护理干预对强直性脊柱炎患者生活质量的影响

The influence of the application of nursing intervention on the quality of the life of patientswith ankylosing spondylitis

目的探讨护理干预对强直性脊柱炎患者生活质量的影响。方法将2008年8月至2011年8月入住山东省泰山疗养院康复科80例强直性脊柱炎患者随机分为实验组40例,对照组40例,实验组由专业护士从心理、认知、行为等方面进行全方位护理干预,对照组进行常规健康教育,出院后电话随访3个月末回院复查。结果实验组疼痛评分干预前(8±2)分、干预后(3±2),晨僵时间干预前(75.0±20.1)min、干预后(41.2±13.8)min,指地距离干预前(30.1±11.3)cm、干预后(16.2±7.2)cm,C反应蛋白干预前(26.7±7.3)mg/L、干预后(15.2±4.1)mg/L;对照组疼痛评分干预前(8±2)min、干预后(5±3)min,晨僵时间干预前(76.0±18.6)min、干预后(50.2±20.1)min,指地距离干预前(31.2±10.3)cm、干预后(21.9±9.1)cm,C反应蛋白干预前(26.5±7.4)mg/L、干预后(16.0±4.3)mg/L;除了C反应蛋白外其他指标均为实验组优于对照组(P<0.05)。结论全面的护理干预能有效地提高强直性脊柱炎的疗效,减少关节畸形的发生,提高患者的生活质量,最大限度的降低病残率。

Objective： To investigate the influence of the application of nursing intervention on the quality of the life of patients with ankylosing spondylifis. Methods：Eighty patients with ankylosing spondylitis who were hospitalized in Depart- ment of Rehabilitation, Taishan Sanatorium of Shandong Province from August 2008 to August 2011 were randomly divided into the experimental group and the control group with each group of 40 patients. The experimental group received compre- hensive nursing intervention of professional nurses from psychology, cognition and behavior. The control group had regular health education. All patients were followed up by telephone in the third month after discharge from hospital, and then were reviewed. Results ： The pain score of the experimental group： before intervention （ 8 ± 2 ）, after intervention （ 3 ± 2 ）, the time of morning stiffness： before intervention （ 75.0 ± 20.1 ） min,after intervention （41.2 ± 13.8 ） rain, the distance of re- fers to land： before intervention （30.1 ± 11.3） era, after intervention （ 16.2 ± 7.2） era, C-reaction protein： before inter- vention （26.7 ± 7.3） rag/L, after intervention （ 15.2 ± 4.1 ） rag/L; The pain score of the control group： before intervention （ 8 ± 2）, after intervention （5 ± 3）, the time of morning stiffness ： before intervention （ 76.0 ± 18.6） min, after intervention （50.2 ± 20.1 ） rain, the distance of refers to land： before intervention （31.2 ± 10.3 ） era, after intervention （21.9 ± 9.1 ） cm, C-reaction protein： before intervention （26.5 ± 7.4） mg/L, after intervention （ 16.0 ± 4.3） mg/L. In addition to C-re- action protein, the other indexes for experimental group were better than those for the control group （P 〈 0.05）. Conclu- sion：Comprehensive nursing intervention can effectively enhance the curative effect on ankylosing spondylitis, reduce the occurrence of joint deformity, improve the quality of life of patients, and reduce the disabled rate up to the hilt.