| 118 | 0 | 57 |
| 下载次数 | 被引频次 | 阅读次数 |
目的 探讨结构化健康教育对青少年湿疹患者睡眠质量、生活质量及依从性的影响。方法 选取2021年1月—2023年1月在杭州市第三人民医院皮肤科进行诊治的100例青少年湿疹患者为研究对象，将所有患者随机分为对照组和观察组，每组各50例。对照组进行常规干预，观察组进行结构化健康教育干预，采用健康调查简表(SF-36)评价生活质量，采用匹兹堡睡眠质量指数(PSQI)评估睡眠质量，采用心理弹性量表(CD-RISC)对患者心理弹性水平进行评估，基于依从行为进行依从性评估，采用纽卡斯尔服务满意度量表(NSNS)评估满意度。结果 干预前，两组患者SF-36评分比较，差异均无统计学意义(均P>0.05);干预后，与对照组生理机能[(66.21±4.20)分]、生理职能[(65.79±4.12)分]、躯体疼痛[(67.79±4.30)分]、健康状况[(67.35±4.21)分]、精力[(68.12±4.23)分]、社会功能[(68.20±4.39)分]、情感职能[(67.79±4.30)分]及精神健康[(68.03±4.36)分]评分比较，观察组生理机能[(70.35±4.39)分]、生理职能[(71.68±4.39)分]、躯体疼痛[(72.35±4.47)分]、健康状况[(71.49±4.43)分]、精力[(73.59±4.42)分]、社会功能[(72.49±4.61)分]、情感职能[(72.35±4.47)分]及精神健康[(74.20±4.57)分]评分均升高，差异均有统计学意义(t=4.818、6.918、5.119、4.790、4.765、4.759、5.199及6.907,均P<0.05)。干预后，与对照组入睡时间评分[(1.76±0.20)分]、睡眠时间评分[(1.76±0.19)分]比较，观察组入睡时间评分[(1.53±0.15)分]、睡眠时间评分[(1.50±0.14)分]均降低，差异均有统计学意义(t=6.505、7.790,均P<0.05)。干预后，与对照组坚韧[(39.56±5.27)分]、自强[(40.30±5.16)分]及乐观[(40.30±4.51)分]评分比较，观察组坚韧[(45.37±5.40)分]、自强[(45.78±5.41)分]及乐观[(45.78±4.71)分]评分均升高，差异均有统计学意义(t=5.445、5.183及5.942,均P<0.05)。对照组患者依从率为84.00%,观察组为96.00%,两组比较，差异均有统计学意义(χ2=4.000,P<0.05)。对照组患者总满意度为82.00%,观察组为96.00%,两组比较，差异有统计学意义(χ2=5.005,P<0.05)。结论 结构化健康教育对青少年湿疹患者的睡眠质量、生活质量、依从性及心理弹性等具有显著改善作用，建议在湿疹的诊疗过程中，加强对患者进行结构化健康教育以改善患者预后。
Abstract：[1] 丁银儿，何慧.枇杷清肺饮加减联合5-氨基酮戊酸光动力治疗中重度痤疮疗效观察[J].中国中西医结合皮肤性病学杂志，2023,22(3):269-270.
[2] Sun P,Zhao X,Zhao W,et al.Sophora flavescens-Angelica sinensis in the treatment of eczema by inhibiting TLR4/MyD88/NF-κB pathway[J].J Ethnopharmacol,2024,25(322):117626.
[3] Thaitirarot S,Shuwisitkul D,Kanokrungsee KS,et al.The efficacy of a transdermal hydrogel patch containing betamethasone dipropionate for treatment of chronic hand eczema:a single-blind,randomized and controlled trial[J].Contact Dermatitis,2024,90(2):153-160.
[4] 李健和，胡焰，赵子影，等.氨甲环酸治疗黄褐斑的研究进展[J].中国新药与临床杂志，2013,32(6):440-443.
