首页|基于中医理论健康指导在类风湿关节炎患者中的干预效果研究

基于中医理论健康指导在类风湿关节炎患者中的干预效果研究

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目的 观察基于中医理论健康指导在类风湿关节炎(RA)中的干预效果.方法 选取 2021 年 10 月至2022 年10 月收治的82 例RA患者为研究对象,按照随机数字表法分为2 组,对照组41 例予常规健康指导干预,研究组41 例在对照组的基础上联合基于中医理论的健康指导干预.2 组均治疗干预1 个月后.比较2 组干预前后膝关节肿胀评分、疼痛视觉模拟评分法(VAS)评分、类风湿患者生活质量量表(QOL)评分及心理症状 90 项症状自评量表(SCL-90)评分变化情况,比较2 组干预后治疗满意度情况.结果 与本组干预前比较,2 组干预后膝关节肿胀程度评分、疼痛VAS评分及心理症状SCL-90 评分均降低(P<0.05),生活质量QOL评分均升高(P<0.05),且研究组干预后膝关节肿胀程度评分、疼痛VAS评分及心理症状SCL-90 评分均低于对照组(P<0.05),生活质量QOL评分高于对照组(P<0.05).研究组治疗满意度95.12%(39/41),对照组治疗满意度73.17%(30/41),研究组干预后治疗满意度高于对照组(P<0.05).结论 基于中医理论健康指导干预RA患者临床效果显著,可有效改善患者关节肿胀情况,缓解疼痛症状,提高生活质量,改善心理状态,提高治疗满意度.
Intervention effect of health instruction based on traditional Chinese medicine theory in rheumatoid arthritis
Objective To observe the intervention effect of health instruction based on traditional Chinese medicine(TCM)theory in rheumatoid arthritis(RA).Methods From October 2021 to October 2022,a total of 82 RA patients were randomly assigned into the study group(n =41)and the control group(n =41).All patients were managed by routine health in-struction intervention,and those in observation group additionally received health instruction intervention based on TCM theory.After 1 month of intervention,knee joint swelling score,visual analogue scale(VAS)for pain,quality of life(QoL),Symptom Checklist-90(SCL-90)scale,satisfaction were compared.The curative effect was assessed.Results After treatment,sig-nificantly decreased knee joint swelling score,VAS and SCL-90,and increased QOL were detected in the two groups(all P<0.05),and the study group was superior to the control group for knee joint swelling score,VAS,SCL-90,QOL(all P<0.05).The satisfaction in the study group was better than that in the control group(95.12%[39/41]vs 73.17%[30/41],[P<0.05],respectively).Conclusion For RA patients,health instruction intervention based on TCM theory has significant clinical effect,which can effectively improve joint swelling,relieve pain symptoms,improve quality of life and psychological state,and increase satisfaction.

Rheumatoid arthritisTraditional Chinese medicine therapyHealth education

吴楠、李云龙、刘洋

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首都医科大学附属北京积水潭医院风湿免疫科,北京 100035

首都医科大学附属北京积水潭医院中医科,北京 100035

类风湿关节炎 中医疗法 健康教育

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(1)
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