基于健康教育指导下的护理模式对脂溢性皮炎患者的干预价值分析

胡涛 孙志华 杨晓璐

[關键词]脂溢性皮炎;健康教育;护理;干预价值;临床症状

[中图分类号]R758.73+2    [文献标志码]B    [文章编号]1008-6455（2021）11-0157-03

Analysis on the Intervention Value of Nursing Mode Under the Guidance of Health Education for Patients with Seborrheic Dermatitis

HU Tao1，SUN Zhi-hua2，YANG Xiao-lu3

（1.Department of Gastroenterology; 2.the Third Department of Health Care; 3.Department of Dermatology， Qingdao Municipal Hospital，Qingdao 266071，Shandong，China）

Abstract： Objective  To analyze the intervention value of nursing mode under the guidance of health education on patients with seborrheic dermatitis. Methods  Taking 83 patients with seborrheic dermatitis admitted to the dermatology department from January 2019 to February 2020 as the research object， they were divided into the control group （42 cases） and the observation group （41 cases） by using a random number table. Both groups were treated with selenium disulfide and pimecrolimus cream for 4 weeks. During the treatment period， the control group was treated with routine nursing intervention， and the observation group was treated with a nursing model based on the guidance of health education on the basis of the control group. Observe the clinical efficacy， clinical symptom scores， skin physiological parameters， and health behavior scores of the two groups. Results  After 4 weeks of intervention， the clinical efficacy of the observation group was significantly higher than that of the control group， and the difference was statistically significant （P<0.05）. Compared with before the intervention， the clinical symptom scores of the two groups were reduced after 4 weeks of intervention， and the observation group was lower than the control group （P<0.05）. Compared with before the intervention， the skin physiological parameters of the two groups were significantly improved after 4 weeks of intervention （P<0.05）. Compared with before the intervention， the health behavior scores of the two groups increased after 4 weeks of intervention， and the observation group was higher than the control group （P<0.05）. Conclusion  On the basis of drug treatment， combined with nursing mode under the guidance of health education， which could effectively improve the clinical symptoms and skin physiological parameters of patients with seborrheic dermatitis， and improve their health behavior， with good intervention effect.

Key words： seborrheic dermatitis; health education; nursing; intervention value; clinical symptoms

脂溢性皮炎是一种皮肤浅表性皮炎，疾病好发于患者躯干、头皮、面部、会阴等皮脂腺丰富的位置，对患者生活质量和心理健康均造成严重影响[1]。其发病原因目前尚未完全明确，大多认为与皮脂腺分泌旺盛、真菌感染等有关。因此，临床常用抑制皮脂分泌和抗菌的药物来治疗脂溢性皮炎，但是效果却不尽如人意。推测其可能与患者不良生活作息导致皮脂腺分泌油脂量居高不下，进而影响药物疗效有关。因此通过科学的护理干预使患者保持健康的生活作息可能对提高药物疗效大有裨益。目前临床对于脂溢性皮炎的护理主要是针对药物的使用方法，而较少关注患者是否有规律的生活作息。近年来，基于健康教育指导下的护理模式可帮助患者树立健康的生活理念，进而有效巩固药物的干预效果，快速缓解患者临床症状[2]。但目前临床研究关于基于健康教育指导下的护理模式用于脂溢性皮炎患者的相关研究较少，故本文实行此方面研究，采用基于健康教育指导下的护理模式对脂溢性皮炎患者进行护理干预，分析其临床应用价值。现将结果报道如下。

1  资料和方法

1.1 一般资料：以2019年1月-2020年2月于笔者医院皮肤科收治的脂溢性皮炎患者83例为研究对象，采用随机数字表法分为对照组（42例）和观察组（41例）。对照组：男22例，女……