强直性脊柱炎患者康复护理分析

Analysis of Rehabilitation Nursing for Patients with Ankylosing Spondylitis

目的:探讨强直性脊柱炎患者的康复护理方法及效果。方法:选取2015年12月-2017年12月本院收治的强直性脊柱炎患者82例。按照随机数字表法将其分为对照组和观察组,各41例。对照组给予常规治疗及临床护理,观察组在对照组基础上增加康复护理措施。比较两组干预前后临床症状(BASDAI量表)、腰骶部疼痛(VAS评分)及生活质量(GQOLI-74评分)改善情况。结果:干预4周后,观察组疲乏、晨僵、脊柱痛、局部触痛、关节肿痛、疼痛持续时间等症状评分分别为(3.28±1.21)、(4.02±1.31)、(3.98±1.37)、(3.67±1.02)、(4.19±1.44)、(3.18±1.23)分,均低于对照组的(4.96±1.23)、(5.94±1.88)、(5.02±1.12)、(4.45±1.69)、(5.16±1.34)、(5.02±1.49)分,差异均有统计学意义(P<0.05);观察组腰骶部VAS评分为(3.05±1.02)分,低于对照组的(5.18±1.67)分,比较差异有统计学意义(P<0.05);观察组GQOLI-74评分为(78.09±14.21)分,高于对照组的(64.05±17.13)分,比较差异有统计学意义(P<0.05)。结论:强直性脊柱炎临床治疗中积极实施针对性的康复护理措施,有助于改善患者临床症状、腰骶部疼痛及生活质量,临床应用价值较高。

Objective:To explore the rehabilitation nursing methods and effect of ankylosing spondylitis patients.Method:A total of 82 patients with ankylosing spondylitis admitted to our hospital from December 2015 to December 2017 were selected.According to the random number table method,they were divided into control group and observation group,41 cases in each group.The control group was given routine treatment and clinical nursing,while observation group was given rehabilitation nursing measures on the basis of control group.The improvement of clinical symptoms(BASDAI scale),lumbosacral pain(VAS score)and quality of life(GQOLI-74 score)before and after intervention between two groups were compared.Result:After 4 weeks of intervention,the scores of fatigue,morning stiffness,spinal pain,local tenderness,joint swelling and pain duration in observation group were(3.28±1.21),(4.02±1.31),(3.98±1.37),(3.67±1.02),(4.19±1.44),(3.18±1.23)points respectively,which were lower than(4.96±1.23),(5.94±1.88),(5.02±1.12),(4.45±1.69),(5.16±1.34),(5.02±1.49)points in control group,the differences were statistically significant(P<0.05);the lumbosacral VAS score in observation group was(3.05±1.02)points,which was lower than(5.18±1.67)points in control group,the difference was statistically significant(P<0.05);the GQOLI-74 score of observation group was(78.09±14.21)points,which was higher than(64.05±17.13)points in control group,the difference was statistically significant(P<0.05).Conclusion:It is helpful to improve the clinical symptoms,lumbosacral pain and quality of life in the clinical treatment of ankylosing spondylitis,which is of high clinical value.