摘要
目的探讨护理干预在类风湿关节炎（RA）患者治疗和康复中的作用。方法80例类风湿关节炎患者在药物治疗和常规护理的基础上，分别给予心理、饮食、疼痛和关节功能锻炼等方面的护理干预，并对治疗效果以及治疗前后患者心理变化和疼痛缓解情况进行对比分析。结果80例RA患者中痊愈抖例，显效32例，有效22例，无效2例，总有效率达到97．5％。患者经治疗及护理干预后，关节疼痛情况均得到有效缓解，PI—NRS关节疼痛积分从治疗前（7．82±1．75）分降低为治疗后的（1．56±1．48）分，两者比较差异有统计学意义（t=4．92，P〈0．01）。RA患者入院时均伴有不同程度的焦虑与抑郁，经过心理护理干预后，SAS分值从（53．9±10．3）分降低为（46．5±8．4）分，SDS分值从（56．9±9．4）分降低为（48．5±7．5）分，治疗前后差异均有统计学意义（P〈0.01）。结论精心的护理干预可有效减轻患者临床症状，改善病变关节功能、促进类风湿关节炎患者的康复。
Objective To explore the effect of nursing intervention on the treatment and rehabilitation of rheumatoid arthritis patients. Methods Patients were given nursing intervention including psychological care, diet control, joint function exercises and joint pain management, on the basis of routine medicine and nursing care. The therapeutic effect, and the change in pain and physiology before and after treatment, were compared and analyzed. Results Among 80 cases, 24 were cured, 32 were significantly effective, 22 were effectual and 2 were unfruitful, with a total effective rate of 97.5 %. After the nursing intervention and treatment, the joint pain was alleviated, and the PI-NRS score was significantly decreased from （7.82 ± 1.75 ） to （ 1.56±1.48 ） （ t = 4. 92, P 〈 0. 01 ）. All the patients had different anxiety and depression degrees on admission. After psychological nursing, SAS score significantly decreased from （ 53.9 ± 10.3 ） to （46.5 ± 8.4） （ t = 5.56, P 〈 0.01）, SDS score significantly decreased from （56.9 ＋9.4） to （48.5 ＋7.5） （t =5.23, P〈0.01）. Condusions Good nursing intervention can help patients to alleviate their symptoms, improve the injured joint function and promote their rehabilitation.
出处
《中华现代护理杂志》
2011年第7期788-790,共3页
Chinese Journal of Modern Nursing
关键词
类风湿关节炎
护理干预
心理
功能锻炼
疼痛
Rheumatoid arthritis
Nursing intervention
Psychology
Joint function exercises
Pain
