人性化特色护理干预对类风湿性关节炎患者关节活动及生活质量的影响.docVIP

人性化特色护理干预对类风湿性关节炎患者关节活动及生活质量的影响 　　【摘要】 目的：探讨人性化特色护理干预对类风湿性关节炎患者关节活动及生活质量的影响。方法：选择2014年12月-2015年12月本院收治的类风湿性关节炎患者152例，按照随机数字表法分为观察组和对照组，每组76例。对照组采用常规护理干预措施，观察组采用人性化特色护理干预措施，观察两组患者关节压痛指数、关节肿胀指数、28个关节疾病活动度评分（DAS28评分）及生活质量。结果：护理前，两组患者关节压痛指数、关节肿痛指数及DAS28评分比较，差异均无统计学意义（P0.05），护理干预后两组患者各项指标较护理前均明显降低（P0.05），且观察组患者的关节压痛指数、关节肿痛指数及DAS28评分均明显低于对照组（P0.05），观察组患者生理功能、情感功能、生理职能、躯体疼痛、总体健康、活力、社会功能和精神健康8个维度评分均明显高于对照组（P0.05）。结论：对类风湿性关节炎患者采用人性化特色护理干预措施能有效缓解临床症状，改善关节活动度，提高生活质量，值得临床推广应用。 　　【关键词】 人性化特色护理； 类风湿性关节炎； 关节活动； 生活质量 　　【Abstract】 Objective：To study the influence of joint activities and quality of life of characteristic humanized nursing intervention in patients with rheumatoid arthritis.Method：From December 2014 to December 2015 152 patients with rheumatoid arthritis were selected and randomly divided into the observation group and the control group，76 cases in each group.The control group was given conventional nursing intervention measures，the observation group was given humanity nursing intervention measures，joint tenderness index，the index of joint swelling，28 joint disease activity score（DAS28 score） and the quality of life of two groups were compared.Result：Before treatment，joint tenderness index，joint swelling index and DAS28 score of two groups were no significant differences（P0.05），after nursing intervention indicators of two groups were significantly lower than those of before treatment（P0.05），and joint tenderness index，joint swelling index and DAS28 scores of the observation group were significantly lower than thoses of the control group（P0.05），emotional function， physical function，bodily pain，general health， vitality，social functioning and mental health score eight dimensions of the observation group were significantly higher（P0.05）.Conclusion：Using humanized characteristics in patients with rheumatoid arthritis nursing intervention can effectively relieve the clinical symptoms，improve joint activity，improve the quality of life，it is worthy of clinical populariza