类风湿关节炎患者个性化护理与自理训练效果观察

Application of individualized nursing and self-care training in patients with rheumatoid arthritis

目的探讨个性化护理和自理训练在类风湿关节炎(RA)患者中的应用效果。方法 110例RA患者随机分为观察组和对照组,各55例。治疗期间对照组给予常规护理干预,观察组在对照组基础上接受个性化护理和自理训练。分别于干预前和干预后评价患者日常生活活动能力(ADL)、抑郁情绪和疼痛程度。结果干预前2组Barthel Index(BI)、抑郁自评量表(SDS)和视觉模拟疼痛(VAS)评分差异无统计学意义(P> 0. 05)。实施干预后,2组BI评分较干预前上升,SDS和VAS评分较干预前下降,且观察组改善幅度优于对照组(P <0. 05)。结论个性化护理联合自理训练能够改善患者不良心理状态,缓解疼痛,改善日常生活活动能力。

Objective To investigate the application efficacy of individualized nursing and self-care training in patients with rheumatoid arthritis(RA).Methods Totally 110 RA patients were randomly divided into the control group and the observation group,with 55 cases in each group.Patients in both two groups received routine care during treatment,and those in the observation group were given individualized nursing management combined with self-care training.The activity of daily living,degree of depression and pain in patients were assessed before and after intervention.Results There was no significant difference of two groups in Barthel Index(BI),Self-rating Depression Scale(SDS)and Visual Analogue Scale(VAS)on pain before intervention(P >0.05).Patients in the observation group achieved better improvement in BI,SDS and VAS compared with those in the control group after intervention(P<0.05).Conclusion The individualized nursing and self-care training are effective to improve the psychological status,relieve pain degree and improve the activity of daily living of patients.