论文摘要
目的:第一部分,评价系统性红斑狼疮(SLE)患者健康相关生存质量(HRQOL),分析影响这些患者健康相关生存质量的主要因素。第二部分,调查SLE患者对SLE疾病相关知识的了解情况,并对患者实施全面的有效的健康教育。方法:第一部分,采用中文版SF-36生活质量量表对62例SLE患者进行生活质量测量,分析量表各维度得分与性别、年龄、学历、职业、病程、激素使用剂量、SLE疾病活动性指数(SLEDAI)等因素相关性。第二部分,制定SLE疾病知识调查表,对实施SLE健康教育前后SLE患者对疾病相关知识的了解程度差异,并进行统计分析。结果:第一部分,62例SLE患者的SF-36评分中生理功能(PF)、生理健康所致的角色限制(RP)、躯体疼痛(BP)、总体健康(GH)、活动(VT)、社会功能(SF)、情感问题所致的角色限制(RE)、心理健康(MH)所有8个维度评分与中国健康居民常模评分相比较明显下降有显著性(P均<0.01);影响SLE患者健康相关生存质量的主要因素包括SLEDAI、病程、学历等。第二部分,对比分析SLE疾病相关知识健康教育前后62例SLE患者各单项得分及总得分情况,结果显示,健康教育后各单项得分及总得分均有显著升高(P均<0.01)。结论:SLE患者的健康相关生存质量各维度评分呈显著下降,与健康人群比较存在明显相关性(P<0.01)。SLE患者对疾病相关知识明显了解不足,阻碍了疾病的康复,在实施疾病知识健康教育后,患者对相关知识有了更多的了解。因此有必要对患者进行全面系统的健康教育,帮助患者树立战胜疾病的信心,以利于患者提高自身健康状况,促进疾病康复,改善生存质量。
论文目录
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标签:系统性红斑狼疮论文; 量表论文; 健康相关生存质量论文; 健康教育论文;