改善类风湿性关节炎疼痛的干预性护理要点研究.docxVIP

改善类风湿性关节炎疼痛的干预性护理要点研究 　　[摘要]目的探究改善類风湿性关节炎疼痛的干预性护理要点，为后续临床护理奠定基础。方法便利选取该院2017年12月—2018年12月收治的类风湿性关节炎疼痛患者90例，按照随机原则分为对照组（n=45）和研究组（n=45），对照组患者采取常规护理模式，研究组采取干预性护理模式，分析比较两组患者的疼痛程度，sas、sds评分以及护理满意度等，明确护理干预的要点。结果两组患者护理前sas、sds、pi-nrs评分两组间，差异无统计学意义（p0.05），护理后研究组评分显著低于对照组（p0.05）;研究组治疗有效率为91.11%，显著高于对照组的73.33%，差异有统计学意义（χ2=4.864，p0.05）;研究组护理满意度为95.56%显著高于对照组的82.22%，差异有统计学意义（χ2=4.050，p0.05）。结论有效的心理指导、康复指导是改善类风湿性关节炎疼痛的干预性护理要点，可以有效降低患者疼痛度及焦虑情绪病提升患者护理满意度，可临床大范围推广。 　　[关键词]改善;类风湿性关节炎;疼痛;干预性护理;常规护理 　　[中图分类号]r4[文献标识码]a[文章编号]1674-0742（2019）12（c）-0154-03 　　studyoninterventionalnursingpointsforimprovingrheumatoidarthritispain 　　yangli-ying 　　departmentofrheumatologyandimmunology，thefirsthospitalofnanpingcity，fujianmedicaluniversity，nanping，fujianprovince，353000china 　　[abstract]objectivetoexploretheinterventionalnursingpointstoimprovethepainofrheumatoidarthritisandlaythefoundationforfollow-upclinicalnursing.methodsninetypatientswithrheumatoidarthritispainfromdecember2017todecember2018wereconvenientenrolledinthehospital.theyweredividedintocontrolgroup（n=45）andstudygroup（n=45）accordingtotherandomprinciple.takingtheroutinenursingmode，thestudygroupadoptedaninterventionalnursingmodeltoanalyzeandcomparethepainlevel，sas，sdsscoreandnursingsatisfactionofthetwogroups，andtoclarifythemainpointsofnursingintervention.resultstherewerenosignificantdifferencesinsas，sds，andpi-nrsscoresbetweenthetwogroupsthedifferencewasnotstatisticallysignificant（p0.05）.thescoresofthestudygroupweresignificantlylowerthanthoseofthecontrolgroupthedifferencewasstatisticallysignificant（p0.05）.theeffectiverateofthestudygroupwas91.11%，significantlyhigherthanthecontrolgroupof73.33%，thedifferencewasstatisticallysignificant（χ2=4.864，p0.05）;thestudygroupsnursingsatisfactionwas95.56%significantlyhigherthanthecontrolgroupof82.22%，thedifferencewasstatisticallysignificant（χ2=4.050，p0.05）.conclusioneffectivepsychologicalguidanceandrehabilitationguidancearetheinterventionalnursingpointstoimprovethepainofrheuma