李丽娟

【摘 要】目的 探讨综合性护理干预对老年湿疹患者症状改善及依从性的影响。方法 选取我院皮肤诊断与治疗中心2020年12月-2022年10月收治的40例老年湿疹患者为研究对象，通过随机数字表法分为对照组与观察组，每组20例。对照组实施常规性护理干预，观察组实施综合性护理干预，比较两组症状改善情况和依从性评分。结果 两组干预后EASI、SCORAD评分均低于干预前，且观察组低于对照组（P<0.05）；观察组干预后治疗依从性评分高于对照组（P<0.05）。结论 老年湿疹治疗期间实施综合性护理干预可改善临床症状，提高治疗依从性，值得临床应用。

【关键词】老年湿疹；常规性护理干预；综合性护理干预；依从性

中图分类号：R473 文献标识码：A 文章编号：1004-4949（2023）02-0042-03

Effect of Comprehensive Nursing Intervention on Symptom Improvement and Compliance of Elderly Patients with Eczema

LI Li-juan

（Skin Diagnosis and Treatment Center of Zhongyi Northeast International Hospital Co.， Ltd.， Shenyang 110000， Liaoning， China）

【Abstract】Objective To explore the effect of comprehensive nursing intervention on symptom improvement and compliance in elderly patients with eczema. Methods A total of 40 elderly patients with eczema admitted to the Skin Diagnosis and Treatment Center of our hospital from December 2020 to October 2022 were selected as the research objects. They were divided into control group and observation group by random number table method， with 20 cases in each group. The control group was given routine nursing intervention， and the observation group was given comprehensive nursing intervention. The symptom improvement and compliance scores of the two groups were compared. Results The EASI and SCORAD scores of the two groups after intervention were lower than those before intervention， and those in the observation group were lower than those in the control group （P<0.05）. The treatment compliance score of the observation group was higher than that of the control group （P<0.05）. Conclusion Comprehensive nursing intervention during the treatment of senile eczema can improve clinical symptoms and treatment compliance， which is worthy of clinical application.

【Key words】Senile eczema； Routine nursing intervention； Comprehensive nursing intervention； Compliance

濕疹（eczema）属于常见皮肤疾病，是一种皮肤炎症反应，具有多发、常见、容易反复发作等特点[1，2]。免疫力抵抗、血流不畅以及大小便失禁等均可能导致发生湿疹，表现为剧烈瘙痒，严重影响患者日常生活[3，4]。临床多在确诊后给予药物治疗与常规性护理干预，但欠缺对患者认知、心理的护理，所以患者治疗依从性不理想，疾病转归、病情控制速度更慢，整体治疗效果一般。综合性护理干预主张以患者为中心，结合疾病类型、症状表现制定符合患者需求的护理方案，促进患者疾病转归。基于此，本研究旨在探讨综合性护理干预对老年湿疹患者症状改善及依从性的影响，现报道如下。

1.1 一般资料 选取中一东北国际医院有限公司皮肤诊断与治疗中心2020年12月-2022年10月收治的40例老年湿疹患者为研究对象。……