Study On The Establishment And Application Of Self-health Management Regimes For Patients With Chronic Allergic Skin Diseases In Kunming

Objective:Cause there is different age,gender and season of patients with chronic allergic skin diseases in Kunming area,so based on the distribution characteristics of allergen sIgE combined by evidence-based medicine,this thesis is made up of the following four parts:for the patients with chronic allergic skin diseases in this area,to establish the self-health management regimes,to improve the self-management ability,to improve the treatment effect,and to reduce the recurrence rate,after all,to provide regional and accurate health management reference for clinical treatment and nursing of chronic allergic skin diseases.Methods:1.Through cluster sampling by retrospectively analyzing,2110 samples of patients with chronic allergic skin diseases(urticaria,atopic dermatitis,contact dermatitis and other dermatitis,eczema)has diagnosed in the dermatology department of the First Affiliated Hospital of Kunming Medical University from July 2020 to June 2021.The distribution characteristics of allergens were analyzed,and the rules were summarized.2.Based on the above-mentioned results of allergen analysis,the PIPOST structure was used to identify research issues,and the literature was searched with the6 s evidence-based pyramid model.After literature screening and literature quality evaluation,the best evidence was summarized,the self-health management plan of patients with chronic allergic skin diseases was revised and confirmed by expert consultation and clinical pre-test.3.A total of 80 patients has diagnosed as chronic allergic skin diseases in the dermatology department of the First Affiliated Hospital of Kunming Medical University from July 2021 to December 2021 were selected and randomly divided into the control group(40 patients)and the intervention group(40 patients).The control group received routine treatment and nursing of chronic allergic skin diseases.The intervention group was given a 12 week self-health management intervention.Before and after the intervention,the patient’s condition was comprehensively evaluated and analyzed by scales such as self-management,self-efficacy and quality of life,and the intervention effect of the self-health management regimes was comprehensively evaluated by statistical tests,entropy method and analytic hierarchy process.Results:1.Chronic allergic skin diseases in Kunming are more common diagnosed in women,mostly in young and middle-aged people,and tending to occur in summer.Patients with chronic allergic skin diseases should properly control their personal contact with animals such as cats and dogs,and stay away from allergens of animal dander type.The positive rate of nuts and common indoor inhalation allergens was higher in summer and autumn.2.Establish new regimes of self-health management : including 6 items of self-monitoring,psychological counseling,diet guidance,lifestyle intervention,environmental factors,and social support,a total of 19 specific implementation strategies.3.Application and evaluation of self-management regimes :(1)application of the regimes :1)Before the intervention,there was no significant difference between the control group and the intervention group in general information,self-management,self-efficacy,etc.(P>0.05)2)After the intervention,there was no statistical difference in the RASI score in the control group(P>0.05),but the differences in the rest of the indicators were statistically significant(P<0.05).There were significant differences in each index group in the intervention group(P<0.05).3)Comparing components after the intervention,there was a statistical difference between the two groups before and after treatment(P<0.05),and after the intervention,there was a statistical difference in the treatment effect and recurrence rate between the two groups(P<0.05).(2)Effect evaluation: the overall effect of the intervention group and the control group after treatment was comprehensively evaluated,as for the score from 83.35 points to 75.36 points,comparing the intervention group and the control group.The self-health management regimes significantly improved the treatment outcome of patients with chronic allergic skin diseases.Conclusions:1.The detection of specific allergens in patients in Kunming area with chronic allergic skin diseases found that the pathogenic factors of chronic allergic skin diseases are complex,and there are many kinds of pathogenic types,and the allergens are different in different ages and seasons.Allergen sIgE concentration analysis revealed a significant correlation between gastrointestinal and respiratory allergies.2.The intervention of self-health management regimes can improve the self-management,self-efficacy,quality of life and mental health level of patients with chronic allergic skin diseases,and improve the clinical effect and reduce the recurrence rate after treatment.3.The key monitoring indexes in the implementation of self-health management regimes were clinical efficacy,self-behavior management,skin lesion and pruritus,self-efficacy,negative emotion and quality of life,the weight of the first two items is relatively high and should be emphasized in health treatment.