[摘要]目的：探究个体化皮肤护理联合基于信息需求的健康宣教对重度痤疮患者的影响。方法：选取2022年3月-2023年1月于笔者医院就诊的90例重度痤疮患者，根据护理方式将其分为常规组45例和联合组45例，常规组给予常规干预，联合组给予个体化皮肤护理联合基于信息需求的健康宣教干预。干预前和干预3个月后，比较两组患者疾病认知程度[简易疾病感知问卷（BIPQ）]、自我感受压力[中文版自我负担感量表（SPBS）]、心理弹性[心理弹性量表（CD-RISE）]及生活质量[体像障碍自评量表（BIRS）、皮肤病生活质量指数量表（DLQI）]。结果：干预3个月后，两组患者BIPQ评分、SPBS评分、BIRS评分及DLQI评分较干预前降低，联合组低于常规组（均P＜0.05）；CD-RISE评分较干预前升高，联合组高于常规组（均P＜0.05）。结论：个体化皮肤护理联合基于信息需求的健康宣教可加强重度痤疮患者对疾病的了解，改善患者心理状态及生活质量。

[关键词]重度痤疮；个体化皮肤护理；健康宣教；疾病认知程度；自我感受压力

[中图分类号]R473.75" " [文献标志码]A" " [文章编号]1008-6455（2025）06-0131-04

Effect of Individualized Skin Nursing Combined with Information Demand-based Health Education on Patients with Severe Acne

ZHAO Jinghui， CHE Jing， LI Fenfen

（ Department of Dermatology， Beijing Jishuitan Hospital， Capital Medical University， Beijing 100035， China ）

Abstract： Objective" To explore the effect of individualized skin nursing combined with information demand-based health education on patients with severe acne. Methods" 90 patients with severe acne treated in the hospital from March 2022 to January 2023 were selected and divided into routine group （45 cases） and combined group （45 cases） according to nursing methods. The routine group was given routine intervention， and the combined group was given individualized skin nursing combined with information demand-based health education. Before intervention and after 3 months of intervention， the disease cognition degree [Brief Illness Perception Questionnaire （BIPQ）]， self-perceived stress [Chinese version of Self-Perceived Burden Scale （SPBS）]， psychological resilience [Connor-Davidson Resilience Scale （CD-RISE）] and quality of life [Body Image Rating Scale （BIRS）， Dermatology Life Quality Index （DLQI）] were compared between both groups. Results" After 3 months of intervention， the BIPQ scores， SPBS scores， BIRS score and DLQI score in both groups were reduced compared with those before intervention， and the scores in combined group were lower than those in routine group （all P＜0.05）. CD-RISE scores were enhanced compared to before intervention， and the scores in combined group were higher than those in routine group （all P＜0.05）. Conclusion Individualized skin nursing combined with information demand-based health education can enhance the understanding of patients with severe acne， and improve the psychological state and quality of life.

Key words： severe acne; individualized skin nursing; health education; disease cognition degree; self-perceived stress

痤疮是皮肤科常见疾病，多发生于面部，部分发生于背部、颈部，临床表现为粉刺、丘疹、脓疱、囊肿、结节，有时还伴有瘢痕，严重影响美观[1]。痤疮发病机制尚未明确，目前临床普遍认为主要与痤疮病状杆菌感染、皮脂腺皮脂过度分泌、炎症反应及毛囊皮脂腺开口过度角化有关[2]。痤疮病影响患者面部美观，导致患者产生自卑、焦虑等不良情绪，不仅影响患者学习、工作、人际交往，还会导致患者内分泌失调，加重病情，既往药物治疗痤疮见效慢，患者治疗依从性低，病情反复，且治疗后仍会遗留红斑、瘢痕，因此，治疗过程中需配合有效的护理和科普宣教，帮助患者正确认识疾病[3]。……