陈曙光 邹永珍

[摘要]目的：探究心理社會支持模式护理干预对玫瑰痤疮患者QLO-C30评分及症状积分的影响。方法：选取2017年2月-2019年2月在笔者医院皮肤科就诊的120例玫瑰痤疮患者，随机分为对照组（60例）和观察组（60例）。两组患者均予以对症治疗，同时给予对照组常规护理干预，观察组则给予心理社会支持模式护理干预。两组均连续干预6个月后，观察并比较其生存质量、抑郁程度（Self-rating depression scale，SDS）、自我感受负担（Self-perceived burden，SPB）、社会支持（Social support rating scale，SSRS）及皮损情况。结果：干预后，观察组躯体功能、社会功能、角色功能、认知功能、情绪功能各项评分均高于对照组，差异有统计学意义（P<0.05）。两组SDS评分、SPB评分均降低、SSRS评分升高，且观察组SDS评分、SPB评分低于对照组，SSRS评分高于对照组，差异有统计学意义（P<0.05）。两组皮损积分降低，且观察组皮损积分低于对照组，差异有统计学意义（P<0.05）。观察组治疗总依从率及耐受率均显著高于对照组，差异有统计学意义（P<0.05）。结论：心理社会支持模式护理干预有助于改善玫瑰痤疮患者的生活质量及抑郁程度，降低症状积分及SPB评分，值得推广。

[关键词]心理社会支持模式;玫瑰痤疮;生存质量;抑郁;自我感受负担;社会支持;皮损;依从率

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2021）01-0164-04

Effect of Psychosocial Support Model Nursing Intervention on Quality of Life Score and Symptom Score of Rosacea Patients

CHEN Shu-guang，ZOU Yong-zhen

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

Abstract： Objective  To explore the effect of psychosocial support mode nursing intervention on score of QLO-C30 and score of symptom in patients with rosacea. Methods  120 cases of patients with rose acne who visited the dermatological department of our hospital between February 2017 and February 2019 were randomly divided into the control group （60 cases） and the observation group （60 cases）. Both groups were given symptomatic treatment， the control group was given routine nursing intervention， and the observation group was given psycho-social support model nursing intervention. After 6 months of continuous intervention， the quality of life， depression， self-perceived burden， social support and skin lesions between the two groups were observed and compared. Results  After the intervention， the scores of physical function， social function， role function， cognitive function and emotional function in the observation group were higher than those in the control group， and the differences were statistically significant（P<0.05）. The SDS score and SPB score of the two groups decreased， while the SSRS score increased. The SDS score and SPB score of the observation group were lower than those of the control group， and the SSRS score was higher than that of the control group（P<0.05）. The skin lesion score of the two groups decreased， and the skin lesion score of the observation group was lower than that of the control group（P<0.05）. The total compliance rate and tolerance rate of the observation group were significantly higher than those of the control group（P<0.05）. Conclusion  Psychosocial support model nursing intervention is helpful to improve the quality of life and depression degree of patients with rose acne， reduce score of symptom and SPB score， and is worthy of promotion.

Key words： psychosocial support model; rosacea; quality of life; depression; self perceived burden; social support; skin lesions; compliance rate

玫瑰痤疮是一种好发于面颊，口鼻甚至眼周的慢性炎症性皮肤病，俗称酒糟鼻[1]。虽不致命，但玫瑰痤疮于面部产生后，影响患者自身外貌、形象，进而对情绪及心理等造成影响，对其日常生活和工作带来困扰[2]。随着人们健康观念的提高，具有生物-心理、社会属性的人的全面性和整体性的医学模式逐渐受到患者青睐[3-4]。心理社会支持模式以人为中心进行护理干预，强调对患者的心理护理及社会支持，现已被应用到多种疾病的临床护理中，但对玫瑰痤疮患者的干预效果分析报道甚少[5-6]。基于此，本研究以120例玫瑰痤疮患者为对象进行对比研究，旨在为改善其心理状态及生活质量等提供依据，现报道如……