摘要目的 探讨自我管理能力训练对狼疮性肾炎患者疾病管理能力及生活质量的影响.方法2015年10月~2016年10月选取该院收治的120例狼疮性肾炎患者,根据随机数字表将患者分为观察组60例及对照组60例,对照组应用常规护理管理,观察组实施自我管理能力训练.分别于干预前、干预后应用自护能力量表及生活质量综合评定问卷(GQOLI-74)对患者疾病管理能力及生活质量进行评价.结果观察组干预后症状管理、情绪管理、自我效能、信息管理及日常生活管理等方面评分均显著高于对照组(均P<0.05).观察组患者干预后物质生活、社会功能、躯体功能、心理功能及生活质量评分均高于对照组(均P<0.05).结论自我管理项目能有效提高狼疮性肾炎患者疾病管理能力,改善其生活质量.

abstractsObjective To investigate the impact of disease management and quality of life of self-management skills training for patients with lupus nephritis. Methods A total of 120 cases of patients with lupus nephritis in this hospital from October 2015 to October 2016 were divided into observation group and control group, 60 cases of each group. The control group were applicated with routine care management, while the observation group were implemented with self-management skills training. The self-care ability scale and quality of life of observation group were evaluated with self-care ability scale and comprehensive assessment questionnaire ( GQOLI-74 ) . Results The levels of symptom management, emotional management, self-efficacy, information management and daily life management and other as-pects of the observation group were higher than those of the control group (P<0. 05) . The levels of material life, social function, physical function, heart function and quality of life scores of the observation group after intervention were higher than those of the control group ( P<0. 05 ) . Conclusions Self-management programs can improve lupus nephri-tis patients with disease management, and can effectively improve the quality of life of patients.