孔敏敏 王鑫 何晚珍

[摘要]目的：探究皮肤美容护理对寻常性痤疮患者心理应激反应、生活质量及皮肤外观的影响。方法：将医院皮肤科84例寻常性痤疮患者随机分为观察组（n=42）和对照组（n=42），对照组采用常规护理，观察组采用皮肤美容护理。比较两组干预前后心理应激反应、生活质量、皮肤外观;比较两组干预后患者满意度及总有效率。结果：干预后，观察组痤疮瘢痕及色素沉着消退时间均缩短，差异有统计学意义（P<0.05）。干预后，两组汉密尔顿抑郁量表（Hamilton depression scale，HAMD）评分、汉密尔顿焦虑量表（Hamilton anxiety scale，HAMA）评分和皮肤病生活质量指数（Dermatology life quality index，DLQI）评分均下降，且观察组低于对照组，差异有统计学意义（P<0.05）。干预后，观察组总有效率和满意度均为95.24%;对照组总有效率为73.81%，满意度为76.19%，差异有统计学意义（P<0.05）。结论：皮肤美容护理效果明显优于常规护理，能够稳定患者心理情绪，提高患者生活质量，值得临床推广。

[关键词]寻常性痤疮;皮肤美容护理;心理应激;生活质量;皮肤外观;焦虑;抑郁;皮肤病生活质量指数

[中图分类号]R473.75    [文獻标志码]B    [文章编号]1008-6455（2020）09-0163-04

Effect of Skin Beauty Care on the Appearance and Psychological Stress Reaction of Patients with Acne Vulgaris

KONG Min-min，WANG Xin，HE Wan-zhen

（Department of Dermatology，the First Affiliated Hospital of Army Medical University，Chongqing 400038，China）

Abstract： Objective  To explore the effect of skin beauty care on psychological stress response， quality of life and skin appearance of patients with acne vulgaris. Methods  84 patients with acne vulgaris from our hospital were randomly divided into the observation group （n=42） and the control group （n=42）. The control group was given routine nursing intervention while the observation group was given skin cosmetology care intervention. The psychological stress response， quality of life and skin appearance of the two groups were compared before and after intervention. The satisfaction and total efficiency after intervention were compared between the two groups. Results  After intervention， the time of acne scar and pigmentation in the observation group was shortened， the differences were statistically significant （P<0.05）. After intervention， the scores of Hamilton depression scale （HAMD）， Hamilton anxiety scale （HAMA） and Dermatology quality of life index （DLQI） in the two groups decreased， and the observation group were lower than the control group （P<0.05）. The total effective rate and satisfaction of the observation group were 95.24%， the total effective rate and satisfaction of the control group were 73.81% and 76.19% （P<0.05）. Conclusion  Compared with routine nursing， skin cosmetology care intervention is a better nursing method for patients with acne vulgaris. It can improve the quality of life and stabilize the psychological mood， which is worthy for clinical promotion.

Key words： acne vulgaris; skin beauty care; psychological stress; quality of life; skin appearance; anxiety; depression; Dermatology life quality index（DLQI）

寻常性痤疮是毛囊皮脂腺皮脂增多、毛囊上皮角化亢进及痤疮丙酸杆菌增殖引起的慢性炎症性皮肤病[1]，易造成额面部、胸背部等处粉刺、黑头、丘疹、脓疱、结节及囊肿等损害。其好发人群为青年男女，严重影响患者容貌和人际交往信心[2]。临床上主要以局部外用药物、红蓝光物理治疗及手术治疗为主，治疗后仍以传统的病损恢复护理和日常清洁护理为主，但常规护理效果不佳。寻常性痤疮本质上属于皮肤问题，故应重视对皮肤的美容护理，以最大程度恢复患者容貌和自信心。皮肤美容护理是一种以临床护理为指导，以多种皮肤护理器械为辅助的皮肤护理新模式，廖珍等[3]应用皮肤美容护理干预烧伤患者取得了良好的效果。为进一步寻求高效、安全的医护方式，本研究应用皮肤美容护理对寻常性痤疮患者开展护理干预，旨在为改善寻常性痤疮患者的不良情绪及日常生活提高依据，现做此报道。……