全科医生个体化非药物指导对老年膝关节炎患者疾病防治效果的影响

Influence of individualized non-drug guidance of general practitioners on disease prevention and treatment effects of elderly patients with knee arthritis

目的探究全科医生个体化非药物指导对老年膝关节炎患者疾病防治效果的影响。方法选取2016年6月至2018年6月社区医院收治的128例老年膝关节炎患者作为研究对象,依据随机数字表法将其分为对照组(64例,常规指导)和研究组(64例,全科医生个体化非药物指导)。比较两组患者膝关节功能情况、膝关节疼痛情况、疾病认知情况以及护理满意度。结果两组患者护理前膝关节功能评分比较,差异无统计学意义(P>0.05);两组患者护理后膝关节功能评分均提高,且研究组显著高于对照组,差异具有统计学意义(P<0.05)。两组患者护理前膝关节VAS评分比较,差异无统计学意义(P>0.05);两组患者护理后膝关节VAS评分均降低,且研究组显著低于对照组,差异具有统计学意义(P<0.05)。研究组患者疾病认知评分及护理总满意率显著高于对照组,差异具有统计学意义(P<0.05)。结论对老年膝关节炎患者实施全科医生个体化非药物指导具有良好效果,能够有效改善患者膝关节功能,减轻患者膝关节疼痛,提高患者疾病认知度以及护理满意度,进而提高老年患者的生活质量。

Objective To explore the influence of individualized non-drug guidance of general practitioners on disease prevention and treatment effects of elderly patients with knee arthritis. Methods One hundred and twenty-eight elderly patients with knee arthritis admitted in community hospitals from June 2016 to June 2018 were selected as the research objects and divided into control group(64 cases, routine guidance) and research group(64 cases, general practitioners individualized non-drug guidance) according to random number table method. The knee joint function situation, knee pain situation, disease awareness and nursing satisfaction were compared between the two groups. Results There was no significant difference in knee joint function score between the two groups before nursing(P >0.05);knee joint function score of both groups increased after nursing, and that in the research group was significantly higher than the control group, the differences were statistically significant(P<0.05). There was no significant difference in VAS score of knee joint between the two groups before nursing(P >0.05);VAS score of knee joint of the two groups after nursing decreased, and that in the research group was significantly lower than the control group, the differences were statistically significant(P<0.05). The score of disease awareness and the total satisfaction rate of nursing in the research group were significantly higher than those in the control group, and the differences were statistically significant(P<0.05). Conclusion The individualized non-drug guidance of general practitioners in elderly patients with knee arthritis has a good effect. It can effectively improve the function of knee joint, relieve knee pain, increase patients’ disease awareness and nursing satisfaction, and then improve the quality of life of elderly patients.