蔡大英 缪红莉 林栋羚

[摘要]目的：探讨精细化面部护理干预对寻常痤疮患者生活质量及心理状态的影响。方法：笔者医院2018年6月-2019年8月收治的86例寻常痤疮患者，随机分为观察组43例和对照组43例，观察组采用精细化面部护理干预，对照组采用常规护理。比较两组护理干预前后SF-36评分、焦虑自评量表（Self-rating anxiety scale，SAS）和抑郁自评量表（Self-rating depression scale，SDS）评分、不良反應发生率及护理满意度。结果：护理干预后，两组社会职能、精神健康、情感职能和总体健康评分均显著升高，且观察组各领域评分均显著高于对照组，差异均有统计学意义（P<0.05）。两组SAS、SDS评分均显著降低，且观察组均显著低于对照组，差异均有统计学意义（P<0.05）。观察组不良反应发生率为4.65%，对照组为11.63%，组间比较差异无统计学意义（P>0.05）。观察组总满意率为95.35%，高于对照组的79.07%，差异有统计学意义（P<0.05）。结论：精细化面部护理干预可明显缓解寻常痤疮患者焦虑、抑郁情绪，有助于改善患者生活质量，提高疗效，安全性好。

[关键词]寻常痤疮;面部;精细化面部护理;健康调查简表;焦虑;抑郁

[中图分类号]R473    [文献标志码]B    [文章编号]1008-6455（2021）05-0155-04

Effect of Fine Facial Nursing Intervention on Quality of Life and Mental State of Patients with Acne Vulgaris

CAI Da-ying，MIAO Hong-li，LIN Dong-ling

（Department of Dermatology，the First Affiliated Hospital of Xinjiang Medical University，Urumqi 830000，Xinjiang，China）

Abstract： Objective  To explore the effect of fine facial nursing intervention on the quality of life and mental state of patients with acne vulgaris. Methods  86 patients with acne vulgaris admitted to our hospital between June 2018 and August 2019 were randomly divided into the observation group （43 cases） and the control group （43 cases）. The observation group received fine facial nursing intervention while the control group received routine nursing. The scores of SF-36， self-rating anxiety scale （SAS）， self-rating depression scale （SDS）， incidence of adverse reactions and nursing satisfaction between the two groups before and after nursing intervention were compared. Results  After nursing intervention， the scores of social function， mental health， emotional function and overall health of the patients in the two groups were significantly increased， and the observation group were significantly higher than the control group， the differences were statistically significant（P<0.05）. The scores of SAS and SDS in the two groups significantly decreased（P<0.05）. And the observation group were significantly lower than the control group（P<0.05）. The incidence of adverse reactions in the observation group was 4.65%， and the control group was 11.63%， there was no statistically significant difference between the two groups（P>0.05）. The total satisfaction rate of patients in the observation group was 95.35%， higher than the control group （79.07%， P>0.05）. Conclusion  Fine facial nursing intervention can significantly alleviate the anxiety and depression of acne vulgaris patients， help to improve the quality of life of patients， improve efficacy， and have good safety.

Key words： acne vulgaris; facial; fine facial nursing intervention; the MOS item short from health survey; anxiety; depression

痤疮常发生在皮脂腺分布丰富的部位，可由炎症反应、痤疮丙酸杆菌感染、皮脂腺异常分泌、雄激素分泌增多等多种因素诱发，此病多发于青少年，对患者的生活与交际产生严重影响[1]。药物及物理疗法等是目前临床应用最广泛的方式，如今最常用的是强脉冲光及激光治疗，目前临床研究主要以物理治疗的疗效、有效性方面为主，患者缺乏有关痤疮护理知识和必要的心理支持，护理的规范化等方面仍十分欠缺，关于探讨精细化面部护理对患者心理作用的相关研究仍然不多[2-3]。故本次研究选取86例寻常痤疮患者探讨精细化面部护理干预对其生活质量及心理状态的影响。

1  资料和方法

1.1 一般资料：本研究已在医院医学伦理委员会备案并批准。选……