植翠崧++++++钟金宝++++++李燕红

[摘要] 目的 探讨护理干预对神经性皮炎患者心理因素的影响。 方法 选择患者80例，分为两组，每组各40例，观察组采用护理干预，对照组则实施常规护理，如一般护理、饮食护理、药物治疗护理等，比较两组患者治疗前后的心理焦虑和抑郁情况，并统计临床疗效。 结果 治疗后观察组SAS和SDS均低于对照组（P<0.05），观察组的总有效率为95.0%，显著高于对照组的70.0%（P<0.05）。 结论 有效的护理干预能减轻患者的焦虑和抑郁心理，值得临床推广。

[关键词] 护理干预；神经性皮炎；心理因素

[中图分类号] R473.75[文献标识码] B[文章编号] 1674-4721（2014）06（c）-0110-03

Effect of psychologic factor with nursing intervention for neurodermatitis

ZHI Cui-song ZHONG Jin-bao LI Yan-hong

Traditional Chinese Medicine Department,Guangzhou Institute of Dermatology,Guangzhou 510095,China

[Abstract] Objective To investigate the effects of psychologic factor with nursing intervention for neurodermatitis. Methods 80 cases were divided into two groups,each group of 40 cases,the observation group were used the nursing intervention,the control group were received routine care,such as general care,diet care,medication care,then mental anxiety and depression conditions before and after treatment and clinical efficacy in both groups were compared. Results After treatment,the observation group with SAS and SDS were lower than control group (P<0.05),the effective power in the observation group was 95.0%,it was significantly higher than control group′ 70.0% (P<0.05). Conclusion Effective nursing intervention can reduce anxiety and depression psychological in patients,so it is worthy of promotion in cliniconl.

[Key words] Nursing interventoon;Neurodermatitis;Psychological pactors

神经性皮炎是因为局部皮肤神经功能障碍导致的皮肤疾病，又被称为慢性单纯性苔藓[1]。祖国医学谓之“牛皮癣”“摄领疮”，该病好发于颈项部，临床上皮肤呈苔藓样改变，局部肥厚且粗糙，伴有剧烈的瘙痒，本病常常迁延不愈，病程极长，且反复发作，目前西医主要以对症治疗为主，多采取局部应用皮质类固醇激素外用及系统使用抗过敏药物，缺乏根治方法[2]。火针乃针灸之基础发展而来，其为针与灸之精华相合，其临床治疗效果优于普通针灸，火针是用特制的针具在火焰上加热后刺激皮肤，使局部温热骤升，促使神经功能传导、帮助局部炎症消散，同时可有效提高机体抵抗力，增加局部皮肤的免疫功能[3]。本科使用火针治疗神经性皮炎已经积累了丰富的经验，取得了理想的治疗效果。本研究主要探讨使用火针治疗神经性皮炎的护理干预，并分析其对患者心理因素的影响。

1 资料与方法

1.1 一般资料

选择2013年9月～2014年3月本科门诊的神经性皮炎患者80例，按照随机数字法分为两组，每组各40例，其中观察组男15例，女25例，年龄18～50岁，平均（32.3±2.9）岁，病程1～10年，平均（2.3±0.1）年；……