延续性护理对改善幼年特发性关节炎患儿疼痛的疗效观察

Efficacy of Continuity of Care in Improving Pain in Children with Juvenile Idiopathic Arthritis

目的:观察延续性护理对改善幼年特发性关节炎(JIA)患儿疼痛的疗效。方法:选取2021年1月—2022年12月贵州省医科大学附属医院收治的JIA患儿68例为研究对象,采用随机数字表法分为对照组与观察组,各34例。对照组采用常规护理方式,观察组在对照组基础上加用延续性护理。比较两组患儿护理有效性、疼痛程度、关节活动程度及生活质量。结果:观察组患儿护理总有效率高于对照组,差异有统计学意义(P=0.014);护理后,观察组患儿低龄儿童疼痛评分表(CHEOPS)评分降低,类风湿关节炎病情活动度评价表(DAS28)评分升高,观察组CHEOPS、DAS28评分均优于对照组,差异有统计学意义(P<0.05);护理后,观察组患儿生理功能、生理职能、躯体疼痛、总体健康、活力状况、社会状况、情感状况和精神状况评分均升高,观察组高于对照组,差异有统计学意义(P<0.05)。结论:JIA患儿采取延续性护理的效果更优,疼痛、关节活动程度和生活质量均得到改善,护理优势突出。

Objective:To observe the efficacy of continuity of care in improving pain in children with juvenile idiopathic arthritis(JIA).Methods:Sixty-eight cases of children with JIA admitted to the Affiliated Hospital of Guizhou Medical University from Jan⁃uary 2021 to December 2022 were selected for the study,and were divided into the control group and the observation group,each with thirty-four cases,by using the method of randomized numerical table.The control group used conventional nursing care,and the observation group added continuity of care on the basis of the control group.Compare the effectiveness of nursing care,pain level,joint mobility and quality of life of children in the two groups.Results:The total effective rate of nursing care for children in the observation group was higher than that of the control group,and the difference was statistically significant(P=0.014);After the nursing care,the children in the observation group had lower scores on the Children's Hypophysial Pain Rating Scale(CHEOPS)and higher scores on the Disease Activity Scale for Rheumatoid Arthritis(DAS28),and the scores of CHEOPS and DAS28 in the observation group were better than those in the control group,and the difference was statistically significant(P<0.05);After the nursing care,the scores of physiological function,physiological function,somatic pain,general health,vitality status,social status,emotional status and spiritual status of the children in the observation group were elevated,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:The effect of continuity of care in chil⁃dren with JIA was more favorable,and pain,joint mobility and quality of life were improved,with outstanding nursing advantages.