急性痛风性关节炎患者采取个体化护理后的效果观察

Observation on the Effect of Individualized Nursing for Patients with Acute Gouty Arthritis

目的探讨在急性痛风性关节炎患者中采取个体化护理的效果。方法方便选取在该院近期(2015年10月—2017年10月时期)收治以急性痛风性关节炎为诊断的患者总计142例,采取随机数字法分成对照组(71例)与护理组(71例),对照组采取常规护理干预,护理组采取个体化护理干预。对照两组患者护理干预前、后疼痛VAS评分、血尿酸水平,临床症状消失时间,对护理的满意率与随访1年复发率并分析其诱因。结果在护理干预后,护理组患者疼痛VAS评分及血尿酸水平明显低于对照组,且护理组患者临床症状消失时间明显少于对照组,护理组护理满意度高达100.00%,明显高于对照组护理满意度91.55%,护理组护理随访1年内复发率为4.23%,对照组总复发率为19.72%,差异有统计学意义(P<0.05)。结论在急性痛风性关节炎的患者护理中,采取个体化护理干预,可明显减轻患者疼痛感,降低血尿酸水平,缩短临床症状持续时间,提高患者对护理的满意率,降低住院期间并发症的发生,效果理想。

Objective To explore the effect of individualized nursing in patients with acute gouty arthritis.Methods Convenient select a total of 142 patients with acute gouty arthritis were treated in our hospital in the near future(October 2015-October 2017).They were divided into control group(71 cases)and nursing group(71 cases)by random number method.The control group was given routine nursing intervention,while the nursing group was given individualized nursing intervention.The VAS score of pain,serum uric acid level,time of clinical symptoms disappearance,satisfaction rate of nursing and recurrence rate of 1 year follow-up were compared between the two groups before and after nursing intervention.Results After nursing intervention,the pain VAS score and serum uric acid level in nursing group were significantly lower than those in control group.And the disappearance time of clinical symptoms in nursing group was significantly less than that in control group.The nursing satisfaction in nursing group was as high as 100.00%,which was significantly higher than that in the control group(91.55%).And the recurrence rate in nursing group was 4.23%within one year of follow-up.The total recurrence rate of the control group was 19.72%.The difference was statistically significant(P<0.05).Conclusion In the nursing of patients with acute gouty arthritis,individualized nursing intervention can obviously relieve pain,reduce the level of serum uric acid,shorten the duration of clinical symptoms,improve the satisfaction rate of patients with nursing,and reduce the occurrence of complications during hospitalization.