改善类风湿性关节炎疼痛的干预性护理要点研究

Study on Interventional Nursing Points for Improving Rheumatoid Arthritis Pain

目的探究改善类风湿性关节炎疼痛的干预性护理要点,为后续临床护理奠定基础。方法便利选取该院2017年12月—2018年12月收治的类风湿性关节炎疼痛患者90例,按照随机原则分为对照组(n=45)和研究组(n=45),对照组患者采取常规护理模式,研究组采取干预性护理模式,分析比较两组患者的疼痛程度,SAS、SDS评分以及护理满意度等,明确护理干预的要点。结果两组患者护理前SAS、SDS、PI-NRS评分两组间,差异无统计学意义(P>0.05),护理后研究组评分显著低于对照组(P<0.05);研究组治疗有效率为91.11%,显著高于对照组的73.33%,差异有统计学意义(χ^2=4.864,P<0.05);研究组护理满意度为95.56%显著高于对照组的82.22%,差异有统计学意义(χ^2=4.050,P<0.05)。结论有效的心理指导、康复指导是改善类风湿性关节炎疼痛的干预性护理要点,可以有效降低患者疼痛度及焦虑情绪病提升患者护理满意度,可临床大范围推广。

Objective To explore the interventional nursing points to improve the pain of rheumatoid arthritis and lay the foundation for follow-up clinical nursing.Methods Ninety patients with rheumatoid arthritis pain from December 2017 to December 2018 were convenient enrolled in the hospital.They were divided into control group(n=45)and study group(n=45)according to the random principle.Taking the routine nursing mode,the study group adopted an interventional nursing model to analyze and compare the pain level,SAS,SDS score and nursing satisfaction of the two groups,and to clarify the main points of nursing intervention.Results There were no significant differences in SAS,SDS,and PI-NRS scores between the two groupsthe difference was not statistically significant(P>0.05).The scores of the study group were significantly lower than those of the control groupthe difference was statistically significant(P<0.05).The effective rate of the study group was 91.11%,significantly higher than the control group of 73.33%,the difference was statistically significant(χ^2=4.864,P<0.05);the study group's nursing satisfaction was 95.56%significantly higher than the control group of 82.22%,the difference was statistically significant(χ^2=4.050,P<0.05).Conclusion Effective psychological guidance and rehabilitation guidance are the interventional nursing points to improve the pain of rheumatoid arthritis.It can effectively reduce the patient's pain and anxiety and improve the patient's nursing satisfaction,which can be widely promoted in clinical practice.