“治未病”理论在类风湿性关节炎中医护理中的应用

TCM NURSING MEASURES FOR RHEUMATOID ARTHRITIS UNDER THE DUIDANCE OF“TRADITIONAL CHINESE PROPHYLACTIVE MEDICINE”

目的探讨"治未病"理论在类风湿性关节炎患者临床护理中的应用。方法将来我院就诊的符合类风湿性关节炎诊断标准的60例患者随机分为治未病组30例和对照组30例。将"治未病"理论应用于类风湿性关节炎患者的健康教育中,从中医辨证施护、心理、饮食、用药、功能锻炼等方面进行护理。患者入院时及入院2 w后应用11点疼痛程度数字等级量表(Pain Intensity Numerical Rating Scale,PI-NRS)来测定观察护理前后疼痛强度(PI)、疼痛缓解度(PAR)的变化,对镇痛有效率进行评价。结果入院时及入院2 w后两组患者疼痛强度(PI)、疼痛缓解度(PAR)、镇痛显效率及总有效率比较,差异均有统计学意义(p<0.05)。结论 "治未病"理论应用于类风湿性关节炎患者的临床护理中,在减轻患者疼痛、提高患者生存质量方面具有良好的效果。

Objective To discuss the effect of＂traditional Chinese prophylactive medicine＂in the nursing for patients with rheumatoid arthritis. Methods 60 patients with rheumatoid arthritis at the outpatients department in our hospital were randomly divided equally into the preventive treatment group and control group. The traditional Chinese prophylactive medicine theory was applied to the health education for the patients,including TCM dialectical nursing,psychological nursing,dietary nursing,medication,functional exercise and other nursing. When patients were admitted and hospitalized for two weeks,the Pain Intensity Numerical Rating Scale,（ PI- NRS） with 11 levels of pain degrees was applied to assess the pain intensity（ PI）,pain relief（ PAR）,and analgesic effect before and 2weeks after the patients came up for outpatient treatment. Results The differences in PI,PAR,analgesic significant efficiency and total effectiveness two weeks after treatment were statistically significant,as compared to the pre- treatment（ p〈0. 05）. Conclusion The theory of traditional Chinese prophylactive medicine is effective for nursing the patients with rheumatoid arthritis by reducing pains and improving their life quality.