分阶段延续护理在强直性脊柱炎患者中的应用效果

Application effects of phased continuous nursing in patients with ankylosing spondylitis

目的:观察分阶段延续护理在强直性脊柱炎患者中的应用效果。方法:选取2019年4月至2021年3月该院收治的82例强直性脊柱炎患者进行前瞻性研究,按照随机数字表法分为对照组和观察组各41例。对照组实施护理常规延续,观察组在对照组基础上实施分阶段延续护理,比较两组护理前后疼痛[视觉模拟评分法(VAS)]评分、负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、依从性评分及康复指标水平。结果:护理后,观察组VAS、SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05);观察组临床用药、日常生活、自我管理、饮食健康、功能锻炼等依从性评分均高于对照组,差异有统计学意义(P<0.05);观察组枕墙距、晨僵时间均短于对照组,扩胸度、Schober试验距离均大于对照组,差异有统计学意义(P<0.05)。结论:分阶段延续护理应用于强直性脊柱炎患者,可缓解疼痛,改善焦虑、抑郁不良情绪,提高患者依从性,促进其康复,其效果优于单纯常规护理。

Objective: To observe application effects of phased continuous nursing in patients with ankylosing spondylitis. Methods: A total of 82 patients with ankylosing spondylitis admitted to our hospital from April 2019 to March 2021 were selected for a prospective study, and were divided into control group and observation group(41 cases in each group) according to random number table method.. The control group was given routine nursing, while the observation group used the phased continuous nursing based on that of the control group. The pain [visual analogue scale(VAS)] score, the negative emotion [self-rating anxiety scale(SAS), self-rating depression scale(SDS)] score, the compliance score and the rehabilitation index levels were compared between the two groups before and after the nursing. Results: After the nursing, the VAS, SAS and SDS scores of the observation group were lower than those of the control group, and the differences were statistically significant(P<0.05). The compliance scores of clinical medication, daily life, self-management, healthy diet, and functional exercise in the observation group were higher than those in the control group, and the differences were statistically significant(P<0.05). Further, the occiput-to-wall distance and the morning stiffness time in the observation group were shorter than those in the control group;the chest expansion degree and the Schober test distance were higher than those in the control group;and the differences were statistically significant(P<0.05). Conclusions: The phased continuous nursing for the patients with ankylosing spondylitis can relieve the pain, improve the anxiety and depression emotions, improve the patients’ compliance, and promote their recovery. T Moreover, it is superior to single routine nursing.