Abstract:

Objective　To explore the application effect of "biological-psychological-social" integrated nursing intervention in patients with recurrent vaginitis. Methods　A total of 56 patients with recurrent vaginitis who were admitted to Xianyang Rainbow Hospital from October 2022 to October 2023 were selected. Using the random number table method, the patients were divided into two groups, with 28 cases in each group. The control group: age ranging from 20 to 50 (34.26±6.73) years old, body mass index (BMI) ranging from 18.5 to 24.0 (22.45±2.46) kg/m²;They received routine care.The observation group: age ranging from 20 to 50 (34.31±6.68) years old, BMI ranging from 18.5 to 24.0 (22.52±2.49) kg/m²;They received "biological-psychological-social" integrated nursing intervention in addition to routine care. Both groups received nursing intervention for 6 months.The vaginal inflammation symptom scores, recurrence rates of vaginal inflammation, self-care ability and psychological states of the two groups before and 6 months after nursing were compared.Statistical methods employed t-test and χ² test. Results　After the intervention, the scores of vaginal burning sensation, vaginal itching, abnormal vaginal discharge, and vaginal pain in the observation group were all lower than those in the control group (t= 6.154, 7.141, 6.321, and 7.719, all P<0.05). After 3 months, and 6 months,  intervention, the recurrence rates of vaginitis in the observation group were lower than that in the control group [3.57% (1/28) vs. 21.43% (6/28), and 0 vs. 14.29% (4/28)], and the differences were statistically significant (χ²=4.082 and 4.308, both P<0.05).The self-care ability scores of the observation group were all higher than those of the control group (all P<0.05).After the intervention, the score of the Depression Self-Evaluation Scale (PHQ-9) in the observation group was lower than that in the control group [(3.94±0.95) points vs. (6.82±1.14) points], and the difference was statistically significant (t=10.270, P<0.05). Conclusion　The "biological-psychological-social" integrated nursing intervention can effectively alleviate the symptoms of patients with recurrent vaginitis, reduce the recurrence rate, improve the patients' self-care ability and mental health level, and provide an effective nursing strategy for patients with recurrent vaginitis.

Key words:

Recurrent vaginitis, Biopsychosocial integrated care, Self-care ability, Psychological state

摘要：

目的　探讨“生物-心理-社会”整体化护理干预在复发性阴道炎患者中的应用效果。方法　选取2022年10月至2023年10月咸阳彩虹医院收治的复发性阴道炎患者56例，通过随机数字表法将患者分为两组，每组28例。对照组：年龄20～50（34.26±6.73）岁，体重指数（BMI）为18.5～24.0（22.45±2.46）kg/m²；接受常规护理。观察组：年龄20～50（34.31±6.68）岁，BMI为18.5～24.0（22.52±2.49 ）kg/m²；在常规护理的基础上接受“生物-心理-社会”整体化护理干预。两组均护理干预6个月。比较两组护理前、护理6个月后阴道炎症状评分、阴道炎复发率、自我护理能力及心理状态。统计学方法采用t检验、χ²检验。结果　干预后，观察组的阴道灼热感、阴道瘙痒、白带分泌异常及阴道疼痛症状评分均低于对照组（t=6.154、7.141、6.321、7.719，均P<0.05）；干预3个月、6个月后，观察组的阴道炎复发率均低于对照组［3.57%（1/28）比21.43%（6/28）、0比14.29%（4/28）］，差异均有统计学意义（χ²=4.082、4.308，均P<0.05）；观察组自我护理能力评分均高于对照组（均P<0.05）。干预后，观察组抑郁症自我评估量表（PHQ-9）评分低于对照组［（3.94±0.95）分比（6.82±1.14）分］，差异有统计学意义（t=10.270，P<0.05）。结论　“生物-心理-社会”整体化护理干预能有效改善复发性阴道炎患者的症状，降低复发率，提升患者自我护理能力和心理健康水平，为复发性阴道炎患者提供了一种有效的护理策略。

关键词:

复发性阴道炎, 生物-心理-社会整体化护理, 自我护理能力, 心理状态