Effect Of Continuous Nursing On The Quality Of Life And Self-Care Ability Of Patients With Ulceration Over Tophi

Objective: The purpose of this study was to explore the changes in quality of life (QOL) and self-care ability of patients with ulceration over tophi after continuous nursing. Method: A total of 78 patients with ulceration over tophi admitted to our hospital were randomized into the study group (SG, n=39, conventional nursing + continuous nursing) and the control group (CG, n=39, conventional nursing) by the random number table. The medication compliance, self-care ability [Exercise of Self-Care Agency (ESCA) scale], QOL (SF-36 scale), unhealthy emotions and uric acid level in blood before and after intervention were compared between the two groups. Results: Before intervention, the two groups showed no significant difference in scores of SF-36 scale, Self-Rating Anxiety scale (SAS), Self-Rating Depression scale (SDS) and uric acid level in blood (P>0.05); after intervention, the treatment compliance rate was 97.44% (38/39) in SG and 84.62% (33/39) in CG (P<0.05); the levels of self-perception, self-care skills, self-responsibility and health knowledge as well as the scores assigned to the dimensions in SF-36 scale in SG were significantly higher than those in CG (P<0.05); after intervention, SAS and SDS scores and uric acid level in blood in SG were markedly lower than those in CG (P<0.05). Conclusion: For patients with ulceration over tophi, continuous nursing is helpful in improving their medication compliance, self-care ability and QOL, and also contributes to a reduction in anxiety, depression and uric acid level in blood.