康复护理在类风湿性关节炎治疗中的应用效果  

Application Effect of Rehabilitation Nursing in the Treatment of Rheumatoid Arthritis

作　　者：李双 许益家 庄琼燕 张一梅 LI Shuang;XU Yijia;ZHUANG Qiongyan;ZHANG Yimei(Quanzhou Bonesetting Hospital of Fujian Province,Quanzhou 362000,China)

机构地区：[1]福建省泉州市正骨医院,福建泉州362000

出　　处：《中国医药指南》2022年第32期142-145,共4页Guide of China Medicine

摘　　要：目的探讨康复护理在类风湿性关节炎治疗中的实际应用效果。方法本次研究从2021年1月开始,至2021年12月为止,通过计算机随机抽选的方式选择上述时间段内于我院接受治疗的类风湿性关节炎患者100例作为入组对象,将其分为了两组,分别使用常规护理(对照组,50例)及康复护理(观察组,50例),对两组患者的临床疗效、生活质量、骨关节指标、类风湿化验指标、睡眠质量以及疼痛情况进行比较。结果观察组患者所获得的总有效率明显高于对照组(P<0.05);干预前两组患者的生活质量差异无统计学意义(P>0.05),干预后观察组患者的生活质量指标均高于对照组(P<0.05);干预前两组患者的骨关节指标差异无统计学意义(P>0.05),干预后观察组除了双手平均握力高于对照组,其余指标均低于对照组(P<0.05);护理前两组患者的睡眠质量差异无统计学意义(P>0.05),护理后的各时间段观察组患者的睡眠质量均高于对照组(P<0.05);干预前两组患者的类风湿指标差异无统计学意义(P>0.05),干预后观察组的各项类风湿指标均低于对照组(P<0.05);干预前两组患者的疼痛感受差异无统计学意义(P>0.05)。结论对于出现类风湿性关节炎的患者使用康复护理模式进行相应的护理干预工作,患者能够获得更加接近理想的治疗效果,拥有高质量的生活,患者的关节恢复情况更加良好。Objective To explore the analysis of the actual application effect of rehabilitation care in the treatment of rheumatoid arthritis.Methods This study started from January 2021 and till December 2021,100 rheumatoid arthritis patients treated in our hospital during the time period mentioned above were selected as enrolled members by computerized random selection,which were divided into two groups,a control group using routine care for a total of 50 cases,and an observation group using rehabilitation care for a total of 50 cases.Clinical outcomes,quality of life,bone and joint indexes,rheumatoid test indexes,sleep quality,as well as pain conditions were compared between the two groups.Results The overall response rate achieved by patients in the observation group was significantly higher than that achieved by the control group(P<0.05).There was no difference in the level of QOL between the two groups before the intervention(P>0.05),and patients in the observation group after the intervention had higher QOL indicators than the control group(P<0.05).There were no differences in the bone and joint indexes between the two groups before the intervention(P>0.05),and after the intervention,the observation group had lower indexes than the control group except for the average grip strength on both hands(P<0.05).Sleep quality did not differ between the two groups before nursing care(P>0.05),and was higher in the observation group than in the control group at all time periods after nursing care(P<0.05).There were no differences in rheumatoid indicators between the two groups before the intervention(P>0.05),and all rheumatoid indicators in the observation group after the intervention were lower than those in the control group(P<0.05).Pain perception did not differ between the two groups before the intervention(P>0.05).Conclusion The use of a rehabilitation care model with corresponding nursing intervention efforts for patients presenting with rheumatoid arthritis enables patients to achieve treatment outcomes that are closer to

关 键 词：类风湿关节炎 康复护理 睡眠质量 关节功能 

分 类 号：R473.5[医药卫生—护理学] R593.22[医药卫生—临床医学]