was no significant difference in life quality score between the two groups before the intervention(P>0.05).Three months after the intervention,the life quality score of the patients in the goal achievement group was higher than that in the control group(P<0.05).After the intervention,the remission time of acnes in the study group was shorter than that in the control group(P<0.05).The incidence(5.71%)of adverse reactions in the study group was significantly lower than that(12.86%)in the control group,and the difference between the two groups was significant(P<0.05).Conclusions The nursing intervention based on goal attainment theory will significantly improve the survival ability of patients with acne scars treated with CO_(2) laser and reduce their self-perceived burden through improving treatment efficiency,formulating individualized nursing plan,preventing and managing adverse reactions,promoting postoperative recovery,providing psychological support,strengthening information education and enhancing social support.
作者
周瑾雯
孙晓飞
赵研
童海文
ZHOU Jinwen;SUN Xiaofei;ZHAO Yan;TONG Haiwen(Departmentof Photomedical Therapy,Shanghai skin Disease hospital,Shanghai 200435,China)
出处
《中国激光医学杂志》
CAS
2024年第5期196-202,共7页
Chinese Journal of Laser Medicine & Surgery
