Effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus during pregnancy

GENG Longyu; ZHOU Lanlan; XU Fang; ZHANG Miaojia; MEI Peipei

doi:10.7619/jcmp.20222876

Journal of Clinical Medicine in Practice > 2022 > 26(23): 55-59. > DOI: 10.7619/jcmp.20222876

GENG Longyu, ZHOU Lanlan, XU Fang, ZHANG Miaojia, MEI Peipei. Effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus during pregnancy[J]. Journal of Clinical Medicine in Practice, 2022, 26(23): 55-59. DOI: 10.7619/jcmp.20222876

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Effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus during pregnancy

Rheumatology and Immunology Department, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu, 210029

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Received Date: September 13, 2022
Available Online: December 22, 2022

Graphical Abstract

Abstract

Abstract

Objective
To observe the application effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus(SLE) during pregnancy.
Methods
Sixty patients with SLE in pregnancy were divided into routine nursing group(n=30) and intensive nursing group(n=30) by random number table method. Patients in the routine nursing group were treated with routine nursing, and patients in the intensive nursing group were treated with intensive nursing based on multidisciplinary collaboration model. The psychological status[Self-rating Anxiety Scale (SAS), self-rating Depression Scale (SDS) scores], delivery success rate and recurrence condition of SLE were observed and compared between the two groups.
Results
After nursing, SAS score and SDS score of two groups were lower than before nursing, and SAS score and SDS score of intensive nursing group were lower than the routine nursing group, the differences were statistically significant (P < 0.05). There were no SLE recurrence patients in the two groups, but one patient in each group had abortion, and the other patients delivered normally.
Conclusion
Multidisciplinary collaboration model can significantly reduce depression and anxiety in SLE patients during pregnancy.
- systemic lupus erythematosus,
- pregnancy,
- multidisciplinary collaboration model,
- Wechat,
- anxiety,
- depression

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References (20)

References

[1]	HUSAKOVA M. microRNAs in the key events of systemic lupus erythematosuspathogenesis[J]. Biomed Pap Med FacUnivPalacky Olomouc Czech Repub, 2016, 160(3): 327-342. doi: 10.5507/bp.2016.004
[2]	张琪琪, 张贝, 武新峰, 等. 系统性红斑狼疮不良妊娠结局相关因素[J]. 中华临床免疫和变态反应杂志, 2022, 16(1): 24-29. https://www.cnki.com.cn/Article/CJFDTOTAL-OZHL202201005.htm
[3]	张艳红, 赵国光, 李小莹, 等. 多学科协作在高龄骨科患者围术期全程管理中的应用[J]. 中国病案, 2020, 21(12): 44-46. doi: 10.3969/j.issn.1672-2566.2020.12.017
[4]	DE JESUS G R, MENDOZA-PINTO C, DE JESUS N R, et al. Understanding and managing pregnancy in patients with lupus[J]. Autoimmune Dis, 2015, 2015: 943490.
[5]	徐丽玲, 郭乾育, 蔡小燕, 等. 糖皮质激素治疗系统性红斑狼疮患者的现况调查[J]. 中华内科杂志, 2017, 56(4): 290-294. doi: 10.3760/cma.j.issn.0578-1426.2017.04.010
[6]	张翠琴. 基于互联网的健康教育对妊娠糖尿病孕妇的自护能力及妊娠结局的影响[J]. 糖尿病新世界, 2021, 24(12): 162-165. https://www.cnki.com.cn/Article/CJFDTOTAL-TNBX202112040.htm
[7]	HOCHBERG M C. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus[J]. Arthritis Rheum, 1997, 40(9): 1725.
[8]	杨艳, 刘恩令, 李君, 等. 系统性红斑狼疮妊娠时机对妊娠结局影响的Meta分析[J]. 现代妇产科进展, 2017, 26(11): 851-854. https://www.cnki.com.cn/Article/CJFDTOTAL-XDFC201711013.htm
[9]	黎静, 罗漫灵, 钟梅. 妊娠合并系统性红斑狼疮的围孕期管理[J]. 中国实用妇科与产科杂志, 2016, 32(10): 934-939. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGSF201610005.htm
[10]	林华娟. 高危妊娠的筛查和管理及其与不良妊娠结局的关系分析[J]. 中国全科医学, 2021, 24(S1): 86-87. https://www.cnki.com.cn/Article/CJFDTOTAL-QKYX2021S1032.htm
[11]	陈如梦, 傅荣, 徐任菊. 糖皮质激素维持治疗患者自我感受的质性研究[J]. 中华护理杂志, 2019, 54(9): 1364-1369. https://www.cnki.com.cn/Article/CJFDTOTAL-ZHHL201909020.htm
[12]	ZUCCHI D, TANI C, MONACCI F, et al. Pregnancy and undifferentiated connective tissue disease: outcome and risk of flare in 100 pregnancies[J]. Rheumatology (Oxford), 2020, 59(6): 1335-1339.
[13]	刘菊梅, 罗健英. 妊娠合并系统性红斑狼疮不良妊娠结局预测因素的研究[J]. 中国妇幼保健, 2019, 34(20): 4837-4839. https://www.cnki.com.cn/Article/CJFDTOTAL-ZFYB201920079.htm
[14]	孙振晓, 刘化学, 焦林瑛, 等. 医院焦虑抑郁量表的信度及效度研究[J]. 中华临床医师杂志: 电子版, 2017, 11(2): 198-201. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYD201702005.htm
[15]	杨夏, 李焕平. 白芍总苷治疗系统性红斑狼疮患者的临床疗效及对免疫功能的影响[J]. 世界中医药, 2019, 14(5): 1270-1273. https://www.cnki.com.cn/Article/CJFDTOTAL-SJZA201905048.htm
[16]	陈群, 严远飞, 陈数, 等. 系统性红斑狼疮合并心脏损害的相关危险因素分析[J]. 实用临床医药杂志, 2022, 26(1): 109-115. doi: 10.7619/jcmp.20212670
[17]	CHEN Y J, CHANG J C, LAI E L, et al. Maternal and perinatal outcomes of pregnancies in systemic lupus erythematosus: a nationwide population-based study[J]. Semin Arthritis Rheum, 2020, 50(3): 451-457.
[18]	狄文, 吴珈悦. 妊娠合并自身免疫性疾病的孕期健康管理[J]. 实用妇产科杂志, 2021, 37(8): 561-563. https://www.cnki.com.cn/Article/CJFDTOTAL-SFCZ202108001.htm
[19]	郑均燕. 系统性红斑狼疮合并妊娠患者妊娠结局的影响因素研究[J]. 临床护理杂志, 2020, 19(5): 48-50. https://www.cnki.com.cn/Article/CJFDTOTAL-LCHL202005017.htm
[20]	DONG Y H, WANG P, DAI Z P, et al. Increased self-care activities and glycemic control rate in relation to health education via Wechat among diabetes patients: a randomized clinical trial[J]. Medicine, 2018, 97(50): e13632.

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Effect of multidisciplinary collaboration model in patients with systemic lupus erythematosus during pregnancy