疼痛专项护理模式对改善类风湿关节炎患者疼痛与睡眠质量的影响

The effect of pain-specific nursing model on improving the pain and sleep quality of patients with rheumatoid arthritis

目的探讨疼痛专项护理模式对改善类风湿关节炎患者关节疼痛与睡眠质量的效果。方法选取2018年7月至2019年12月徐州市中医院风湿肾病科收治的类风湿关节炎患者80例作为研究对象,按照随机数字表法分为对照组与观察组,每组各40例,对照组开展常规护理模式,观察组开展疼痛专项护理模式,分别比较两组患者护理前后的关节疼痛(VAS)、焦虑(SAS)、抑郁(SDS)评分,睡眠质量,护理满意度。结果护理前,两组VAS评分比较,差异无统计学意义(P>0.05),护理后2周,两组VAS评分均有所降低,且观察组VAS评分明显低于对照组,差异有统计学意义(P<0.05);护理后2周,观察组患者的入睡时间、睡眠时间、睡眠障碍及日间功能评分均低于对照组,差异有统计学意义(P<0.05);护理前,两组不良心理状态(SAS、SDS)评分比较,差异无统计学意义(P>0.05),护理后2周,两组SAS、SDS评分均降低,且观察组SAS、SDS评分明显低于对照组,差异有统计学意义(P<0.05);护理后2周,观察组患者的护理满意度为97.50%,明显高于对照组的80.00%,差异有统计学意义(P<0.05)。结论对类风湿关节炎患者开展疼痛专项护理模式,除了能够改善患者的关节疼痛程度外,还能在一定程度上提高患者的睡眠质量,有利于改善患者的不良心理状况,同时还能进一步提升患者对护理的满意度,值得在临床中推广应用。

Objective To explore the effect of pain-specific nursing model on improving joint pain and sleep quality of patients with rheumatoid arthritis.Methods Eighty patients with rheumatoid arthritis admitted to the Department of Rheumatology and Nephrology of Xuzhou City Hospital of Traditional Chinese Medicine from July 2018 to December 2019 were selected as the research objects.According to the random number table method,80 patients were divided into the control group and observation group,with 40 cases in each group.The control group received the conventional nursing model,and the observation group received the pain-specific nursing model.The joint pain(VAS)scores,anxiety(SAS),depression(SDS)scores,sleep quality,nursing satisfaction of the two groups were compared before and after nursing.Results Before nursing,there was no significant difference in VAS scores between the two groups(P>0.05).Two weeks after nursing,the VAS scores of the two groups were reduced,and the VAS scores of the observation group were significantly lower than those of the control group,with statistically significant difference(P<0.05).Two weeks after nursing,the scores of falling asleep time,sleep time score,sleep disorder score,and daytime function scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Before nursing,there was no statistically significant difference in the scores of the two groups of bad psychological statesuch as Self-rating Anxiety Scaleand Self-rating DepressionScale(SAS,SDS)(P>0.05).Two weeks after nursing,the SAS,SDS scores of the two groups were reduced,and the SAS,SDS scores of the observation group were significantly lower than those of the control group,the difference was statistically significant(P<0.05).Two weeks after nursing,the nursing satisfaction rate of the patients in the observation group was 97.50%,higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Carrying out a pain-specific nursing model for patients with rheumatoid arthritis can not only improve the degree of joint pain of patients,but also improve the quality of sleep of patients to a certain extent,which is conducive to improving patients'bad psychological state,and at the same time,it can further improve patients'satisfaction with nursing.Therefore,it is worthy of promotion and application in clinical practice.