多维度护理干预在老年类风湿关节炎患者中的应用价值(1)
【摘要】 目的：探讨多维度护理干预在老年类风湿关节炎患者中的应用价值。方法：选择2018年2月-2019年2月于笔者所在科室治疗的82例老年类风湿关节炎患者作为研究对象，按照不同护理方法分为研究组与参照组，各41例。研究组接受多维度护理，参照组接受常规护理，比较两组护理满意度、生活自理能力评分、关节疼痛评分。结果：研究组护理总满意率(100%)高于参照组(90.24%)，差异有统计学意义(P<0.05);护理后研究组生活自理能力评分高于参照组，关节疼痛评分低于参照组，差异均有统计学意义(P<0.05)。结论：采用多维度护理干预可有效提高老年类风湿关节炎患者的护理满意度，减轻关节疼痛，提高生活自理能力。
【关键词】 多维度护理干预 老年类风湿关节炎 护理满意度 生活自理能力评分 关节疼痛评分
doi：10.14033/j.cnki.cfmr.2020.27.043 文献标识码 B 文章编号 1674-6805(2020)27-0-03
[Abstract] Objective： To explore the application value of multi-dimensional nursing intervention in elderly patients with rheumatoid arthritis. Method： Eighty-two elderly patients with rheumatoid arthritis treated in our department from February 2018 to February 2019 were selected as the study subjects. They were divided into the study group and the reference group according to different nursing methods， 41 cases in each group. The study group received multi-dimensional nursing and the control group received routine nursing. The nursing satisfaction rate， score of life self-care ability and joint pain score of the two groups were compared. Result： The nursing satisfaction rate in the study group (100%) was higher than that in the reference group (90.24%)， the difference was statistically significant (P<0.05). After nursing， the self-care ability score in the study group was higher than that in the control group， and the joint pain score was lower than that in the control group， the differences were statistically significant (P<0.05). Conclusion： Multi-dimensional nursing intervention can effectively improve the nursing satisfaction of elderly patients with rheumatoid arthritis， reduce joint pain and improve self-care ability.
[Key words] Multi-dimensional nursing intervention Elderly rheumatoid arthritis Nursing satisfaction Life self-care ability score Joint pain score
First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China
老年类风湿关节炎是多发于老年人的滑膜炎系统性疾病，该疾病主要与病菌感染、家族遗传及性激素有关[1]。老年类风湿关节炎患者临床表现为晨僵、关节肿痛、功能障碍、畸形及体重减轻等症状，该疾病因具体病因尚未明确，临床难以彻底治愈，需要长期治疗。患者关节变形导致生活不能自理，且我国社会老龄化发展，致使老年类风湿关节炎发病率逐年上升，患者心理、生理、生活以及家庭等均会受到影响。对此，为患者展开心理、认知、用药、功能锻炼等多维度护理干预措施，改善患者的身心健康，提高生活质量与舒适度[2-3]。本文探讨多维度护理干预在老年类风湿关节炎患者中的应用价值，报告如下。
1 资料与方法
1.1 一般资料
选择2018年2月-2019年2月于笔者科室治疗的82例老年类风湿关节炎患者作为研究对象。纳入标准：年龄61～80岁;符合美国风湿病学会1987年修订的类风湿关节炎诊断标准;经X线片检查可见骨质疏松、软组织肿胀及关节脱位等。排除标准：中途退出研究;合并恶性肿瘤、危重症;心、肝、肾等脏器功能障碍。按照不同护理方法分为研究组与参照组，各41例。研究组男10例，女31例，年龄62～76岁，平均(69.79±5.61)岁;参照组男12例，女29例，年龄61～77岁，平均(71.87±5.72)岁。两组一般资料比较差异无统计学意义(P>0.05)。本次研究经医院伦理委员会批准，所有患者及家属均对本研究知情同意，并愿意接受調查。, 百拇医药(连丽娥 宋敏敏)
【关键词】 多维度护理干预 老年类风湿关节炎 护理满意度 生活自理能力评分 关节疼痛评分
doi：10.14033/j.cnki.cfmr.2020.27.043 文献标识码 B 文章编号 1674-6805(2020)27-0-03
[Abstract] Objective： To explore the application value of multi-dimensional nursing intervention in elderly patients with rheumatoid arthritis. Method： Eighty-two elderly patients with rheumatoid arthritis treated in our department from February 2018 to February 2019 were selected as the study subjects. They were divided into the study group and the reference group according to different nursing methods， 41 cases in each group. The study group received multi-dimensional nursing and the control group received routine nursing. The nursing satisfaction rate， score of life self-care ability and joint pain score of the two groups were compared. Result： The nursing satisfaction rate in the study group (100%) was higher than that in the reference group (90.24%)， the difference was statistically significant (P<0.05). After nursing， the self-care ability score in the study group was higher than that in the control group， and the joint pain score was lower than that in the control group， the differences were statistically significant (P<0.05). Conclusion： Multi-dimensional nursing intervention can effectively improve the nursing satisfaction of elderly patients with rheumatoid arthritis， reduce joint pain and improve self-care ability.
[Key words] Multi-dimensional nursing intervention Elderly rheumatoid arthritis Nursing satisfaction Life self-care ability score Joint pain score
First-author’s address： The First Affiliated Hospital of Xiamen University， Xiamen 361003， China
老年类风湿关节炎是多发于老年人的滑膜炎系统性疾病，该疾病主要与病菌感染、家族遗传及性激素有关[1]。老年类风湿关节炎患者临床表现为晨僵、关节肿痛、功能障碍、畸形及体重减轻等症状，该疾病因具体病因尚未明确，临床难以彻底治愈，需要长期治疗。患者关节变形导致生活不能自理，且我国社会老龄化发展，致使老年类风湿关节炎发病率逐年上升，患者心理、生理、生活以及家庭等均会受到影响。对此，为患者展开心理、认知、用药、功能锻炼等多维度护理干预措施，改善患者的身心健康，提高生活质量与舒适度[2-3]。本文探讨多维度护理干预在老年类风湿关节炎患者中的应用价值，报告如下。
1 资料与方法
1.1 一般资料
选择2018年2月-2019年2月于笔者科室治疗的82例老年类风湿关节炎患者作为研究对象。纳入标准：年龄61～80岁;符合美国风湿病学会1987年修订的类风湿关节炎诊断标准;经X线片检查可见骨质疏松、软组织肿胀及关节脱位等。排除标准：中途退出研究;合并恶性肿瘤、危重症;心、肝、肾等脏器功能障碍。按照不同护理方法分为研究组与参照组，各41例。研究组男10例，女31例，年龄62～76岁，平均(69.79±5.61)岁;参照组男12例，女29例，年龄61～77岁，平均(71.87±5.72)岁。两组一般资料比较差异无统计学意义(P>0.05)。本次研究经医院伦理委员会批准，所有患者及家属均对本研究知情同意，并愿意接受調查。, 百拇医药(连丽娥 宋敏敏)