| BackgroundSystemic lupus erythematosus (SLE) is a systemic involvement of chronic progressive multiple system, repeated attacks of autoimmune diseases. The disease unknown etiology, clinical manifestation is complicated, with multiple system, multiple organ involvement for characteristics. In the treatment of SLE, often in the hormone and immunosuppressant for major drug, these drugs although curative effect affirmation, but often give patients bring some side effects, such as gastrointestinal reaction, lier disorders and bone marrow suppression, which also give patients bring spiritual damage.The mental health and life quality of SLE patients have obvious difference than normal people.Life quality measurement is the prognosis and guide clinical evaluation of an important basis for decision-making. Overseas for SLE life quality research multi-purpose SF-36 and QWB universality scale. Evaluation result with SF-36 best, but some dimensions is not satisfactory. The world health organization life quality scale WHOQOL-100 and simple list of WHOQOL-BREF world health organization developed and recommended a universal scale. It not only has good reliability and validity and reaction degree, and have the cross country, of cross-cultural comparability characteristics. Its Chinese version proven in China the crowd has good reliability and validity. In recent years by Chinese scholars in succession for evaluating community groups and hypertension, stroke, diabetes and cancer people's quality of life, but there is no used for SLE patients reported. ObjectsThis study aimed to explore the psychological intervention on specific clinical quality of life of patients with SLE, the influence of the quality of life for SLE patients countermeasures and measures clinic intervention, provide a reference basis for the patient population, so as to improve the quality of life.Methods152 hospitalized patients with SLE activity randomly divided into two groups, including intervention group in existing 76 cases based on treatment and nursing increase targeted psychological intervention measures, the different psychological status for patients, the responsibility for each patient nurse pertinence psychological nursing intervention measures, concrete including cognitive intervention, emotional intervention, to specific behavior intervention, psychological problems adopts pertinency psychological counselling; The control group, maintain existing 76 cases treatment and care.2 groups of patients in hospital day 1 accept WHOQOL-based assessment BREF Chinese scale score, and draw in patients hospitalized again for the first 14 days BREF Chinese accept WHOQOL-based assessment and draw scale scores. For the length of time the average patient 14 days or so, lack of patients hospitalized for 14 days, the hospital will bring home CeLiangBiao to patients, and detailed guidance after completing the time mail or to retrieve. Insufficient for intervention group of patients hospitalized 14 days after discharge keep communication links regular phone review, know patients, psychological condition psychological intervention for timely to day 14 research to end.ResultsAccept indiidualized psychological intervention SLE patients compared with controls, admission every field score no significant difference (P>0.05) in hospital, the score of various fields score again between groups compared still have no significant statistically significant, (P>0.05). But compare hospital admission and evaluation score twice the difference in value, each field scored significantly statistical differences (P<0.05).Conclusion Indiidualized psychological intervention can significantly improve the SLE activity quality of life of the patients... |
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