护理干预对类风湿关节炎患者心理状态及临床疗效的影响  

Effect of Nursing Intervention on the Psychological Status and Clinical Efficacy in Patients with Rheumatoid Arthritis

作　　者：张琼予[1] 孙李萍 向月应[2] 

机构地区：[1]贵阳中医学院第二附属医院风湿免疫科,贵州贵阳550004 [2]中国人民解放军一八一医院,广西桂林541002

出　　处：《昆明医科大学学报》2015年第8期162-164,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81202121)

摘　　要：目的探讨护理干预对类风湿关节炎(RA)患者心理状态及临床疗效的影响.方法将210例RA患者随机分为观察组和对照组.对照组给予风湿病常规护理,观察组患者给予以加强心理干预和健康教育为主,同时配合用药干预、功能锻炼、生活指导等方法的综合性护理干预.干预8周后,对2组患者心理状态及临床疗效进行比较分析.结果 2组患者干预前SAS和SDS评分比较均无明显差异(P>0.05).干预后,2组患者的SAS和SDS评分均明显下降(P<0.05),且观察组下降的幅度较对照组更明显(P<0.05).观察组的总有效率为91.4%,明显高于对照组的81.0%,差异具有统计学意义(P<0.05).结论护理干预能有效缓解RA患者的抑郁、焦虑等不良情绪,对临床治疗起到协同作用,值得临床推广.Objective To explore the effect of nursing intervention on the psychological status and clinical efficacy in patients with rheumatoid arthritis（RA）. Methods Two hundreds and ten RA patients were randomly divided into the observation group and the control group. The control group was given routine nursing care of RA,the observation group was given comprehensive nursing intervention that was based on psychological intervention,and combined with drug intervention,exercise,life guidance. After 8 weeks of intervention, the psychological status and clinical efficacy of the two groups were compared and analyzed. Results There was no significant difference between two groups of patients in SAS score and SDS score before intervention（P〈0.05）. After the intervention, SAS score and SDS score of two groups of patients were significantly decreased（P〈0.05）, and that of the observation group decreased more significantly than that of the control group（P〈0.05）. The total effective rate of observation group was 91.4%,which was significantly higher than that of the control group（81.0%）,the difference was statistically significant（P〈0.05）.Conclusion Nursing intervention can relieve the anxiety and depression of RA patients,that can exercise synergistic influence for clinical therapy, which is worth to clinical promotion.

关 键 词：护理干预 类风湿关节炎 心理状态 临床疗效 

分 类 号：R473.5[医药卫生—护理学]