[5] Alibrahim A,Alramadhan D,Johny S,et al.The effect of structured diabetes self-management education on type 2 diabetes patients attending a Primary Health Center in Kuwait[J].Diabetes Res Clin Pract,2021,171(1):108567.
[6] Posada de la Paz M,Díaz-Guerra E,Alonso-Ferreira V,et al.Toxic oil syndrome:health-related quality-of-life assessment using the SF-36 Health Survey[J].Int J Epidemiol,2022,51(2):491-500.
[7] Hwang YIJ,Arnold S,Trollor J,et al.Factor structure and psychometric properties of the brief Connor Davidson Resilience Scale (CD-RISC) for adults on the autism spectrum[J].Autism,2020,24(6):1572-1577.
[8] Rodríguez-Herrera C,Villalobos-Molina V,Barría-Emparán T,et al.The newcastle satisfaction with nursing scales in a mexican oncology hospital[J].Afr Health Sci,2021,21(1):60-66.
[9] El-Heis S,Crozier SR,Harvey NC,et al.Early life exposure to antibiotics and laxatives in relation to infantile atopic eczema[J].Pediatr Allergy Immunol,2023,34(5):e13964.
[10] Hou R,Zhou M,Tang G,et al.Application value of structured psychological nursing combined group health education in blood purification patients:Assisted by the purification of a nanofiber composite[J].Prev Med,2023,172(1):107546.
[11] 张礼秀.结构化教育对恢复期缺血性脑卒中患者自我管理的干预研究[D].昆明：云南中医药大学，2023.
[12] 李志坤，刘强，邢丹，等.结构化健康教育结合运动处方治疗膝关节骨关节炎的短期疗效评价[J].中华骨科杂志，2021,41(21):1561-1568.
[13] Seetow HX,Yew YW.Malassezia specific IgE in head and neck dermatitis of eczema:a systematic review & Meta-analysis[J].Exp Dermatol,2024,33(6):e15108.
[14] Criado PR,Miot HA,Ianhez M.Eosinophilia and elevated IgE serum levels:a red flag:when your diagnosis is not a common atopic eczema or common allergy[J].Inflamm Res,2023,72(3):541-551.
[15] 车兆梅，鞠欣达.结构化健康教育在CHF患者自我管理中的应用[J].北华大学学报(自然科学版),2022,23(5):650-653.
[16] Feeney Y,Daley S,Flaherty B,et al.Barriers and facilitators to implementing a longitudinal dementia education programme into undergraduate healthcare curricula:a qualitative study[J].BMC Med Educ,2021,21(1):201.
[17] 盛水平，王身祥，张波，等.发挥中医特色与优势提升医院护理管理质量[J].中医药管理杂志，2023,31(21):189-191.
[18] Larsson IM,Aronsson A,Norén K,et al.Healthcare workers' structured daily reflection on patient safety,workload and work environment in intensive care A descriptive retrospective study[J].Intensive Crit Care Nurs,2022,68(1):103122.
[19] ?ztürk F?,Do■an E,Gedikaslan E,et al.The effect of structured health promotion education given to adolescents on health literacy and health-promoting behaviors[J].J Pediatr Nurs,2023,73(1):e579-e585.
[20] Gong WN,Zhang YH,Niu J,et al.Effect of teach-back health education combined with structured psychological nursing on adverse emotion and patient cooperation during 99mTc-3PRGD2.SPECT/CT[J].World J Clin Cases,2022,10(34):12551-12558.
基本信息:
DOI：10.19829/j.zgfybj.issn.1001-4411.2026.03.035
中图分类号:R473.75
引用信息:
[1]王亚杰,蒋莉,李丽莉,等.结构化健康教育对青少年湿疹患者睡眠质量 生活质量及依从性的影响[J].中国妇幼保健,2026,41(03):543-547.DOI:10.19829/j.zgfybj.issn.1001-4411.2026.03.035.
2026-01-30
2026-01-30