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康复护理在类风湿性关节炎患者治疗中的应用效果分析

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目的:分析类风湿性关节炎(RA)患者护理服务过程中实施康复护理的应用效果。方法:选取 2019年 1月—2022年 12月天津市第一中心医院收治的 58例RA患者为研究对象,按随机数字表法将其分为对照组与研究组,各 29例。对照组采用常规护理,研究组采用康复护理。两组均护理 2周。比较两组生活质量、日常生活能力、睡眠质量、心理状态、遵医行为、骨关节指标及类风湿化验指标。结果:护理后,研究组护理总有效率为 96。60%,高于对照组的 82。80%,差异有统计学意义(P<0。05)。护理后,研究组Barthel指数、世界卫生组织生存质量量表及遵医行为评分均高于对照组,匹兹堡睡眠质量指数、焦虑自评量表评分均低于对照组,差异均有统计学意义(P<0。05)。护理后,研究组晨僵时间短于对照组,关节肿胀数、关节压痛数均少于对照组,双手平均握力强于对照组,差异均有统计学意义(P<0。05)。结论:在为RA患者治疗的过程中,实施康复护理可获得更有效的护理效果,有助于改善患者的生活质量、日常生活能力、睡眠质量、心理状态、遵医行为,利于骨关节能力恢复,降低类风湿指标。
Effect Analysis of Rehabilitation Nursing in the Treatment of Patients with Rheumatoid Arthritis
Objective:To analyze the effect of rehabilitation nursing in the nursing service of patients with rheumatoid arthritis(RA).Methods:A total of 58 RA patients admitted to Tianjin First Central Hospital from January 2019 to December 2022 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 29 cases in each group.The control group received routine nursing and the study group received rehabilitation nursing.Both groups were treated for 2 weeks.The quality of life,daily living ability,sleep quality,mental state,compliance behavior,bone and joint indexes and rheumatoid test indexes were compared between the two groups.Results:After nursing,the total effective rate of the study group was 96.60%,which was higher than 82.80%of the control group,the difference was statistically significant(P<0.05).After nursing,the Barthel index,World Health Organization Quality of Life Scale and compliance behavior scores of the study group were higher than those of the control group,while the scores of Pittsburgh sleep quality index and self-rating anxiety scale were lower than those of the control group,with statistical significance(P<0.05).After nursing,the morning stiffness time of the study group was shorter than that of the control group,the number of joint swelling and joint tenderness were less than that of the control group,and the average hand grip strength was stronger than that of the control group,with statistical significance(P<0.05).Conclusion:In the process of treatment for RA patients,the implementation of rehabilitation nursing can obtain more effective nursing effects,which is conducive to improving the quality of life,daily living ability,sleep quality,psychological state and compliance behavior of patients,which is conducive to the recovery of bone and joint ability and the reduction of rheumatoid index.

Rheumatoid arthritisRehabilitation nursingBone and joint indexMental state

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天津市第一中心医院风湿免疫科,天津 300000

类风湿性关节炎 康复护理 骨关节指标 心理状态

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)