摘要
目的:观察中医适宜技术结合目标注意转移护理改善类风湿关节炎(RA)关节肿胀疼痛患者生活质量的效果。方法:选取2018年12月—2019年12月信阳市中心医院中医风湿免疫科就诊的241例RA患者作为研究对象,随机分为观察组(n=121)和对照组(n=120)。对照组予以常规护理,观察组在其基础上实施中医适宜技术结合目标注意转移护理。比较两组患者入院时、护理3个月后的症状改善[晨僵时间、平均握力、关节压痛指数、关节肿胀数、28个关节疾病活动度评分(DAS28)]、心理状态[状态特质焦虑量表(STAI)、贝克抑郁问卷(BID)]、自我效能[类风湿关节炎自我效能感量表(RASE)、一般自我效能量表(GSES)]与生活质量[类风湿关节炎生命质量测定量表(QLICD-RA)]变化。结果:护理3个月,观察组的平均握力、RASE、GSES得分显著高于对照组,差异有统计学意义(P<0.05),晨僵时间、关节压痛指数、关节肿胀数、DAS28评分、STAI、BID、QLICD-RA得分显著低于对照组,差异有统计学意义(P<0.05)。结论:中医适宜技术结合目标注意转移护理可有效改善RA患者心理状态,并提高其自我效能及生活质量,促进其症状体征康复。
Objective:To observe the effect of Chinese medicine appropriate techniques combined with target attention transfer care to improve the quality of life of patients with painful swollen joints in rheumatoid arthritis(RA).Methods:A total of 241 pa-tients with RA attending the hospital from December 2018 to December 2019 were selected and randomly divided into an observa-tion group(n=121)and a control group(n=120).The control group was given conventional care,and the observation group imple-mented TCM appropriate techniques combined with target attention transfer care on its basis.The changes in symptom improvement(time to morning stiffness,mean grip strength,joint pressure pain index,number of joint swellings,28 joint disease activity score[DAS28]),mental status(State Trait Anxiety Inventory[STAI],Beck Depression Questionnaire[BID]),self-efficacy(Rheumatoid Ar-thritis Self-Efficacy Scale[RASE],General Self-Efficacy Scale[GSES])and quality of life(Rheumatoid Arthritis Quality of Life Measurement Scale[QLICD-RA])were compared between the two groups at admission and after 3 months of care.Results:At 3 months of care,the mean grip strength,RASE,and GSES scores of the observation group were significantly higher than those of the control group,with statistically significant differences(P<0.05).Time to morning stiffness,joint pressure pain index,number of swollen joints,DAS28 score,STAI,BID,and QLICD-RA scores were significantly lower than those of the control group,with statis-tically significant differences(P<0.05).Conclusion:Appropriate TCM techniques combined with goal-directed attention transfer care can effectively improve the psychological status of RA patients and enhance their self-efficacy and quality of life,and promote the recovery of their symptoms and signs,which is worth promoting.
作者
刘琳琳
季辉
郭乃亮
王伟
Liu Linlin;Ji Hui;Guo Nailiang(Department of Rheumatology and Immunology,Xinyang Central Hospital of Traditional Chinese Medicine,Xinyang,Henan,464000,China)
出处
《黑龙江医学》
2023年第15期1881-1884,共4页
Heilongjiang Medical Journal
关键词
中医适宜技术
目标注意转移
类风湿关节炎
疼痛
生活质量
护理
Appropriate technology for Chinese medicine
Target attention transfer
Rheumatoid arthritis
Pain
Quality of life
Nursing
