摘要目的 调查研究老年麻风病康复患者应用自我护理小组模式对自我护理能力与心理健康的影响.方法 本研究对该院康复中心老年麻风病康复患者80例为研究对象,根据随机数字表法分为两组.观察组患者40例实施自我护理小组模式,对照组40例患者采用常规护理模式,对比分析其日常生活质量与抑郁状况.结果 两组患者护理前的抑郁评分相比无差异性,观察组患者经自我护理小组模式干预后的抑郁水平低于对照组患者,且差异相比具有统计学意义(P<0.05).两组患者护理干预前的日常生活能力维度评分无显著差异.护理干预后,两组患者日常生活能力各维度评分均显著升高,且除洗澡、大、小便控制外,观察组患者的BI评分均高于对照组,且差异具有统计学意义(P<0.05).结论 老年麻风病康复患者采用自我护理小组模式,能够有效提高自我护理能力,改善心理健康状况,预防麻风病畸残,提高生活质量.

abstractsObjective To investigate the influence of self-nursing group pattern on the ability of self-nursing and mental health of the elderly convalescent patients with leprosy.Methods In this study,80 cases of elderly convalescent patients with leprosy from the rehabilitation center of the hospital were studied,and were divided into two groups according to the random number table method.The 40 patients of the observation group implemented self-nursing group pattern,and 40 patients of the control group adopted the routine nursing mode.Their daily life quality and status of depression were compared.Results The depression score of the two groups had no difference,compared with that of pre-nursing.The levels of depression of the patients in the observation group after self-nursing team pattern intervention was lower than that of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the daily life capacity of the two groups before nursing intervention.After nursing intervention,each dimension score of patients'' daily life ability of the two groups were significantly increased.In addition to the control of bath,shitting and urinating,BI score of the observation group patients were higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The elderly convalescent patients with the self-nursing group pattern can improve the self-care ability and the mental health condition,prevent the leprosy disability,and improve the quality of life of elderly patients with leprosy rehabilitation.